Nev. Admin. Code § 616C.006 - Panel of physicians and chiropractors: Disciplinary action against members

Current through August 4, 2021

The Administrator will issue a warning to a physician or chiropractor on the panel of physicians and chiropractors, or suspend or remove a physician or chiropractor from the panel, for sufficient cause. Sufficient cause includes, but is not limited to, the following:

1. Fraudulent billing or reporting.
2. Failure to observe the rules of treatment set forth in NAC 616C.129.
3. Disciplinary action taken against the physician or chiropractor by the applicable licensing authority, representatives of Medicare or Medicaid, or a hospital for fraud, abuse or the quality of care provided.
4. Unprofessional conduct or discriminatory treatment in the care and treatment of patients.
5. Use of any treatment which is not sanctioned by his or her peers or medical authority as being beneficial for the injury or disease involved.
6. Failure to comply with any order of the Division issued pursuant to the schedule of fees and charges for accident benefits adopted pursuant to subsection 2 of NRS 616C.260.
7. Commission of a felony for which he or she is convicted in a state or federal court.
8. Commission of any offense relating to drug abuse, including excessive prescription of drugs, for which he or she is convicted in a state or federal court.
9. A violation of NRS 616C.040 or 616C.135.
10. Continued failure to secure authorization for diagnostic tests which require prior authorization.
11. Continued failure to secure authorization and consultations for surgical procedures.
12. Engaging in any action that the Administrator determines to be detrimental to an injured employee, an employer, an insurer or the program of industrial insurance.

Notes

Nev. Admin. Code § 616C.006
Industrial Comm'n, No. 23.030, eff. 7-1-73; renumbered as 13.030, 6-30-82-NAC A by Div. of Industrial Insurance Regulation, 10-26-83; 2-22-88; A by Div. of Industrial Relations, 10-11-93; R006-97, 12-9-97; R105-00, 1-18-2001, eff. 3-1-2001; R118-02, 9-7-2005

NRS 616A.400, 616C.090

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