34 Pa. Code § 127.607 - Peer review-conflicts of interest
(a) A PRO shall return a request for peer
review to the Bureau for reassignment if the following apply:
(1) The PRO has a previous involvement with
the patient or provider under review in the same matter.
(2) The PRO has performed precertification
functions in the same matter.
(3)
The PRO has provided case management services in the same matter.
(4) The PRO has provided vocational
rehabilitation services in the same matter.
(5) The PRO is owned by or has a contractual
relationship with any party subject to the review.
(b) A PRO shall inform the reviewer assigned
to perform peer review of the reviewer's obligation to notify the PRO of any
potential or realized conflicts arising under §
127.615 (relating to duties of
reviewers-conflict of interest)
Notes
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.