IME Committee Fraud & Abuse Discussion 2 IME Advisory - - PowerPoint PPT Presentation

September 10, 2019

IME Committee

Fraud & Abuse Discussion

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IME Advisory Committee

Schedule

▪ IME Provider Access – Thursday, March 14 ▪ Scheduling & Timing – Tuesday, April 9 ▪ Injured Worker Experience – Wednesday, May 8 ▪ Cost of IMEs and IME Entity Panel – Thursday, June 13 ▪ Quality of Reports and Technical Issues – Tuesday, July 9 ▪ Process and IME Member Questionnaire – Wednesday, August 7 ▪ Fraud & Abuse / Review Questionnaire Responses / Initial Draft Report  Tuesday, September 10 ▪ Discuss Revised Draft Report – Thursday, October 10 ▪ Draft Report – Wednesday, November 13 ▪ Final Report – Thursday, December 12

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Agenda & Topics for IME Fraud & Abuse

Agenda Topic Time Allocation IME Fraud & Abuse Fraud Inspector General Presentation & Discussion 60 minutes Break 15 minutes Review Advisory Committee Questionnaire Responses 45 minutes Review Advisory Committee Recommendations Report DRAFT 45 minutes Wrap-up and Overview of October meeting 15 minutes

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IME Fraud & Abuse

 Audrey Maiello Cunningham

▪ Deputy Inspector General for Workers' Compensation Fraud ▪ Office of the New York State Inspector General

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IME Fraud & Abuse

 Questions?

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Discussion

 Fraud & Abuse

 Issues?  Recommendations?

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Consensus on topic?

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15-minute break

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Injured Worker IME Questionnaire

 Injured Worker Demographics  Injury Information  Work Status  Initial Complaints  Current Complaints  Medical Treatment & Medications  Related Medical History  Physical Examination

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Committee Recommendations Questionnaire Responses  Please see handouts

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Recommendations Report Draft

 Please see handout

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Next Meeting

 Thursday, October 10th  12pm-3pm  Send questions/comments to IMEAdvisory@wcb.ny.gov if you will not be present for this meeting