Subpart G - W3 Medical Review Officers and the Verification Process

Target Language or Knowledge:

As the _______, you or your staff must make reasonable efforts to reach the employee at the day and evening telephone numbers listed on the CCF. → MRO, As the _______, you must attempt to contact the employee immediately, using procedures that protect, as much as possible, the confidentiality of the request. → DER, A ______ evaluates the employee as part of the return to duty process. → SAP , The ________ has the burden of proof that a legitimate medical explanation exists. → employee, The MRO tells the employee that the ______________ may seek reimbursement for the cost of the test (split specimen). → employer, If the copy of the documentation provided to you appears unclear, you must request that the ___________ or laboratory send you a legible copy. → collector, The MRO must tell the employee that the _________ has determined that the employee's test result was positive, adulterated, substituted, or invalid, as applicable. → laboratory
As the MRO, you have the burden of establishing that there is clinical evidence of unauthorized use of opiate; if you cannot make this determination, you must verify the test as ___________.
Negative
You must maintain reports and records related to _________ and refusals for five years
Positives
If the prescription provides a legitimate medical explanation for the drug(s)/ metabolite(s) in the employee's specimen, the MRO may change the test result to ____________.
Negative
If the medical evaluation reveals no clinical evidence of drug use, as the MRO, you must report this to the employer as a ________test result with written notations regarding the medical examination.
Negative
As the MRO, you have the burden of establishing that there is clinical evidence of unauthorized use of opiate; if you cannot make this determination, you must verify the test as ___________.
Positive
For example, if you verified one specimen as positive and the other as a refusal to test because the specimen was adulterated, as the MRO, you should report the ________ and the refusal results to the DER.
Positive
If you cancel a laboratory ___________ ________, adulterated, substituted, or invalid drug test report, check the “test cancelled” box (Step 6) on Copy 2 of the CCF
Confirmed Positive