Explanation
BACKGROUND: The Department of Human Resources, Employee Benefits/Risk Management section, requires services to assist with the workers’ compensation program by providing independent medical examinations and/or file reviews. Currently, the city does not employ any entity/person to perform independent medical examinations, although a part-time doctor housed in the Occupational Safety and Health clinic occasionally provides file reviews as time permits. It has been determined that there is the potential for significant cost saving to the city for workers’ compensation claims if the city can avail itself of examinations, performed as necessary. The city currently averages 1,100 active workers’ compensation claims, of which approximately 30% are lost time claims.
The selected contractor will schedule doctor specialists to perform independent medical examinations to include the following services:
Analyze medical reports, diagnostic testing, historical data and mechanism of injury.
Prepare medical reports opining to a reasonable degree of medical certainty as to various issues upon request including, but not limited to, the compensability of the claim, whether compensation is appropriate, the extent of disability and the appropriateness of additional conditions, and render an opinion on medical treatment.
Maintain accurate records.
Respond timely to any and all City requests.
Bid Information: The Department of Human Resources, Employee Benefits / Risk Management Section initially submitted a Request for Proposal (RFQ 002283) for an independent medical examiner in July, 2016; bids were due and opened August 25, 2016. One response was received for this program; the proposal was evaluated by a committee consisting of personnel from the Department of Human Resources and subsequently deemed not acceptable, due to the firm’s lack of presence in Ohio and completeness of reports. The evaluation of the proposal was based upon defined criteria included in...
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