Physician Reviewer Selection/Qualification

9135.1 – Physician Reviewer Selection/Qualification (Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16) NOTE: The QIO should make every effort to have the same physician peer reviewer complete both the five (5)-day and 60-day EMTALA reviews for the same case. The QIO should select a physician to review the case who is a specialist (actively practicing in his/her specialty and, whenever possible, board-certified) in either the specialty of the physician who attended the patient or the specialty indicated by the condition of the patient whose care is under review. Whenever possible, the physician reviewer should practice in a similar setting as that of the physician who attended the patient. Select a physician who agrees in writing to conduct the review in accordance with the requirements in §9130.2 and §9135 and to testify as an expert witness, if necessary, to properly adjudicate the case.