Austin, TX – On October 1, 2014 the Division of Workers’ Compensation (DWC) solicited and received input from workers’ compensation system participants regarding the categories for the CY 2015 Medical Quality Review Annual Audit Plan (Audit Plan). All comments were carefully considered and discussed. The Commissioner of Workers’ Compensation W. Ryan Brannan approved the CY 2015 Annual Plan on December 5, 2014.
The Annual Plan sets the priorities for what types of audits the Medical Quality Review Panel (MQRP) will focus on for the next year as laid out in Section IV of the 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;
- sample size; and
- subject and case file selection.
All medical quality reviews initiated on or after January 1, 2015 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.