RE: DOT provider - ?future certification to do exams --> Re: Anthem - DOT Physical Form

[Guest guest]

This is my understanding as well. We do lots of these. We charge $80 because that is what everyone else around here charges. If they have insurance and are also getting a regular exam, we just do that.

From: [ ] On Behalf Of Locke [lockecolorado@...]

Sent: Thursday, January 14, 2010 9:30 AM

To:

Subject: DOT provider - ?future certification to do exams --> Re: Anthem - DOT Physical Form

Hi Matt,

You probably remember the past discussion on the possibility that docs would need to be certified to perform DOT/CDL exams.

Kind of like the FAA exams, only a limited # of docs could do them.

I don't think anything new has come out...

http://nrcme.fmcsa.dot.gov/index.aspx

Here is the blurb from the gov...

http://nrcme.fmcsa.dot.gov/documents/NRCME_benefits.pdf

What is the National Registry of Certified Medical Examiners?

DEPARTMENT OF TRANSPORTATION FEDERAL MOTOR CARRIER SAFETY ADMIN

ISTRATION 02/05

NATIONAL REGISTRY OF CERTIFIED MEDICAL EX

AMINERS OR NRCME National Registry of Certified Medical Examiners Federal Motor r Safety Administration

The Federal Motor r Safety Administration (FMCSA) will soon propose the National

Registry of Certified Medical Examiners (NRCME) program to produce trained, certified medical examiners who can effectively determine if a commercial motor vehicle (CMV) driver’s health meets FMCSA medical standards. The NRCME program represents an important

step in gaining and maintaining public trust and confidence in FMCSA’s continued efforts to improve highway safety.

FMCSA has established the NRCME Web site to provide medical examiners, CMV drivers, motor carriers, and the public access to convenient, reliable information regarding the NRCME program. For more information on the program, please go to:

http://www.nrcme.fmcsa.dot.gov.

How will the National Registry of

Certified Medical Examiners benefit you?

COMMERCIAL MOTOR VEHICLE DRIVERS & MOTOR CARRIERS: Will have convenient access to a current list of certified medical examiners across the United States.

MEDICAL EXAMINERS: Will have their contact information made universally available to CMV drivers seeking medical examinations.

SAFETY GROUPS & COMMERCIAL MOTOR VEHICLE INDUSTRY ASSOCIATIONS: Will have continuous access to NRCME program information and FMCSA medical standards, rules and regulations related to the commercial motor vehicle industry.

ACCREDITED EDUCATORS: Will have an opportunity to provide FMCSA-required training to medical examiners.

FEDERAL, STATE & LOCAL GOVERNMENT TRANSPORTATION AGENCIES: Will have convenient access to a current list of certified medical examiners across the United States.

LABOR ORGANIZATIONS: Will have continuous access to NRCME program information and FMCSA medical standards, rules and regulations related to the commercial motor vehicle industry.

Here is a blurb from 2008 I had sent out.

http://nrcme.fmcsa.dot.gov/disclaimer.aspx

Important Message About Examiner Certification

Section 4116 of the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) requires the Federal Motor r Safety Administration (FMCSA) to establish a national registry of medical examiners who are qualified

to perform examinations and issue medical certificates. The FMCSA National Registry of Certified Medical Examiners (NRCME) program would require medical examiners receive training and pass a

certification test before being listed on the Registry - which will be available to commercial motor vehicle (CMV) drivers and motor carriers to identify medical examiners authorized to conduct the CMV driver physical examination.

The NRCME program would establish core curriculum specifications for training - based on a comprehensive Role Delineation Study - that addresses the range of knowledge, skills and abilities required to perform physical examinations of CMV drivers. The specifications

would be available to qualified training organizations for development and delivery of FMCSA medical examiner training.

The Role Delineation Study will also be the foundation for the development of a

certification test to assess the competence of the medical examiner. Long-term quality management of the program, accomplished through national accreditation, would include consistent application of the

certification process, the avoidance of bias and the representation of stakeholders’ needs.

The NRCME program is integral to FMCSA’s medical program and would be the only program to qualify and list certified medical examiners that perform the required physical examination of interstate commerce CMV drivers.

Until FMCSA completes the notice-and-comment rulemaking, medical examiners are not required to be listed on a registry or other database concerning qualifications to perform physical examinations of truck and bus drivers. At this time,

FMCSA does not endorse any medical examiner training, education or

certification programs.

Locke, MD

=========================================================

On Sat, Jan 9, 2010 at 2:19 AM, Dr Levin

<dr_levincomcast (DOT) net> wrote:

1) Some pts I use the DOT as their annual exam, bill the annual (of course, they have the benefit), and bill a " form fee " for the DOT if I think they're imposing alot.

2) Others with complex med hx, charge separate for the DOT; my area the urgicares charge almost $100; I charge $50 + $10 UA + $10 for form if they don't bring one they buy themselves.

BTW, is there any real discussion on the certification of DOT examiners? Or is nobody really expecting the fed to move on this?

Matt, Solo in Western PA

Just renewed my CME PRA online -- pretty neat (guess I should get something for that AMA and AAFP membership (sorry just couldn't drop them.......)