(1) 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.
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:
(a) 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
(b) Possess a valid Georgia
completed a certification program totaling a minimum of 100 hours in performing
utilization peer review;
the physiotherapy modalities certification listed as a secondary license type
on their Georgia license;
Identify themselves by name, degree designation, location of practice, and
Georgia chiropractic license number;
(f) Have established not less than five (5)
years of active private clinical practice in Georgia immediately prior to
rendering such opinion; and
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
chiropractors conducting peer review on behalf of a Georgia professional
association, as approved by the board by policy, are exempt from this
(4) 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.
Ga. Comp. R. & Regs. R. 100-17-.01
entitled "Review Agent" adopted. F. Nov. 30,
2009; eff. Dec. 20, 2009.
Amended: F. Jan. 26,
2010; eff. Feb. 15, 2010.
Amended: New title "Peer Reviewer." F.
Nov. 17, 2017; eff.
Dec. 7, 2017.