Austin, TX – The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) recently announced that it is seeking input on the development of the Return-to-Work Plan-Based Audit.
This is a follow-up plan-based audit of health care providers identified as poor performers in the 2015 Health Care Provider Assessment for the Performance-Based Oversight program measure of documentation supporting why the injured employee is prevented from returning to work as reported on the DWC Form-073, Work Status Report.
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 Return to Work Plan-Based Audit is available on the TDI website.
The medical advisor approved a Return-to-Work Plan-Based Audit plan as part of the Calendar Year 2015 Medical Quality Review Annual Audit Plan, which is available on the TDI website here (PDF).
Workers’ compensation system participants can submit suggestions for this plan-based audit by email to OMA@tdi.texas.gov by 5:00 pm Central time on Tuesday, May 31, 2016.
For questions, contact Mary Landrum at 512-804-4814 or Mary.Landrum@tdi.texas.gov.