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Challenge Medical Exam Findings with
Clinical Precision

Expert analysis of Compulsory & Independent Medical Exams (CME/IMEs)

Save time in case preparation—get the clinical ammunition to refute pre-existing condition claims and challenge false 90-day healing timelines.

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Defense Medical Examination Report

Excerpt from Page 4

Patient presents with complaints of ongoing lumbar pain. Physical examination reveals full range of motion with no apparent neurological deficits.

Based on my examination and review of records, it is my opinion that the patient has reached maximum medical improvement and any ongoing symptoms are attributable to pre-existing degenerative changes unrelated to the incident.

"Standard soft tissue injuries resolve within 90 days..."

CrossCheck Analysis

Testing Omission

ROM claimed as "full" but no bilateral comparison documented. No goniometric measurements provided.

"What instrument did you use to measure ROM?"

Unsupported Timeline

"90-day healing" claim contradicts peer-reviewed literature on ligamentous injuries.

"What studies support this timeline?"

Pre-existing Defense Flaw

Degenerative findings are age-appropriate and present in 60%+ of asymptomatic adults.

"Were these findings symptomatic before the accident?"

What You Receive

Annotated Reports

Deposition Questions

Literature Citations

Expert Consultation

Services

Everything You Need to Challenge
Defense Medical Evidence

Your clinical advantage in litigation. We provide the behind-the-scenes expertise needed to identify and exploit weaknesses in defense medical examinations.

Defense Report Analysis

Meticulous reviews of CMEs and IMEs to identify factual errors, omissions, and deviations from clinical standards.

Redlined Audits

Receive detailed reports marking every flaw and inconsistency—ready for your case file and trial preparation.

Deposition Strategy

Targeted questions designed to expose defense expert bias and force admissions during cross-examination.

Clinical Intelligence

Direct access to an orthopedic expert to help you master medical terminology and the true standards of care.

Background Consulting Only — Not a testifying expert

Orthopedic Focus — Physical exams only, no psychological analysis

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Process

How It Works

From case initiation to deliverable—our streamlined process gets you what you need quickly.

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Select your turnaround time and complete payment. Your secure workspace is provisioned instantly.

Upload Documents

Upload the defense CME report and relevant medical records, including examination video and transcript, to your workspace.

Expert Analysis

Our specialist reviews the CME report, identifying errors, omissions, and procedural issues.

Receive Deliverables

Get your redlined report and strategic deposition questions delivered to your workspace.

Secure Google Drive Workspace

Encrypted

Each engagement gets a dedicated, private folder for uploads & deliverables.

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Testimonial

What Attorneys Are Saying

I have worked with Paul Rouleau to review CME reports, videos, and deposition transcripts in detail. He meticulously critiques the CME doctor's evaluation, identifying key areas for scrutiny.
Paul provides a comprehensive redline report highlighting tests the CME doctor performed incorrectly, tests claimed in the report but never conducted, tests that should have been performed, and strategic questions for testimony. His reports include precise video timestamps for quick reference.
He serves as a consultant, not a retained expert.

John Berke

Attorney at Law

About

Meet the Expert Behind CrossCheckCME

R. Paul Rouleau, PT, OCS, COMT, FAAOMPT

Founder, CrossCheckCME · Adjunct Professor, Florida Southern College

Paul is an orthopedic physical therapist with 30+ years of clinical experience. He is the Co-Owner of Orthopedic Physical Therapy Associates and an Adjunct Professor at Florida Southern College's School of Physical Therapy, where he teaches orthopedic and manual therapy. He holds board certification as an Orthopedic Clinical Specialist (OCS), is a Certified Orthopedic Manual Therapist (COMT), and is a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT).

Paul specializes in outpatient orthopedics, manual therapy, and sports medicine—making him the clinician of choice for difficult or chronic conditions. Drawing on this deep clinical expertise, he founded CrossCheckCME to deliver detailed, case-strengthening analyses of CME reports, videos, and deposition transcripts. He has been empowering plaintiffs and their attorneys to refute erroneous medical reporting in their CME/IMEs for over 10 years.

30+ Years Clinical Experience

10+ Years CME Analysis

Board Certified OCS

FAAOMPT Fellow

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Secure & Confidential: All workspaces use encrypted Google Drive folders with unique access links shared only with you.

Questions Before Starting?

Reach out directly—we typically respond within a few hours.

paul@crosscheckcme.com

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Challenge Medical Exam Findings with Clinical Precision

Everything You Need to Challenge Defense Medical Evidence