225.987 Peer Review Integrity
By legislation and/or regulation MSSNY will require insurance company peer reviewers to review all supportive documentation provided by a requesting physician prior to the insurance company mandating a physician to participate in a peer review.
By legislation and/or regulation MSSNY will also seek a significant non-compliance financial penalty on the insurance company to compensate physician time when an insurance company peer reviewer fails to review physician provided documentation prior to mandating physician participation in a peer review meeting. (HOD 2020-265)
