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DWC Seeks Input on Designated Doctor Audits

Thursday, September 21, 2017 | 474 | 0 | 0 min read

The Division of Workers’ Compensation is asking stakeholders for help in developing a designated doctor plan-based audit to measure the quality of designated doctor reports and the necessity for additional testing or referrals to resolve claims. The proposed audit plan is here. Texas Labor Code §413.002 directs the agency to “monitor health care providers, insurance carriers, independent review organizations and workers’ compensation claimants who receive medical services to ensure the compliance of those persons with rules adopted by the commissioner relatin...

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