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E. Almaraz-Guzman II from a Rating Point of View - Updated October 2, 2009

Impairment ratings cannot be based on Subjective data outside the AMA Guides. The Whole Person Impairment (WPI) within the PD Rating formula is the rebuttable factor. Not the AMA Guides. Assessment of Impairment utilizing all of the 5th edition of the Guides must be based on Substantial Medical Evidence. The Burden of Proof for rebutting a scheduled permanent disability (WPI) rests with the party disputing the rating. The Language section 4660(b)(1) does not preclude a Physician from assessing impairment using any chapter, method or table of the AMA Guides.

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