Emperion OnPoint

Key Questions to Ask in IMEs and Peer Reviews

Written by Emperion | June 24, 2026 at 12:00 PM

Welcome back to our 26 in '26 Blog Series. Each post will address a top-of-mind topic in the clinical evaluation services sector. The previous post evaluated Jurisdictional Differences. This is the eleventh post in our series and will explore Key Questions to Ask.

Even the best examiner cannot overcome a poorly framed referral. The quality of the question determines the quality of the answer.

The referral is a blueprint. It defines scope, focus, and defensibility. Vague or outcome-driven questions invite shallow or biased-looking responses.

High-quality questions are neutral, specific, decision-oriented, and within scope.

IMEs, Peer Reviews, FCEs, and FFD exams each require different question framing to stay defensible.
Overloading referrals dilutes clarity. Five to eight focused questions typically outperform long lists.

Providing context—job demands, policy language, jurisdictional standards—dramatically improves usefulness.

Best Practice
Start with the decision you need to make, then write questions that directly support that decision.

Next in the Series
Next: L — Legal Defensibility: what makes opinions hold up under scrutiny.