Texas Workers’ Comp Division Releases Health Care Provider Oversight Results

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) has released the 2017 Health Care Provider Performance Based Oversight (PBO) assessment results.

Health care providers were assessed on their performance in one of three categories:

• Timely filing the DWC Form-069, Report of Medical Evaluation
• Completeness of the DWC Form-073, Work Status Report
• Documentation supporting why the injured employee was prevented from returning to work as reported on the DWC Form-073, Work Status Report.

Of the 152 health care providers reviewed for the timeliness of filing the DWC Form-069, Report of Medical Evaluation:

• 113 had scores placing them in the high performer tier
• 30 were in the average performer tier
• Nine had scores placing them in the poor performer tier.

Of the 87 health care providers reviewed for the completeness of the DWC Form-073, Work Status Report:

• 50 had scores placing them in the high performer tier
• 26 were in the average performer tier
• 11 had scores placing them in the poor performer tier.

Of the 87 health care providers reviewed for documentation supporting why the injured employee was prevented from returning to work, as reported on the DWC Form-073, Work Status Report:

• 41 had scores placing them in the high performer tier
• 29 were in the average performer tier
• 17 had scores placing them in the poor performer tier.

If a health care provider is not listed, he or she was not assessed in 2017; however, no health care provider in the Texas workers’ compensation system is exempt from compliance with the Workers’ Compensation Act and DWC rules.

More information on PBO and the 2017 assessment is available on the TDI website at www.tdi.texas.gov/wc/pbo/hcppbo.html.

DWC will assess insurance carriers separately in 2018.

Source: DWC

Topics Texas Workers' Compensation