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The Division of Workers’ Compensation Announces Performance Based Oversight Results

Dec 14, 2015 | by Flahive, Ogden & Latson

The Division of Workers’ Compensation (DWC) released the results of the 2015 Health Care Provider Performance Based Oversight (PBO) assessment. For 2015, heath care providers were assessed on their performance in one of four categories:

1) Timely filing the DWC Form-069, Report of Medical Evaluation;
2) Completeness of the DWC Form-073, Work Status Report;
3) Documentation supporting why the injured employee was prevented from returning to work as reported on the DWC Form-073, Work Status Report; or
4) Usage of magnetic resonance imaging.

The results and a list of the health care providers included in the 2015 PBO assessment are posted on the Texas Department of Insurance (TDI) website at http://www.tdi.texas.gov/wc/pbo/pboresults.html. If a health care provider is not listed they were not assessed in 2015; however, this does not imply that any health care provider in the Texas workers’ compensation system is exempt from the requirement to comply with the Workers’ Compensation Act and DWC rules.

DWC assesses the performance of insurance carriers and health care providers as a part of a biannual PBO assessment. Insurance carriers will be assessed separately in 2016.
You may read more regarding the assessment here.

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