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.
Medical case reviews under 29 CFR 1904 address work-relatedness, general recording criteria, and applicable exceptions. Each review draws on NIOSH occupational disease and injury criteria, with careful attention to pre-existing conditions and the distinction between true occupational causation and symptoms that happen to appear in the workplace.
Written determinations are clear and defensible, supporting accurate recordkeeping and entries on the OSHA log.
Beyond regulatory recordability, employers benefit from a thorough case review when other contributing factors may be present in reported work-related incidents or injuries. We evaluate the medical and occupational context of each case to help safety teams understand what the data reflects and make well-supported internal decisions.
As an MROCC-certified MRO, Dr. Prezzia provides comprehensive review for DOT and non-DOT workplace drug testing programs. This goes well beyond confirming whether a prescription exists. Each confirmed positive is evaluated for clinical rationale, relevance to job safety, and any fitness-for-duty implications that bear on the employer's decision.
Audiometric results are reviewed to determine whether a Standard Threshold Shift meets OSHA recordability criteria under 29 CFR 1904.10. This includes age correction, assessment of work-relatedness, and consideration of the employee's occupational noise exposure history alongside relevant non-occupational factors. Each review produces a written determination for your records.
When employees are out on S&A leave or workers' compensation, delays often come down to communication gaps between the employer and the treating provider. We work directly with provider offices to obtain current clinical status, clarify work restrictions, and keep the return-to-work process moving. The result is less unnecessary lost time and better outcomes for everyone involved.
For employers in the greater Pittsburgh area, Dr. Prezzia is available on-site to conduct a full range of occupational medicine clinical services. This includes fitness-for-duty evaluations, respirator medical clearance and other OSHA-mandated exams, return-to-work examinations, acute injury evaluation, and authoritative medical examinations. Having a physician on-site means faster decisions, fewer referral delays, and a direct line between clinical findings and your safety or HR team.
All consulting and case review services — OSHA recordability, MRO review, STS analysis, and return-to-work coordination — are available to clients nationwide, with no geographic limitation.
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 include degenerative knee arthritis, chronic rotator cuff pathology, back pain, and hernias that present symptomatically during work hours.
Services are designed for employers, third-party administrators, and risk management teams. Every engagement is oriented toward practical outcomes: accurate recordkeeping, reduced lost time, and regulatory confidence. Current clients include companies in manufacturing, construction, and utilities.
Services are available nationally on a per-case or retainer basis. On-site consulting is also available for clients in the greater Pittsburgh area. All case reviews include a written determination or summary report, with turnaround times and reporting formats established at the outset of each engagement.
Ideal for one-off OSHA recordability determinations, STS reviews, or MRO consultations. Each case receives a written determination report.
A good fit for organizations with ongoing case volume. Retainer clients receive predictable costs and priority turnaround for their safety and risk management teams.
Most services are delivered remotely and are available to clients across the country. On-site consulting is available for employers located in the greater Pittsburgh area.
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."