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 reviews show that the accuracy of real human anatomy and the quanity of clinical cases provided by the Anatomage Table and software improve students’ academic skills in areas such as radiology, surgical case review, and patient consulation.

• Clinical peer reviewers take into account the complexity and severity of a member’s condition when rendering a clinical review.

• Clinical Peer: 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.

• Accordingly, the clinical department affirms that: • Clinical peer reviewers render authorization decisions based on the appropriateness of care and services.

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 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 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 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.