Tenn. Comp. R. & Regs. 0800-02-06-.09 - SUBCONTRACTORS
(1) A utilization review organization shall
be responsible for any utilization review physician(s), registered nurse(s), or
other utilization review organization(s) with whom the utilization review
organization subcontracts to perform utilization reviews. If a subcontractor
performs a utilization review in accordance with the requirements of this
Chapter, then the utilization review shall be treated as if performed by the
contracting utilization review organization. A utilization review organization
shall be liable for all sanctions and/or civil penalties contained in this
Chapter whenever its subcontractor violates any provision contained
herein.
Notes
Authority: T.C.A. ยงยง 50-6-102, 50-6-118, 50-6-124, 50-6-126, and 50-6-233.
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