S.D. Admin. R. 20:41:14:06

Current through Register Vol. 50, page 162, June 24, 2024
Section 20:41:14:06 - Procedures for peer review

Peer review may be conducted only upon request by a party as authorized under the provisions of § 20:41:14:05. Upon receipt of written request, the peer review committee shall inform the party requesting the review in writing and request a patient authorization if the requesting party is a third-party payor. The peer review committee shall notify the treating chiropractic physician of the request for review and request the necessary forms and documentation. Forms and documentation must be returned to the peer review committee within 15 days of receiving notice. Upon receipt of any relevant material, the peer review committee's secretary shall notify each individual review chosen to complete the review. Two individual reviewers are chosen to complete the investigation and review. The individual reviewers may not be practicing in the same geographical area of the state as the treating doctor subject to the review. A completed review shall be submitted to the peer review committee chairman for final approval. Upon final approval, a final draft of the completed review shall be mailed to the appropriate parties including the party requesting the review, the treating doctor, and the board. In any case where a chiropractic physician has received three negative reviews in a twelve month period, the chairman of the peer review committee shall file a written complaint with the disciplinary committee so stating.

S.D. Admin. R. 20:41:14:06

25 SDR 80, effective 12/6/1998; 33 SDR 66, effective 10/23/2006; 39 SDR 127, effective 1/21/2013.

General Authority: SDCL 36-5-4, 36-5-19.

Law Implemented: SDCL 36-5-4, 36-5-19.