MRO Cost & Pricing Analysis 2

Question 1

Under DOT regulations, who is financially responsible for the cost of a DOT-required return-to-duty drug test?

Accepted Answer

The employer

Answer

The employer bears the cost of all DOT-mandated testing, including return-to-duty tests.

Question 2

A split specimen (Bottle B) retest is requested by the donor. Which party typically pays the initial cost of the retest?

Accepted Answer

The donor pays upfront and may be reimbursed if confirmed negative

Answer

The donor must pay for the split specimen retest upfront, but if the result is reported negative or invalid, the employer must reimburse the donor.

Question 3

Which cost component is typically EXCLUDED from a standard MRO review fee quoted to employers?

Accepted Answer

Laboratory specimen analysis fees

Answer

Laboratory specimen analysis fees are billed separately by the laboratory and are not included in the MRO review fee.

Question 4

When an employer contracts with a Third Party Administrator (TPA) for drug testing services, the TPA fee structure most commonly includes:

Accepted Answer

Bundled collection, laboratory, and MRO fees at a negotiated rate

Answer

TPAs typically bundle collection, laboratory, and MRO services into a single per-test price through volume negotiation.

Question 5

An MRO practice wishes to offer volume discounts to large trucking fleets. Under DOT regulations, this practice is:

Accepted Answer

Permitted as long as it does not compromise the integrity of MRO determinations

Answer

Volume discounts are permissible provided the fee arrangement does not compromise the MRO's independent judgment or integrity.

(MRO) Medical Review Officer Certification Practice Test