Overview of FCE's (Functional Capacity Evaluations)

After a work-related injury there is much information that is necessary and helpful in moving forward with both work and workers’ compensation benefits. After the initial treatment of your injury, there may be ongoing concerns in returning to work and returning to full functioning. In this regard, you may be asked to have an assessment called a Functional Capacity Evaluation (“FCE”). 

An FCE can be recommended by your employer or by the insurance company, case managers, physicians, or therapists. Generally a prescription from a physician is required, but any of these parties can ask for the evaluation to make determinations regarding your ability to return to work, and any future therapy or medical care that may be needed.

 

Questions will be addressed in the FCE such as:   are you able to return to work? if so, what duties will you be able/not be able to perform? will you need further rehabilitation? if so, what will that consist of?

 

Whether your job requires physical or mental demands, the FCE can be individualized to assess your specific abilities to perform the particular duties of your work. The test should be performed by an evaluator who is a therapist, trainer, or someone specifically trained and certified in administering tests of this kind. He or she will review your medical records, and then design a test that will target objective measures of your abilities to perform your job duties.

 

For example, if your job requires lifting and carrying, the evaluator will record your ability to lift, walk with weight, pull strength, etc. The results should be compared against objective benchmarks. Caution, of course, should be used by the evaluator to assess your injury without causing further damage. The whole test should be a reasonable length. 

 

After an FCE is finished, a report is generated which should include the results of the testing and a determination as to your range of physical and/or mental abilities with respect to performing your job. Specific tasks and movements to be avoided may be included, as well as other limitations and recommendations.

 

The report from an FCE may be used to tailor your employment, both in terms of timing to return to work, and duties that can be performed. It may also be used to evaluate further the workers’ compensation case, including any possible settlement offer, in light of what the FCE says regarding your present abilities and your future earning capacity. 

We are workers' compensation attorneys that help people with Illinois work injuries anywhere in IL via our statewide network of attorneys.  Contact us and we will answer your questions or find the right lawyer for your situation.

What is a FCE?

If you have a serious injury, at some point you will likely be scheduled for a functional capacity evaluation (FCE).  It's typically a test ordered by a doctor right before they are going to discharge you from their care.  It is used to detail what restrictions you need when you return to work.

If you are an injured teacher or sit at a desk all day, a FCE probably isn't needed.  But if you are a laborer, flight attendant, mechanic, etc. and you can't lift, bend, stand or move like you used to, then a FCE is a great tool to determine what exactly you can do.

The beauty of a FCE is that it can objectively measure if you are being honest about your limitations.  You don't realize it, but during the test they will have you do the same thing over and over, but in different ways.  So part of the test measures your abilities and part of it measures your honesty.  If you are honest, the test will work out for you.  If you exaggerate what is wrong, you could screw up the whole case.

At the end of the exam you likely will be sore, tired (it usually lasts a couple hours) and will have a real idea of what you can and can't do.  As attorneys we love these tests because they lend great credibility to what our clients tell us.

We are workers' compensation attorneys that help people with Illinois work injuries anywhere in IL via our statewide network of attorneys.  Contact us and we will answer your questions or find the right lawyer for your situation.

FCE, IME, MMI, ???

We are happy to answer any questions that people have about Illinois injury cases.  Three questions we get asked a lot are what are the abbreviations FCE, IME and MMI?

FCE- Stands for functional capacity evaluation.  Basically it's a test that has you perform a series of activities throughout the day to determine if you need any physical restrictions before returning to your job or what capacity you can work in.  It's an objective test that measures not just ability, but also effort.  If you are found to have used a bad effort it can hurt your case.

IME- Stands for independent medical examination.  This is the insurance company's right to send you to a doctor of their choosing to see if you are really hurt, what your diagnosis is, whether or not your problem is work related, what treatment is needed or anything else that they want to ask.  It's usually a one time visit.  Many of these doctors are hired guns or almost always favor the employer.  Some are truly independent.

MMI- This means maximum medical improvement or as good as you are going to get medically speaking.  We don't consider settling a case until a client is at MMI because once you settle you can not get any more medical treatment at your employer's expense.  Sometimes you are at MMI, but still need ongoing physical therapy or a yearly exam.  Your doctor determines when MMI has taken place.

If you have questions about any of these terms just let us know.

 

We are workers' compensation attorneys that help people with Illinois work injuries anywhere in IL via our statewide network of attorneys.  Contact us and we will answer your questions or find the right lawyer for your situation.

Just tell the truth

One of the first things that we tell our clients when they contact us to pursue an Illinois workers' compensation case is to be bluntly honest with us and 100% truthful with your physicians.  We can best help you if you do this and besides, we are big believers in karma and it's just the right thing to do.

If we discover that a client is lying to us or their doctors we drop their case.  No exceptions.  Fortunately, it has been years since we have had to do that as we only take on cases we believe in and we are very up front with our expectations of our clients.

Some people tend to exaggerate their injuries thinking that this will help them, especially when they don't think their doctor is listening to them.  Let us be 100% clear.  DON'T DO THIS.  Again, it's not right and it will hurt your case.

In a recent decision from the Illinois Workers' Compensation Commission (not a case we handled) an injured worker was given lower benefits because it was found that on a functional capacity examination that they were over-stating what their injuries were.  A functional capacity

 

examination is an objective test.  In other words, it is designed to see if you are faking it.  Honest doctors will also often give their patients certain tests to determine if they are telling the truth or not.

Bottom line, just be honest.  It's the right thing to do and the right thing for your case.

We are workers' compensation attorneys that help people with Illinois work injuries anywhere in IL via our statewide network of attorneys.  Contact us and we will answer your questions or find the right lawyer for your situation.