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Division of Energy Employees Occupational Illness Compensation (DEEOIC)

Contract Medical Consultant (CMC) & Second Opinion Medical Specialists Quarterly Audits & Analysis -2017

The DEEOIC Medical Director conducts quarterly audits of cases referred to Contract Medical Consultants (CMC). The purpose of the audits is to assess that the appropriate medical specialists assigned to advise the Government, and that the reports provided by the medical specialists are well-rationalized, complete and responsive to the needs of the claims examiners. The DEEOIC National Office, Branch of Policy, Regulations, and Procedures (BPRP) then conducts an analysis of the audit report to determine the accuracy of audit findings and for appropriateness of the CMC or SECOP referral, the quality and completeness of the Statement of Accepted Facts (SOAF), the appropriateness of the questions asked by the district office, and whether the responses were well-rationalized and consistent with the totality of evidence in the case under review.


Medical Director’s Audit ▪ 2017 1st Quarter Audit issued November 7, 2017

Audit Analysis Report ▪ 2017 1st Quarter Analysis issued January 18, 2018

Medical Director’s Audit ▪ 2017 2nd Quarter Audit issued January 21, 2018

Audit Analysis Report ▪ 2017 2nd Quarter Analysis issued February 26, 2018

Medical Director’s Audit ▪ 2017 3rd Quarter Audit issued February 28, 2018

Audit Analysis Report ▪ 2017 3rd Quarter Analysis issued June 4, 2018

Medical Director’s Audit ▪ 2017 4th Quarter Audit issued June 14, 2018

Audit Analysis Report ▪ 2017 4th Quarter Analysis issued September 11, 2018

NOTE: DEEOIC has redacted the names of the individual Contract Medical Consultant (CMC) medical specialists and claimants identified in the CMC audit report(s) to protect the identities - personally identifiable information (PII) - regarding these individual physicians pursuant to Exemption 6 under the Freedom of Information Act (FOIA). Exemption 6 under FOIA permits an agency to withhold information in “personnel and medical files and similar files, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy.” Additionally, the identities of individual physicians and other personnel working for medical services contractor are protected under Exemption 4 of the FOIA, which protects “trade secrets and commercial or financial information obtained from a person [that is] privileged or confidential.”