Nev. Admin. Code § 616C.021 - [Effective 7/1/2026] Rating physician or chiropractor: Designation; qualifications; maintenance of designation; authority; review of rating evaluation by Administrator
1. The designation
of a rating physician or chiropractic physician pursuant to
NRS
616C.490 must be in writing or by electronic
communication.
2. To qualify for
designation, a physician or chiropractic physician must:
(a) Possess the qualifications required of a
physician or chiropractic physician who is appointed to the panel of physicians
and chiropractic physicians established pursuant to
NRS
616C.090 and NAC
616C.003.
(b) Demonstrate a special competence and
interest in industrial health by:
(1)
Completing 3 years or more of experience concerning industrial health in
private practice.
(2) Successfully
completing a course on rating disabilities, in accordance with the Guide, that
is approved by the Administrator.
(3) Passing the Nevada Impairment Rating
Skills Assessment Test which is administered by the American Academy of Expert
Medical Evaluators or its successor organization and which examines the
practical application of the rating of disabilities in accordance with the
Guide with a score of 75 percent or higher.
(4) Successfully completing a course approved
by the Administrator on Form D-9c, Permanent Work-Related Mental Impairment
Rating Report Work Sheet.
(c) Demonstrate an understanding of:
(1) The regulations of the Division related
to the evaluation of permanent partial disabilities; and
(2) The Guide.
3. In order to maintain
designation as a rating physician or chiropractic physician, the physician or
chiropractic physician must:
(a) Perform
ratings evaluations of permanent partial disabilities when selected pursuant to
NRS
616C.490, as amended by section 17 of Senate
Bill No. 274, chapter 535, Statutes of Nevada 2023, at page 3630, except for
any rating evaluation that the selected rating physician or chiropractic
physician declines. The rating physician or chiropractic physician is
responsible for performing each rating evaluation for which he or she is
selected and does not decline but may reference, as part of the rating
evaluation, a specialized test performed by another health care provider which
was performed after the injured employee has been determined to be stable and
ratable. Except for a rating evaluation that is performed posthumously or to
apportion a rating in accordance with
NRS
616C.099, solely reviewing health care
records does not constitute performance of a rating evaluation of a permanent
partial disability.
(b) Schedule
and perform a rating evaluation within 30 days after receipt of a request from
an insurer, a third-party administrator or an injured employee or his or her
representative unless:
(1) The selected
rating physician or chiropractic physician declines the selection; or
(2) The insurer or third-party administrator
agrees with the injured employee or his or her representative to extend the
period in which the physician or chiropractic physician must schedule and
perform the rating evaluation pursuant to this paragraph.
(c) Except as otherwise provided in this
paragraph, serve without compensation for a period of 1 year on the panel to
review ratings evaluations established pursuant to NAC
616C.023 upon the request of the
Administrator. With the approval of the Administrator, a physician or
chiropractic physician may serve without compensation on the panel for an
additional period of 1 year.
(d)
After the date of designation as a rating physician or chiropractic physician,
successfully complete biennially a course for continuing education that is
approved by the Administrator on rating disabilities, in accordance with the
Guide.
4. Except as otherwise provided in subsection
5, a rating physician or chiropractic physician may not rate the disability of
an injured employee if the physician or chiropractic physician has:
(a) Previously examined or treated the
injured employee; or
(b) Reviewed
the health care records of the injured employee for any purpose relating to his
or her claim for workers' compensation and has made recommendations regarding
the likelihood of the injured employee's ratable impairment.
5. A rating physician or
chiropractic physician who has previously performed one or more rating
evaluations for a permanent partial disability for an injured employee but who
has not otherwise engaged in the activities described in subsection 9 with
respect to the injured employee may rate the disability of the injured
employee, unless the disability is being rated at the request of the injured
employee to obtain a second determination of the percentage of disability
pursuant to NRS
616C.100 or
616C.145, as amended by section
12 of Senate Bill No. 274, chapter 535, Statutes of Nevada 2023, at page
3623.
6. A rating evaluation of a
permanent partial disability performed by a rating physician or chiropractic
physician is subject to review by the Administrator pursuant to the provisions
of NAC 616C.023.
Notes
NRS 616A.400, 616C.490, as amended by section 17 of Senate Bill No. 274, chapter 535, Statutes of Nevada 2023, at page 3630
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.