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Follow on Google News | Andre Broussard, D.C Re-Appointed to the Medical Quality Review Panel (MQRP)By: Broussard Clinic of Chiropractic The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) is required by Texas Labor Code §413.002 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 relating to health care, including medical policies and fee guidelines.” The medical quality review process is medical case review initiated from either a written complaint, which may include an internal referral, a plan-based audit, or monitoring resulting from a consent order in accordance with 28 Texas Administrative Code (TAC) §180.68. The MQRP is comprised of Experts and Arbiters. The Experts’ and Arbiters’ full responsibilities are further defined in Section II. Experts prepare reports to aid the TDI-DWC both to monitor compliance with the Texas Workers’ Compensation (Act) and TDI-DWC rules and to help ensure that injured employees in the workers’ compensation system receive medically necessary and appropriate health care that is timely and cost-effective and facilitates functional recovery and appropriate return-to-work outcomes. Dr. Broussard has been serving on the Medical Quality Review Board since 2006, and this term will be from September 1, 2015 through August 31, 2017. End
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