Skip to Top Main Navigation Skip to Left Navigation Skip to Content Area Skip to Footer
Texas Department of Insurance
Topics:   A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All

February 16, 2022

Division of Workers' Compensation announces performance based oversight results

The Texas Department of Insurance, Division of Workers' Compensation (DWC) has 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.

This was the first PBO cycle using the new methodology which combined the two DWC Form-073, Work Status Report measures into one score.

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. If a health care provider is not listed, they were not assessed in 2021; however, no health care provider in the Texas workers' compensation system is exempt from compliance with the Texas Labor Code and DWC rules.

More information on PBO and the 2021 assessment are available on the TDI website. DWC will assess insurance carriers separately in 2022.

For more information, contact: DWCCommunications@tdi.texas.gov.

Last updated: 2/16/2022