Clinical peer definition
Clinical peer means a physician or other health care professional who holds a non-restricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review.
Clinical peer means a health care practitioner in the same, or in a similar, specialty that typically manages the medical condition, procedure, or treatment under review.
Clinical peer means a physician or other health care provider who:
Examples of Clinical peer in a sentence
Clinical peer reviewers may be physicians who possess a current and valid non-restricted license to practice medicine.
Clinical peer reviewers may be subcontracted and can be located outside of Washington State but shall be subject to the same supervisory oversight and quality monitoring as staff located in the Washington State service center, to include participation in initial orientation and at least annual training on Washington State-specific benefits, protocols, and initiatives.
More Definitions of Clinical peer
Clinical peer means a health care professional who is in
Clinical peer means a physician or other health professio- nal who holds an unrestricted license or certification and is in the same or similar specialty as typically manages the medical condition, procedures, or treatment under review. Generally, as a peer in a simi- lar specialty, the individual must be in the same profession, i.e., the same licensure category, as the attending provider. In a profes- sion that has organized, board-certified specialties, a clinical peer generally will be in the same formal specialty.
Clinical peer means a health care professional who is in the same profession and the same or similar specialty as the health care provider who typically manages the medical condition, procedures, or treatment under review.
Clinical peer means a medical provider in the same, or in a similar, specialty that typically manages the medical condition, procedure, or treatment under review.
Clinical peer means a dental care professional in the same or similar specialty who typically manages the medical condition, procedure or treatment under review. But, it does not mean a person who was involved in the initial adverse determination.
Clinical peer means a physician or other health care professional who holds a
Clinical peer means a physician or other health care professional who (A) holds a nonrestricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review, and (B) for a review specified under subparagraph (B) or (C) of subdivision (38) of section 38a-591a, as amended by this act, concerning (i) a child or adolescent substance use disorder or a child or adolescent mental disorder, holds a national board certification in child and adolescent psychiatry or child and adolescent psychology, and has training or clinical experience in the treatment of child and adolescent substance use disorder or child and adolescent mental disorder, as applicable, or (ii) an adult substance use disorder or an adult mental disorder, holds a national board certification in psychiatry or psychology, and has training or clinical experience in the treatment of adult substance use disorders or adult mental disorders, as applicable.