Made available by
Touch N' Go Systems, Inc., and the
Law Offices of James B. Gottstein.
You can also go to The Alaska Legal Resource Center or search the entire website search.
|
(a) A patient, patient's representative, insurer, or the patient's chiropractic physician may file a request for peer review with the board by submitting to the department
(1) a written request for review of the care provided, fees charged, or services rendered by a licensee to a patient;
(2) the peer review fee established in 12 AAC 02.150; and
(3) if the peer review committee requires a patient's treatment records for review, a completed release, on a form provided by the department, signed by the patient.
(b) A licensee's acceptance of or request for payment for treatment given to a patient constitutes the licensee's consent to submit to the peer review committee the information required in (c) of this section.
(c) A licensee involved in a case submitted to the peer review committee shall submit to the peer review committee all necessary records and other information concerning the patient's treatment.
(d) The peer review committee shall examine each request for peer review submitted to it in accordance with guidelines established by the board. Except as provided in (f) of this section, the peer review committee shall report its findings to the board and furnish a copy of its findings to the patient, licensee, and third-party payor involved in the case.
(e) The findings of the peer review committee must include a determination of whether the
(1) licensee provided or ordered appropriate treatment or services; and
(2) fees charged are a reasonable and appropriate cost of treatment; in determining the reasonableness and appropriateness of costs, the committee may consider, among other appropriate factors, charges by health care providers other than chiropractors for the same or similar services.
(f) The peer review committee shall file with the department's investigative section a complaint against a licensee if it determines that reasonable cause exists to believe the licensee has violated any portion of AS 08.20 or this chapter for which a licensee may be disciplined. The peer review committee shall give all complaint information it has to the department.
(g) Repealed 1/6/2002.
History: Eff. 2/21/97, Register 141; am 1/6/2002, Register 161; am 8/20/2004, Register 171
Authority: AS 08.20.055
Editor's note: As of Register 161 (April 2002), the substance of former 12 AAC 16.420(g) appears in 12 AAC 16.990.
Note to HTML Version:
The Alaska Administrative Code was automatically converted to HTML from a plain text format. Every effort has been made to ensure its accuracy, but neither Touch N' Go Systems nor the Law Offices of James B. Gottstein can be held responsible for any possible errors. This version of the Alaska Administrative Code is current through June, 2006.
If it is critical that the precise terms of the Alaska Administrative Code be known, it is recommended that more formal sources be consulted. Recent editions of the Alaska Administrative Journal may be obtained from the Alaska Lieutenant Governor's Office on the world wide web. If any errors are found, please e-mail Touch N' Go systems at E-mail. We hope you find this information useful. Copyright 2006. Touch N' Go Systems, Inc. All Rights Reserved.
Last modified 7/05/2006