If a state or federal law requires a minimum time frame for processing a review, how does that affect the time line required by the standard for conducting independent reviews?
Response: Once all entities (referring entity, consumer, and attending provider) have been accounted for with regards to submitting additional information, whether additional information was received or it has been verified that it will not be submitted, the IRO must proceed with processing the case. If the IRO has not been able to determine the intent by all parties and there is applicable state or federal law requiring a minimum time to wait for additional information, then it does not proceed until the minimum time frame has been met. URAC will request evidence of the applicable regulation.
Related Questions
- If a state or federal law requires a minimum time frame for processing a review, how does that affect the time line required by the standard for conducting independent reviews?
- What happens if state law requires payment of a higher minimum wage than federal law?
- What happens if state law requires a different minimum wage than federal law?
