December 7, 2017

TDI-DWC Seeking Input for Development of Lumbar Spine MRI Plan-Based Audit

Austin, TX – The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) recently announced that it is seeking input on the development of a Lumbar Spine MRI Plan-Based Audit (Plan-Based Audit) to evaluate the appropriateness of a doctor’s decision and recordkeeping that supports the ordering of lumbar spine MRIs prior to one month of conservative therapy.

The Plan-Based Audit sets the scope, methodology, selection criteria, and program area responsibilities as laid out in the Medical Quality Review Process.

A copy of the proposed Lumbar Spine MRI Plan-Based Audit is available on the TDI website.

The Medical Advisor approved a Lumbar Spine MRI Plan-Based Audit plan as part of the CY 2017 Medical Quality Review Annual Audit Plan, which is also available on the TDI website (PDF).

Workers’ compensation system participants can submit suggestions for this Plan-Based Audit by email to OMA@tdi.texas.gov by 5:00pm Central time on Monday, December 4, 2017.

Source: TDI-DWC

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