UR Rules Don't Mention Non-Physician Reviewers, Psychologist Says

Proposed Texas rules would require that utilization review providers be in the same specialty as the doctor who provided the treatment, but they fail to mention certain types of health professionals, said a commenter at a meeting. The proposed rules were required by Senate Bill 1742, signed into law last fall. “A physician who performs a peer review, utilization review or independent review of health care services requested, ordered, provided or to be provided by a physician, must be of the same or similar specialty as the physician who requested, ordered, provided or wi...