Subpart G - W2 Medical Review Officers and the Verification Process

Target Language or Knowledge:

As an MRO, deriving any financial benefit by having an employer use a specific laboratory creates a conflict of interest or the appearance of a conflict of interest with the responsibilities of the MRO to the employer.
True
What are the MRO's functions in reviewing negative test results?
Review Copy 2 of the CCF to determine if there are any fatal or correctable errors that may require you to initiate corrective action or to cancel the test, Request that the collector or laboratory send you a legible copy, if the copy of the documentation provided to you by the collector or laboratory appears unclear
If the copy of the documentation provided to you by the collector or laboratory appears unclear, what must you do as an MRO?
You must request that the collector or laboratory send you a legible copy.
In reviewing laboratory-confirmed non-negative drug test results, this interview by the MRO must include direct contact in person or by telephone between you and the employee.
Verification Interview
With respect to verified positive test results, place a checkmark in the “___________” box in Step 6 on Copy 2 of the CCF, indicate the drug(s)/metabolites(s) verified positive, and sign and date the verification statement.
Positive
With respect to adulteration or substitution test results, check the “_________________________________” box (Step 6) on Copy 2 of the CCF, check the “Adulterated” or “Substituted” box, as appropriate, make appropriate annotation in the “Remarks” line, sign and date the verification statement.
refusal to test because
As the MRO, your actions concerning reporting confirmed positive, adulterated, or _________ results to the employer before you have completed the verification process are also governed by the stand-down provisions.
confirmed negative
If the employer does not have a stand-down policy that meets the requirements of § 40.21, you must not inform the employer that you have received an employee's laboratory confirmed positive, adulterated, or substituted test result _____________________________.
until you verify the test result.
When, as the MRO, you receive a __________________________________________from the laboratory, you must contact the employee directly (i.e., actually talk to the employee), on a confidential basis, to determine whether the employee wants to discuss the test result.
confirmed positive, adulterated, substituted, or invalid test result
As the MRO, the staff under your personal supervision may conduct initial contact for you. (1) This staff contact must be limited to scheduling the discussion between you and the ____________ and explaining the consequences of declining to speak with you (i.e., that the MRO will verify the test without input from the employee).
employee
A staff person (under the MRO supervision) must not gather any __________ information or information concerning possible explanations for the test result.
medical
As the MRO, staff under your personal supervision may conduct initial contact for you. A staff person cannot advise an employee to have _________ information (e.g. hospital abstract, information forming the basis of a legitimate medical explanation for a confirmed positive test result) ready to present at the interview with the MRO.
medical
Since you (as the MRO) are required to speak personally with the employee, face-to-face or on the phone, your staff must _____________if the employee wishes to speak with you.
not inquire
Reasonable efforts include, as a minimum, _____ attempts, spaced reasonably over a ____-hour period, to reach the employee at the day and evening telephone numbers listed on the CCF.
five - 24
If, as the DER, you have made all reasonable efforts to contact the employee but failed to do so, you may place the employee on _________ medically unqualified status or medical leave.
temporary