December 15, 2017

TDI-DWC Finalizes Medical Quality Review CY 2017 Annual Audit Plan

Austin, TX – On December 21, 2016 the Division of Workers’ Compensation (DWC) solicited and received input from workers’ compensation system participants regarding two potential categories for the CY 2017 Medical Quality Review Annual Audit Plan (Annual Plan). The Division appreciates the input provided by system participants. All comments were carefully considered and discussed. The Commissioner of Workers’ Compensation W. Ryan Brannan approved the CY 2017 Annual Audit Plan on March 3, 2017.

The Annual Plan sets priorities for the types of audits the Medical Quality Review Panel (MQRP) will initiate during the year as laid out in Section IV of Annual Plan. At a future date, the DWC will obtain stakeholder input on the development of each individual plan-based audit proposal for categories within the Annual Plan.

At that time the DWC will post a plan-based audit that includes:

  • inclusion and exclusion criteria;
  • service time frame to be audited;
  • same size; and
  • subject and case file selection.

All medical quality reviews initiated on or after January 1, 2017 will be performed in accordance with the approved medical quality review process (Process). The Process and Annual Plan, including any changes, are posted on the TDI website.

Questions can be directed to Mary Landrum at 512-804-4814 or mary.landrum@tdi.texas.gov.

Source: TDI-DWC

  • RSS
  • Twitter
  • LinkedIn