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

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September 10, 2019 IME Committee Fraud & Abuse Discussion 2 IME Advisory Committee Schedule IME Provider Access Thursday, March 14 Scheduling & Timing Tuesday, April 9 Injured Worker Experience Wednesday, May 8

September 10, 2019 IME Committee Fraud & Abuse Discussion
2 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 2
3 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 3
4 IME Fraud & Abuse  Audrey Maiello Cunningham ▪ Deputy Inspector General for Workers' Compensation Fraud ▪ Office of the New York State Inspector General 4
5 IME Fraud & Abuse  Questions? 5
6 Discussion  Fraud & Abuse  Issues?  Recommendations? 6
7 Consensus on topic? 7
8 15-minute break 8
9 Injured Worker IME Questionnaire  Injured Worker Demographics  Injury Information  Work Status  Initial Complaints  Current Complaints  Medical Treatment & Medications  Related Medical History  Physical Examination 9
10 Committee Recommendations Questionnaire Responses  Please see handouts 10
11 Recommendations Report Draft  Please see handout 11
12 Next Meeting  Thursday, October 10 th  12pm-3pm  Send questions/comments to IMEAdvisory@wcb.ny.gov if you will not be present for this meeting 12

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