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The Medical Review Officer (MRO) process is when a non-negative result comes back from the lab. The MRO will: Review the result with the candidate to determine if they have any prescriptions which would account for the positive drug analyte.
It usually only takes a few days to receive results from a workplace drug test. An employer may even request a rapid test, which can provide results the same day. Employers receive negative test results within 24 hours. Non-negative results take more time because of the additional testing required.
B. Drug confirmation testing is considered included in CPT codes 80305 80307 and HCPCS codes G0480 G0483, G0659, and is not eligible for separate reimbursement.
Employees may refuse to take a workplace drug test but they can also be fired for that refusal. An employer only needs to demonstrate they had good reason to believe someone was a safety hazard or was unable to perform their job.
(a) As an employee, you have refused to take a drug test if you: (1) Fail to appear for any test (except a pre-employment test) within a reasonable time, as determined by the employer, consistent with applicable DOT agency regulations, after being directed to do so by the employer.
(a) When, as the MRO, you receive a confirmed positive, adulterated, substituted, or invalid test result from the laboratory, you must contact the employee directly (i.e., actually talk to the employee), on a confidential basis, to determine whether the employee wants to discuss the test result.
The MRO Process If the initial result is positive, the MRO has 72 hours to call the donor to see if they are on any medications or have any other legitimate medical explanation for the positive result. If the donor does not answer, the MRO may leave up to three voicemails. 72 hours are allowed for the donor to respond.
Medical review officers (MROs) are required to report positive drug test and drug tests refusals for Department of Transportation (DOT)- required drug tests to the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse (Clearinghouse). Which violations are MROs responsible for reporting?
The new DOT waiver allows employers to forgo drug testing for drivers who were in a testing program within the previous 90 days.
(a) When, as the MRO, you receive a confirmed positive, adulterated, substituted, or invalid test result from the laboratory, you must contact the employee directly (i.e., actually talk to the employee), on a confidential basis, to determine whether the employee wants to discuss the test result.