Compilation of Rules and Regulations of the State of Georgia
Department 120 - OFFICE OF COMMISSIONER OF INSURANCE, SAFETY FIRE COMMISSIONER AND INDUSTRIAL LOAN COMMISSIONER
Chapter 120-2 - RULES OF COMMISSIONER OF INSURANCE
Subject 120-2-111 - PATIENT'S RIGHT TO INDEPENDENT REVIEW
Rule 120-2-111-.11 - On-Site Inspections by the Department

Universal Citation: GA Rules and Regs r 120-2-111-.11

Current through Rules and Regulations filed through September 23, 2024

(1) The Department is authorized to make examinations concerning the quality, availability, accessibility, and performance of independent review services as often as is deemed necessary.

(2) A representative of the Department is authorized to visit the administrative offices or any branch office of each independent review organization annually, or as frequently as necessary, during normal business hours, to review the books and operations of the independent review organization.

(3) The independent review organization must make available during such on-site visits the following documents:

(a) the minutes of the applicant's organizational meetings, indicating the time of each meeting and the date;

(b) a list of and information regarding physicians and other providers to be used by the independent review organization as follows:
1. for physicians, indicate:
(i) medical specialty;

(ii) board certification, if any;

(iii) state license number;

(iv) business address; and

(v) any professional association or other medical group with whom physicians are affiliated;

2. for other providers, indicate:
(i) address; and

(ii) license or certification, if applicable;

(iii) any other records concerning the operation of the independent review organization.

O.C.G.A. §§ 33-2-9, 33-20A-41.

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