Nevada Administrative Code
Chapter 616C - Industrial Insurance: Benefits for Injury or Death
PROVIDERS OF HEALTH CARE
Section 616C.003 - Panel of physicians and chiropractors: Appointment of members

Universal Citation: NV Admin Code 616C.003

Current through September 16, 2024

1. The Administrator will appoint to the panel of physicians and chiropractic physicians described in NRS 616C.090 only physicians and chiropractic physicians who:

(a) Are licensed under chapter 630, 633 or 634 of NRS;

(b) Have demonstrated special competence and interest in industrial health;

(c) Are in good standing with the state regulatory bodies respectively charged with overseeing their licensing, practice and performance;

(d) Have not lost staff privileges at any hospital on the basis of reviews conducted by their peers concerning the quality of care they have provided;

(e) Have not previously been suspended or removed from the panel of physicians and chiropractic physicians by the Administrator;

(f) Have not been convicted or disciplined by any state licensing agency, workers' compensation authority, professional practice organization or the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services for:
(1) Fraudulent activity, including, without limitation, fraudulent medical billing or reporting;

(2) Abuse; or

(3) Discriminatory treatment in the care and treatment of patients;

(g) Have not been convicted in a state or federal court for the commission of a felony; and

(h) Have not been convicted in a state or federal court or disciplined by any state's licensing agency for the commission of any offense relating to the excessive prescribing of drugs.

2. A physician or chiropractic physician who is appointed to the panel must notify the Administrator in writing of any change to the information provided in his or her application to be appointed to the panel not later than 14 days after the change for as long as he or she remains on the panel. Failure to comply with this subsection may result in disciplinary action, including, without limitation, the imposition of administrative fines.

3. The Administrator will remove from the panel any physician or chiropractic physician who:

(a) Was appointed to the panel; and

(b) Does not meet the qualifications set forth in paragraphs (a) to (h), inclusive, of subsection 1.

4. The Administrator may remove from the panel any physician or chiropractic physician who:

(a) Was appointed to the panel; and

(b) On his or her application to be appointed to the panel:
(1) Provided to the Administrator information that was not accurate; or

(2) Did not provide to the Administrator information indicating the disciplines and specializations described in subsection 2 of NRS 616C.087, that are practiced by the physician or chiropractic physician, as applicable.

Industrial Comm'n, No. 23.020, eff. 7-1-73; renumbered as 13.020, 6-30-82-NAC A by Div. of Industrial Insurance Regulation, 10-26-83; 2-22-88; A by Div. of Industrial Relations by R006-97, 12-9-97; R105-00, 1-18-2001, eff. 3-1-2001; A by R134-20A, eff. 9/20/2022; Added to NAC by Div. of Industrial Relations by R134-20RA, eff. 12/19/2022

NRS 616A.400, 616C.490

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