Loading chat...

NC H729

Bill

Status

Engrossed

4/28/2015

Primary Sponsor

Debra Conrad

Click for details

Origin

House of Representatives

2015-2016 Session

AI Summary

  • 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.

  • 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.

  • 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.

  • Requires reviewers to apply standards of acceptable care in effect in North Carolina at the time services were rendered.

  • 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

Committee Referrals

Rules and Operations of the Senate4/29/2015
Insurance4/27/2015
Health4/15/2015

Full Bill Text

No bill text available