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Medical Review Officer Services

Why Use a Medical Review Officer to Verify Drug Test Results?

Organizations with safety-sensitive employees covered by DOT regulations must use a Medical Review Officer (MRO) to verify urine drug testing results. Organizations NOT covered by DOT regulations may use a MRO since false drug results happen; either false negatives or false positives. Certain medications can cause false positive results, and tests or specimens being tampered with is a factor common in false negatives. The MRO’s role is to ensure that you get accurate drug testing.

The Verification Process

Every individual who has a positive laboratory result has an opportunity to speak with an MRO before a final report is made to the company.  After interviewing a donor, the MRO may consult with laboratory or collection site, refer the case to a local physician for a face-to-face interview and physical examination , or order a retest of the original specimen.

Once test results are finalized, your Compliance Account Manager will provide those results to you quickly, and securely. Negative results are released within 18 – 24 hours. Non-negative results, after being reviewed by the MRO will prompt the MRO’s office to contact the donor to discuss the lab result.  Results on a non-negative varies due to a variety of reasons such as the untimely response of the donor to the MRO’s call, the number of positive drugs detected, and if testing was conducted at the end of a work week.

MRO Qualifications

This licensed physician (Doctor of Medicine or Osteopathy) is the gatekeeper between the laboratory and the employer.  The MRO is knowledgeable about and has clinical experience in controlled substance abuse disorders, including detailed knowledge of alternative medical explanations for laboratory confirmed drug test results; and is knowledgeable about issues relating to adulterated and substituted specimens as well as the possible medical causes of specimens having an invalid result.  Additionally, the MRO has extensive knowledge of the drug and alcohol testing regulations that cover all divisions of the DOT.

The two MRO medical societies dedicated to establishing national standards and certification of MROs are the American Association of Medical Review Officers and the Medical Review Officer Certification Council.

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dOT Regulatory Compliance

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Medical Review Officer Services

Drug & alcohol Testing

student drug testing

Consortium/TPA

Random Selection Services

Your Compliance Account Manager

drug-free workplace program consultation

Policy Development & Consultation

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1 in 10 americans abuse drugs

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frequently asked questions

Because we care!  Our caring fosters loyalty and integrity which are key reasons why we’ve become a familiar, trusted and dependable advisor to our clients, many of whom we’ve served from the first day we opened our doors.  At Figment Group, we work with clients who want to work with professionals who appreciate that we care and are focused on handling compliance details the way it should be:  easy, affordable, hassle-free.  Choosing Figment Group, our clients receive the best possible combination of regulatory, drug-free workplace, safety and human resource expertise to manage any workforce challenge.

We care about safe and efficient workplaces that care about adhering to DOT regulations and Drug-Free Workplace laws.  We make compliance your ally, not your opponent.  It’s our innovative and total management approach to complex compliance issues that makes the difference.

We are focused on up-to-minute changes in DOT regulations and Drug-Free Workplace laws.  We are your single source and go-to consulting and training resource when your safety compliance is in jeopardy or you are simply seeking answers to a regulation question.  We are the single source of knowledge that ensures your company will be 100% compliant, 100% of the time.  We make compliance easy!

We cover all six divisions of the DOT (USCG, FMCSA, FTA, FRA, FAA and PHMSA) as well as 15 non-regulated industries including non-profits.  It is our qualified team of experts with the technical and hands-on experience in a variety of industrial settings, laboratories, DOT compliance, safety, and Drug-Free Workplace consulting that lets us rise above the rest.  Additionally, we train urine collectors and breath alcohol technicians, train-the-trainers, and audit testing facilities.

Fast in-house or on-site testing, with 24-hour turnaround for results, including an encrypted, secure, confidential on-line Medical Review Officer (MRO) report. That’s important when you are waiting on Pre-employment test results.  Our MRO and Laboratory meet strict procedural and training standards to ensure the highest quality performance.

Our master trainers and safety auditors are positioned to offer either on-site or on-line training to suit your needs.  Figment Group offers a full-spectrum of DOT training covering Department of Transportation regulations and requirements, Drug-Free Workplace training, urine collector training, and breath alcohol technician training.

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