Impairment Solutions for Workers' Comp Organizations. Since 1990, EME has focused on the hidden cost driver of the worker’s compensation industry: the Impairment Rating. Since 45 states mandate the use of the AMA Guides to the Evaluation of Permanent Impairment, it is critical that all stakeholders understand the financial influence that an inaccurate Impairment Rating has on a workers compensation case. An Impairment Rating is an objective measurement that is provided at the end of a claim. It is based on the permanent impairment that is a result of a work-related injury. The number is used to determine compensation payouts, and even MSA settlements. Inaccurate impairment ratings cost organizations, and the numbers are staggering: 8 out of 10 reports contain mistakes that drive the cost of a settlement up 50 to 100%. Properly trained physicians, detailed documentation and citations, and base knowledge and expectation of the range of impairment ratings by injury are all important factors in keeping these costs in check. EME offers products and services to address all of these issues. These include technology, data, services, education and certification. See our product listing for more information.