Serving employers, third-party administrators, and risk management teams with evidence-based occupational medicine consulting.
Comprehensive occupational medicine consulting designed to help your organization manage workplace injury recordability, maintain regulatory compliance, and support a productive workforce.
Thorough medical case reviews under 29 CFR 1904 — analyzing work-relatedness, general recording criteria, and applicable exceptions. Reviews are informed by NIOSH occupational disease and injury criteria, accounting for pre-existing conditions and the distinction between occupational causation and coincidental symptom onset.
Provides clear, defensible written determinations that support recordkeeping obligations and reduce unnecessary OSHA recordable entries.
Beyond OSHA compliance, we assist employers in evaluating injury and incident data for internal safety program purposes — assessing whether employees became symptomatic as members of the general population, identifying contributing factors, and helping safety teams distinguish true occupational trends from background population health patterns.
Comprehensive MRO services for workplace drug testing programs under DOT and non-DOT requirements. Review goes beyond simple prescription verification — evaluating clinical rationale for medications, potential impact on job safety, and whether current medication regimens raise fitness-for-duty considerations. The goal: a complete clinical picture, not just a pass/fail result.
Audiometric result review to evaluate Standard Threshold Shifts (STS) for OSHA recordability under 29 CFR 1904.10 — including age correction analysis, work-relatedness assessment, and review of occupational noise exposure history alongside non-occupational factors. Written determinations support accurate recordkeeping and hearing conservation program compliance.
Supporting HR and risk management teams managing employees on S&A leave or workers' compensation — including direct outreach to treating providers to obtain clinical status, clarify work restrictions, and facilitate timely return-to-work decisions. Reduces unnecessary lost time, supports modified duty planning, and keeps all stakeholders informed.
An occupational medicine physician with deep expertise in regulatory compliance, workplace health, and evidence-based case review. Workforce Medical Advisors brings physician-level judgment to every engagement.
Every case review is grounded in NIOSH occupational disease and injury criteria, providing an evidence-based foundation for determining whether a condition is attributable to workplace exposure or activity under OSHA laws and regulations.
As an MROCC-certified Medical Review Officer, Dr. Prezzia brings rigorous clinical judgment to workplace drug testing programs — evaluating not just prescription validity, but clinical rationale and fitness-for-duty implications.
All case reviews include clear written determinations. Examples of cases reviewed and determined non-recordable include degenerative knee arthritis, chronic rotator cuff pathology, and non-occupational back pain presenting during work hours.
Services are designed for employers, third-party administrators, and risk management teams — not direct patient care. Every engagement is oriented toward practical outcomes: accurate recordkeeping, reduced lost time, and regulatory confidence.
Services may be arranged on a per-case, retainer, or project basis depending on client needs. All case reviews include a written determination or summary report, with turnaround times and reporting formats established at the outset.
Ideal for one-off OSHA recordability determinations, STS reviews, or MRO consultations. Each case receives a written determination report.
Ongoing access for organizations with regular case volume. Predictable costs and priority turnaround for safety and risk management teams.
Defined-scope engagements such as incident data analysis, safety metrics review, or hearing conservation program audits.
Unless separately agreed upon in writing, the following fall outside this scope: direct patient care or treatment; workers' compensation claims administration.
Ready to discuss a case or explore an ongoing engagement? Reach out directly via email, phone, or fax. We respond promptly and are happy to discuss your organization's specific needs before formalizing any arrangement.
"Every case reviewed. Every determination defensible. Every employer better informed."
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