MRO role
MRO review is separate from specimen collection and laboratory testing.
- Lab result review
- Employee contact when required
- Final status reporting
Employer Resource
What Is a Medical Review Officer?
A medical review officer is a physician who reviews laboratory drug-test results under the applicable program rules. The MRO role is distinct from specimen collection, a routine clinical visit and the employer’s personnel decision.
Employer-facing detail
Decision support for HR, safety, compliance, procurement, and agency program contacts.
Operational clarity
Covers routing, documentation, reporting, escalation, and implementation planning.
Connected services
Related Corporate Health services can be scoped into one employer program.
Consultation path
A direct route to review states, employee groups, service mix, timing, and reporting needs.
Medical review officer coordination
A medical review officer is a physician who reviews laboratory drug-test results under the applicable program rules. The MRO role is distinct from specimen collection, a routine clinical visit and the employer’s personnel decision.
Prepare the requested service
For a DOT program, use the Part 40 process and identify the authorized MRO, laboratory and employer contact. Employees may need to discuss a legitimate medical explanation or prescription privately with the MRO.
Results and follow-up
Agree on result routing, employee contact, verification and employer reporting. A non-negative screening result is not automatically a final verified positive. Keep DOT and non-DOT processes distinct.
Arrange the employer program
Confirm the service list, employee eligibility, locations, dates, employer authorization, payment arrangements and reporting contacts with the employer-service team. Give employees the correct appointment instructions and a route for questions or missed appointments. Confirm any proposed workplace event or outside collection site before arranging attendance.
Employee privacy and reporting
Employers should receive only the information needed for the authorized work request. Agree on completion reports, restrictions or other necessary documentation and who may see them. Covered employers must keep medical information confidential and separate from ordinary personnel files. An employee’s personal treatment needs remain a confidential clinical matter.
Questions about employer services
Can Nao Medical help translate this into a program scope? Can this apply to both public-sector and private employers?
The employer-service team can help define a testing program for public-sector or private employers. Identify DOT or non-DOT status, laboratory, MRO, collection arrangements and reporting responsibilities. A medical review officer is a physician who reviews laboratory drug-test results under the applicable program rules. The MRO role is distinct from specimen collection, a routine clinical visit and the employer’s personnel decision.
Can a program include services outside drug testing?
An employer program may coordinate physicals, vaccines or clinical tests as separately authorized services. The MRO’s regulated role concerns drug-test review; it does not replace those clinicians or give one report authority over every other service.
Does Nao Medical provide employer-facing services nationwide?
The employer-service team can discuss coordination across employee locations. Provide the states, roles and exact services so each proposed site and appointment can be confirmed. A network program does not establish every test, clinician license or regulated service in every state.
How do employers book a Corporate Health consultation?
Employers can use the employer consultation to agree on services, locations, authorizations, costs and reports. Provide the headcount, requested service and deadline. An employee needing care should book the relevant clinical appointment with employer authorization; urgent care should not wait for a program-planning meeting.
Will the employer receive my entire medical record?
Employers should receive only the information needed for the authorized work request. Agree on completion reports, restrictions or other necessary documentation and who may see them. Covered employers must keep medical information confidential and separate from ordinary personnel files. An employee’s personal treatment needs remain a confidential clinical matter.
Medical sources
- EEOC Pre-Employment Medical Questions and Examinations
- CDC Baseline TB Screening and Testing for Health Care Personnel
- CDC Frequency of TB Screening and Testing for Health Care Personnel
- CDC Clinical Testing Guidance: Tuberculin Skin Test
- MedlinePlus Electrocardiogram
- CDC Healthcare Personnel Immunization Programs
- NIOSH Spirometry Training Program
- OSHA-NIOSH Worker Information: Spirometry Breathing Test
- New York Workers’ Compensation Board: Information for Workers
- OSHA 1910.134 Respiratory Protection
- OSHA 1910.95 Occupational Noise Exposure
- DOT 49 CFR Part 40 procedures
- DOT Part 40 section 40.151: MRO restrictions
- DOT Drug Testing Laboratories
Why coordination matters
Employers need clean handoffs between collection, lab, review, and account reporting.
- Status tracking
- Exception follow-up
- Secure reporting
Program fit
MRO coordination is often one part of a broader drug testing TPA workflow.
- DOT programs
- Non-DOT testing
- Post-accident workflows
Review the current workflow
Identify where scheduling, collection, lab review, reporting, or documentation breaks down.
Define required services
Separate DOT, non-DOT, physicals, labs, vaccines, mobile events, and injury-care needs.
Select the operating model
Choose whether a TPA, lab, clinic, or coordinated vendor layer fits the program.
Build accountability
Set contacts, reporting cadence, escalation paths, and review checkpoints.
Drug and Alcohol Testing TPA
Program administration for employer drug and alcohol testing workflows.
TPA Companies
Corporate Health services that fit inside TPA client workflows.
Occupational Health Provider
Physicals, labs, testing, vaccines, and injury care for companies.
Employee Health Screening
Role-based screening packages for hiring and compliance programs.
DOT Random Drug and Alcohol Testing
Random pool, selection, collection, and reporting support.
MRO Coordination
Review workflow coordination connected to lab and employer reporting.
On-Site and Mobile Drug and Alcohol Testing
Mobile collection planning for worksites and distributed teams.
Post-Accident Drug and Alcohol Testing
Urgent event routing for supervisors and safety teams.
Public-Sector Testing Vendor
Agency-style program coordination for city, state, transit, and public safety teams.
Clinical Lab Testing
CBC, CMP, titers, Quantiferon, and employee lab workflows.
Employee TB Testing
PPD, Quantiferon, and TB screening documentation for employers.
Return-to-Work Exams
Work-status and fitness-for-duty coordination for employers.
Public-Sector RFP Vendor
Procurement-ready scope, reporting, references, and implementation planning.
Nationwide Network
Coordinate clinic, collection-site, lab, and mobile routes for multi-state teams.
Lab Partner Coordination
Coordinate drug-testing and clinical-lab workflows through approved lab paths.
24/7 Post-Accident Drug and Alcohol Response
Define after-hours and urgent event routes before incidents happen.
Government Employee Drug and Alcohol Testing
Testing programs for agency, transit, corrections, and public safety teams.