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Division Looking at Audits for Extent-of-Injury Peer Reviews for 1st Time

Thursday, October 23, 2014 | 0

The Texas Division of Workers’ Compensation has posted a draft of its proposed plan-based audit for peer reviewers who examine extent-of-injury and medical-necessity disputes and is seeking input, the division announced in a memo to stakeholders. Audits for medical-necessity dispute peer reviews aren’t new for the division. But audits of extent-of-injury peer reviews are a first, Ben Gonzalez, media relations director for the Texas Department of Insurance, confirmed Wednesday.  “Since the (peer review) procedures changed in 2011, this is the first step in a more formal...

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