Iowa Code 514.21 – Utilization review program
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Terms Used In Iowa Code 514.21
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
514.21 Utilization review program.
A utilization review program shall be established for purposes of health care cost control, according to usual and customary third-party insurance payment or reimbursement procedures, by a corporation subject to this chapter and by physician providers as defined in § 135.1 and registered nurse providers licensed under chapter 152. This utilization review program shall not be used directly or indirectly to circumvent the provisions for payment or reimbursement to providers of health care services as provided in § 509.3, subsection 1, paragraphs “”f”” and “”g””, and § 514.7.
86 Acts, ch 1180, §9; 89 Acts, ch 164, §4
Utilization and cost control; see also chapter 514F
A utilization review program shall be established for purposes of health care cost control, according to usual and customary third-party insurance payment or reimbursement procedures, by a corporation subject to this chapter and by physician providers as defined in § 135.1 and registered nurse providers licensed under chapter 152. This utilization review program shall not be used directly or indirectly to circumvent the provisions for payment or reimbursement to providers of health care services as provided in § 509.3, subsection 1, paragraphs “”f”” and “”g””, and § 514.7.
86 Acts, ch 1180, §9; 89 Acts, ch 164, §4
Utilization and cost control; see also chapter 514F