Rules and Regulations of the State of Georgia
 

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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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charset=UTF-16"> </HEAD> <div id="infobar"><a href="javascript:;" accesskey="r" Name="Route" title="Route" class="quickkey"><em class="mnemonic">R</em>oute </a>:<div class="searchtips" style="float:right;margin-right:10px;color: rgb(47, 79, 79);"> <a style="text-decoration:none;color: rgb(47, 79, 79);" title="search tips" name="searchtip" href="../help.aspx#searching" target="_blank"><em class="mnemonic">S</em>earch tips</a></div><ul class="breadcrumb"> <li><a href="/GAC" name="GAC" title="GAC">GA R&amp;R</a></li> <li>&raquo; <a href="/GAC/100" title="100">Department 100</a></li> <li>&raquo; Chapter 100-17</li> </ul> </div> </div><div id="doc" class="container"> <div id="doc-content" class="content"> <h1><nllchapter>Chapter 100-17 PEER REVIEWER</nllchapter></h1> <h2><a href="/GAC/100-17-.01" name="100-17-.01" title="100-17-.01">Rule 100-17-.01 Peer Reviewer</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> For purposes of this rule "Peer Reviewer" means any person rendering a professional chiropractic written or verbal opinion, which has the capacity or intent of affecting the frequency, duration, necessity, or outcome of chiropractic treatment or patient care and who is being compensated by a 3rd party payer or other contractual parties.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Chiropractic care shall include offering or rendering a professional chiropractic written or verbal opinion, which has the capacity or intent of affecting the frequency, duration, necessity, or outcome of chiropractic treatment or patient care. Any person practicing as a Peer Reviewer in Georgia must: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Notify the Georgia Board of Chiropractic Examiners of his/her intent to act as a Peer Reviewer. Such notification must include the individual's Georgia license number.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Possess a valid Georgia chiropractic license;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Have completed a certification program totaling a minimum of 100 hours in performing utilization peer review;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Have the physiotherapy modalities certification listed as a secondary license type on their Georgia license;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Identify themselves by name, degree designation, location of practice, and Georgia chiropractic license number;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Have established not less than five (5) years of active private clinical practice in Georgia immediately prior to rendering such opinion; and</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(2)(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Have earned a minimum of seventy percent (70%) of chiropractic related income from the active treatment of patients in Georgia in each of the previous five (5) years.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Licensed chiropractors conducting peer review on behalf of a Georgia professional association, as approved by the board by policy, are exempt from this rule.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.01(4)">(4)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Effective from the effective date of this rule amendment through January 31, 2010, the Board will consider requests from Georgia licensed doctors of chiropractic to be grand-fathered as Peer Reviewers.</td> </tr> </table> <h2><a href="/GAC/100-17-.02" name="100-17-.02" title="100-17-.02">Rule 100-17-.02 Guidelines for the Chiropractic Peer Reviewer</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall perform duties in accordance with the applicable law(s) and shall observe the highest of ethical and moral principles, evidence-influenced standards/guidelines and policies of professional practice.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall make guidelines and supporting references available when requested.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer understands that guidelines are not inflexible guidelines, and they should not be used as sole evidence for an absolute standard of care, and are considered on a case by case basis.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(4)">(4)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall at all times act with integrity, truthfulness and honesty.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(5)">(5)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall at no time divulge confidential information in an inappropriate or unlawful manner and shall exercise the care required for confidentiality and privacy consistent with the applicable legal jurisdiction.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(6)">(6)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall not maliciously injure the reputation or professional practice of providers, employers, insurers, claimants, or other parties.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(7)">(7)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall divulge and report appropriately when faced with potential conflicts of interest.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(8)">(8)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall try to remain unbiased and objective, so that a trier of fact is served by accurate determination of the facts involved.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(9)">(9)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall thoroughly review and analyze the evidence in a case, concerning the quality and efficiency of the services ordered or performed by the chiropractor under review.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(10)">(10)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall not intentionally withhold or omit any findings or opinions discovered during a chiropractic evaluation or review that would cause the facts of a case to be misinterpreted or distorted.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(11)">(11)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall never misrepresent credentials, education, training, experience, or membership status.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(12)">(12)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall respect the rights of the examinee and other participants, and treat these individuals with dignity and professionalism.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(13)">(13)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall never accept a fee for services which is dependent upon writing a report favorable to the referral service.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(14)">(14)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any person rendering a chiropractic opinion in Georgia must identify themselves by name, degree designation, location of practice, and Georgia chiropractic license number.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="100-17-.02(15)">(15)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The chiropractic peer reviewer shall continue to study, apply, and advance scientific knowledge, maintain a commitment to continuing sub-specialty education, obtain consultation, and use the talents of other healthcare professionals when indicated.</td> </tr> </table> </div> </div> </HTML> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/100-17-.01" name="100-17-.01" title="100-17-.01">Rule 100-17-.01 Peer Reviewer</a></li><li><a href="/GAC/100-17-.02" name="100-17-.02" title="100-17-.02">Rule 100-17-.02 Guidelines for the Chiropractic Peer Reviewer</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 2019 Lawriter LLC - All rights reserved.</span>| <a href="mailto:support@casemakerlegal.com?subject=Rules and Regulations of the State of Georgia">Email Us</a> | 844-838-0769 | <a href="http://livechat.casemakerlegal.com/client.php?locale=en" target="_blank" onclick="if(navigator.userAgent.toLowerCase().indexOf('opera') != -1 && window.event.preventDefault)window.event.preventDefault();this.newWindow = window.open('http://livechat.casemakerlegal.com/client.php?locale=en&url='+escape(document.location.href)+'&referrer='+escape(document.referrer), 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