Division of Energy Employees Occupational Illness Compensation (DEEOIC)
In 2017, the DEEOIC Medical Director, conducted quarterly audits of cases that had been referred to a Contract Medical Consultant (CMC) during the 2016 fiscal year. The purpose of the reviews was to assess that the appropriate medical specialists were assigned to advise the Government, and that the reports provided by the medical specialists were well-rationalized, complete and responsive to the needs of the claims examiners. The DEEOIC National Office, Branch of Policy, Regulations, and Procedures (BPRP) then conducts an analysis of the audit report to determine the accuracy of audit findings and for appropriateness of the CMC or SECOP referral, the quality and completeness of the Statement of Accepted Facts (SOAF), and the appropriateness of questions asked by the district office.
Medical Director’s Audit ▪ 2016 3rd Quarter Audit issued February 8, 2017
Medical Director’s Audit ▪ 2016 4th Quarter Audit issued August 29, 2017
Audit Analysis Report ▪ 2016 3rd Quarter Analysis issued May 18, 2017
Audit Analysis Report ▪ 2016 4th Quarter Analysis issued September 22, 2017
NOTE:
DEEOIC has redacted the names of the individual Contract Medical Consultant (CMC) medical specialists and claimants identified in the CMC audit report(s) to protect the identities - personally identifiable information (PII) - regarding these individual physicians pursuant to Exemption 6 under the Freedom of Information Act (FOIA). Exemption 6 under FOIA permits an agency to withhold information in “personnel and medical files and similar files, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy.” Additionally, the identities of individual physicians and other personnel working for medical services contractor are protected under Exemption 4 of the FOIA, which protects “trade secrets and commercial or financial information obtained from a person [that is] privileged or confidential.”