Trusted by Trial Attorneys for 10+ Years

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

...cervical spine imaging was reviewed. The MRI dated 03/15/2024 demonstrates mild disc desiccation at multiple levels.

History of present illness was obtained from the claimant who reports involvement in a motor vehicle collision on 01/22/2024.

Excerpt from Page 4

Patient complains of ongoing lumbar and right sided leg pain with numbness in the foot. 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..."

The claimant's subjective complaints are inconsistent with objective clinical findings. No evidence of radiculopathy was observed during examination.

Treatment recommendations include discontinuation of physical therapy and return to normal activities...

CrossCheck Analysis

Testing Omission

ROM claimed as "full" but lumbar side bending and rotation were not performed. L5 myotome testing and Straight Leg Raise test were omitted.

"How can you claim full ROM when side bending/rotation were omitted, or no neurological deficits when you omitted testing L5 myotome?"

Pre-existing Defense Flaw

Using the Eggshell plaintiff rule: pre-existing degenerative changes found on MRI were asymptomatic but rendered symptomatic by trauma of the accident.

"Any documentation my client complained of low back pain before the accident?"

Unsupported Timeline

The oversimplified "90-day healing" claim contradicts peer-reviewed literature on complex injuries suffered in motor vehicle accidents.

"Is the articular cartilage in facet joints avascular, limiting healing potential?"

What You Receive

Annotated Reports

Deposition Questions

Literature Citations

Expert Consultation

30+ Years Clinical Experience Board Certified Orthopedic Specialist 10+ Years Serving Trial Attorneys

Services

Everything You Need to Challenge
Defense Medical Evidence

Defense doctors bury errors in their CME reports—and you don't have the clinical training to catch them. We do. We provide the behind-the-scenes expertise to identify weaknesses in defense medical exams—so you can win satisfying outcomes and settle on better terms.

Defense Report Analysis

Meticulous reviews of CMEs and IMEs to identify factual errors, omissions, and deviations from clinical standards—giving you the ammunition to challenge defense experts with confidence.

Redlined Audits

Detailed reports marking every flaw and inconsistency—ready to strengthen your case file and trial strategy.

Deposition Strategy

Targeted questions designed to expose defense expert bias and force admissions that shift case momentum in your favor.

Clinical Intelligence

Direct access to an orthopedic expert—so you walk into depositions and trial armed with clinical knowledge, not guesswork.

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. You'll receive an email with a link to your secure workspace—just click to access, no account required.

Upload Documents

Click your workspace link to access your private folder, then upload your case files (CME report, medical records, examination video, and transcript).

Expert Analysis

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

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

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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.
His analysis has helped me achieve better outcomes for my clients by exposing the flaws in defense medical evidence.
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 · Physical Therapy Private Practice Owner · Educator

For over a decade, Paul has helped trial attorneys win cases by exposing flaws in defense medical exams. With 30+ years of clinical experience as an orthopedic physical therapist, he is the Co-Owner of Orthopedic Physical Therapy Associates LLC and has worked at Florida Southern College's School of Physical Therapy as an Adjunct Professor, where he taught 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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Questions Before Starting?

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paul@crosscheckcme.com

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Challenge Medical Exam Findings with Clinical Precision

Everything You Need to Challenge Defense Medical Evidence