What triggers a comprehensive medical evaluation of permanent disability by an AME/QME?

A comprehensive medical evaluation of permanent disability by an Agreed Medical Evaluator (AME) or Qualified Medical Evaluator (QME) is primarily triggered when there is a contestation of the treating physician's evaluation by the injured worker or employer. This situation indicates a disagreement regarding the extent of the disability or the treatment prescribed, which necessitates an independent medical examination to resolve the conflicting opinions.

The evaluation aims to provide an impartial assessment of the worker's condition, which can influence compensation decisions and future treatment plans. The AME or QME's findings can serve as a basis for determining the legitimacy of the disputes presented and this is crucial in the workers' compensation process.

In contrast, the other options do not directly initiate a need for a comprehensive medical evaluation. For instance, the employee's return to work typically signifies a resolution of some issues related to their condition and may not warrant further evaluation. Similarly, an assessment by a physical therapist or the resolution of all medical disputes may be part of the overall treatment and recovery process but does not directly trigger the need for a comprehensive evaluation aimed at assessing permanent disability.