MISSISSIPPI LEGISLATURE

1999 Regular Session

To: Insurance

By: Representative Moody

AN ACT TO ESTABLISH REQUIREMENTS FOR ANY CHIROPRACTOR WHO DOES CHIROPRACTIC CLAIMS REVIEWS OR INDEPENDENT EXAMINATIONS, OR BOTH, FOR THE PURPOSE OF RENDERING DECISIONS ON CHIROPRACTIC INSURANCE CLAIMS; AND FOR RELATED PURPOSES.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1. Claims reviews and independent examinations are defined as those services for third party entities that are provided for the purpose of rendering a decision on chiropractic insurance claims.

SECTION 2. Any chiropractor or person doing claims reviews in the State of Mississippi shall 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 of ten (10) hours of continuing education each fiscal year in the instruction of 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 before the enactment of this act are exempt from the three hundred (300) hours of educational requirements. Those chiropractors qualifying under this paragraph must show proof of one hundred (100) hours of study in claims review 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 act.

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

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

SECTION 4. This act shall take effect and be in force from and after July 1, 1999.