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Texas Labor Code - LAB § 408.0043. Professional Specialty Certification Required for Certain Review

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) This section applies to a person, other than a chiropractor or a dentist, who performs health care services under this title as:

(1) a doctor performing peer review;

(2) a doctor performing a utilization review of a health care service provided to an injured employee;

(3) a doctor performing an independent review of a health care service provided to an injured employee;

(4) a designated doctor;

(5) a doctor performing a required medical examination;  or

(6) a doctor serving as a member of the medical quality review panel.

(b) A person described by Subsection (a) who reviews a specific workers' compensation case must hold a professional certification in a health care specialty appropriate to the type of health care that the injured employee is receiving.

(c) Notwithstanding Subsection (b), if a health care service is requested, ordered, provided, or to be provided by a physician, a person described by Subsection (a)(1), (2), or (3) who reviews the service with respect to a specific workers' compensation case must be of the same or a similar specialty as that physician.

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Cite this article: FindLaw.com - Texas Labor Code - LAB § 408.0043. Professional Specialty Certification Required for Certain Review - last updated January 01, 2024 | https://codes.findlaw.com/tx/labor-code/lab-sect-408-0043/

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