SEC. 73-6-34. Chiropractic insurance claims review qualifications.

(1) "Claims review" and/or "independent examinations" are defined as services for third party entities for the purpose of rendering a decision on chiropractic insurance claims.

(2) Any chiropractor or person doing claims reviews in the State of Mississippi must first meet the following requirements:

(a) Present proof of three hundred (300) hours of study in insurance claim review by a course of study recognized by the Mississippi State Chiropractic Examining Board. Such proof is to be filed with the Executive Secretary of the Mississippi State Board of Chiropractic Examiners.

(b) Present proof to the Executive Secretary of the Mississippi State Board of Chiropractic Examiners ten (10) hours of continuing education each fiscal year in the instruction or developments in claims review, which must be approved by the Mississippi State Board of Chiropractic Examiners.

(c) Those chiropractors active in doing claims review five (5) years prior to the enactment of this law will be exempt from the three hundred (300) hours educational requirements. Those chiropractors qualifying under subsection (c) of this section must show proof of one hundred (100) hours of study in claims reviews or related subjects, and meet all other requirements.

(d) The Mississippi State Board of Chiropractic Examiners shall issue a certificate to those chiropractors qualifying under this law.

(e) Any chiropractor not complying with this act will be subject to disciplinary action by the Mississippi State Board of Chiropractic Examiners.

(3) No person shall engage in chiropractic claims review or independent examinations on or after the date of passage of this act unless he has met all requirements in this act.

SOURCES:  Added by Laws 1999, Ch. 443, Sec. 1, SB2799, eff. July 1, 1999.