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NC H729
Bill
Status
4/28/2015
Primary Sponsor
Debra Conrad
Click for details
AI Summary
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Requires chiropractic peer review of motor vehicle liability and medical payment claims to be performed only by individuals licensed to practice chiropractic in North Carolina.
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Defines chiropractic peer review as retrospective review of treatment records by a non-treating chiropractor to advise third-party payers on whether services were clinically necessary and adequately documented.
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Establishes five qualifications for peer reviewers: current NC chiropractic license, five years of chiropractic practice in NC, deriving at least half of professional income from patient care, holding same specialty diploma if reviewing a specialist, and not collecting fees based on bill reductions.
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Requires reviewers to apply standards of acceptable care in effect in North Carolina at the time services were rendered.
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Makes unlicensed individuals performing chiropractic peer review subject to prosecution and injunctive action; applies to reviews conducted on or after October 1, 2015.
Legislative Description
Standards for Chiropractic Peer Review
Last Action
Ref To Com On Rules and Operations of the Senate
4/29/2015