News

Feb. 18, 2022 - DWC Releases Health Care Provider Oversight Results for 2021

The Texas Department of Insurance's Division of Workers’ Compensation (DWC) released the 2021 Health Care Provider Performance Based Oversight (PBO) assessment. For 2021, health care providers were assessed on their performance in one of two categories:

• DWC Form-069, Report of Medical Evaluation category; and
• DWC Form-073, Work Status Report category.

DWC reviewed 96 health care providers for the timeliness of filing the DWC Form-069, Report of Medical Evaluation (100% weight) with the following results: 66 had scores placing them in the high performer tier, 15 were in the average performer tier, and 15 had scores placing them in the poor performer tier.

DWC reviewed 91 health care providers for the completeness of the DWC Form-073, Work Status Report (30% weight) and documentation supporting how the injured employee’s medical condition prevents them from returning to (any) work as reported on the DWC Form-073, Work Status Report (70% weight) with the following results: 45 had scores placing them in the high performer tier, 38 were in the average performer tier, and 8 had scores placing them in the poor performer tier.

The 2021 PBO assessment results and a list of the health care providers that were reviewed are posted on the TDI website.

News Archive