Massachusetts H1132 amends external review processes to ensure patient protection and physician accountability.

Massachusetts H1132 amends the external review process for medical claims to enhance patient protection. The bill mandates that every external review be conducted by a physician licensed in Massachusetts and certified in the relevant medical specialty. This physician must identify themselves to the patient, provide a detailed written report with citations to peer-reviewed materials, and conduct a physical examination if necessary. The physician must also carry malpractice insurance for services rendered during the review.

Massachusetts H1132 amends external review processes to ensure patient protection and physician accountability.

Massachusetts H1132 amends the external review process for medical claims to enhance patient protection. The bill mandates that every external review be conducted by a physician licensed in Massachusetts and certified in the relevant medical specialty. This physician must identify themselves to the patient, provide a detailed written report with citations to peer-reviewed materials, and conduct a physical examination if necessary. The physician must also carry malpractice insurance for services rendered during the review.