120.913 Qualified Physicians on Preauthorization Phone Lines
The Medical Society of the State of New York will seek legislation or regulation requiring that prescribers be able to reach a qualified medical person promptly (within 10 minutes) on all telephone calls to third-party carriers for precertification, appeals, etc. and that the personnel qualified to adjudicate these requests would be limited to licensed physicians (allopathic or osteopathic), and that for special needs, telephone requests for pre-certifications and appeals could be adjudicated only be qualified personnel who were in the same specialty as the physician calling. (HOD 2018-263)
