Selecting a Contractor for Employee Medical Exams

OHP has provided a Table of Employee Medical Contractors with information on contactor location, hours of operation, contact information, exam availability, the frequency of QA problems, and average cost for each exam. Please use this information to select the contractor that best meets the needs of your department and the employee. The following information will assist you in using the Table of Employee Medical Contractors.

QA Problems per Exam: This measures how well a contractor is performing up to the expectations of the contract and conforming to our Clinical Practice Guidelines. Quality assurance problems include such things as delays in chart processing, incomplete testing, inadequate medical histories and physical examinations, and incorrect work-fitness assessments. The Table presents the average number of QA problems per exam.

Exam Availability: Due to availability of specialized equipment, some of clinics were not awarded contracts to perform to certain exams. If a clinic was not approved to provide a particular exam, this is indicated in the Table of Employee Medical Contractors with the notation "Not Available" in place of an Average Cost estimate for the exam.

Off-line Status: In unusual situations, a clinic may have to go "off-line" due to temporary staffing or equipment problems. Clinics are required to meet very stringent minimum staffing and equipment requirements at all times. If this should occur, the notation "off-line" will appear in place of an Average Cost estimate for the exam.
           
Average Cost: Certain types of examinations may require the examining physician to order or perform tests based an individualized assessment of the employee. For example, an Asbestos examination may include 0, 1, or 3 x-rays depending on a number of factors. Since the tests performed for a given employee can vary, the charge-back costs to the Department can also vary.The Average Cost information presented in the Table of Employee Medical Contractors  represents our best estimate of the average cost for a given  examination. The amount that your Department will be charged may be more or less than the average price shown.  

IMPORTANT NOTE: All of the information in the Table of Employee Medical Contractors is subject to frequent revision. Therefore, the Table should not be downloaded, but rather reviewed on-line whenever needed.

Revised 10/15/09