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Apr 26 2019

NCMB’s improved outside medical review process

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The Board created a new staff position in fall 2018 to enhance its outside medical review process, with a goal of increasing the number of reviewers available to consult on quality of care cases. Below are some of our FAQs on the outside reviewer process.

Q: Why does the Medical Board need outside medical reviewers?
A: Outside medical reviewers are truly critical to the Board’s case review process. NCMB’s success depends on its ability to draw on the knowledge and experience of medical experts regarding standards of care in their areas of practice.

Q: What is the specific service outside medical reviewers provide to the Board?
A: The reviewer’s role is to determine whether standards of care were met at the time of treatment. Reviewers are provided with bookmarked electronic copies of medical records, which they evaluate. They also receive a worksheet for the case review and provide their opinions to the Board in the form of a written report.

Q: Are outside medical reviewers compensated?
A: Yes. Reviewers are compensated at a rate of $175 per hour for the time spent reviewing records and writing their reports. It is also a wonderful way for clinicians to serve patients and the medical profession, by ensuring that standards of care are upheld in North Carolina.

Q: May outside medical reviewers remain anonymous or will the clinician under investigation know who reviewed his or her care?
A: Generally, yes, reviewers can remain anonymous. On rare occasions, when a case proceeds to a public hearing, reviewers may be asked to provide testimony. This is not needed in a significant majority of cases where outside reviews are sought.

Q: Am I at risk of being sued for serving as an outside medical reviewer or testifying at a hearing for the Board?
A: No, reviewers for the Board are provided statutory immunity from civil liability and will not be held liable in any civil proceeding for testifying before the Board in good faith and without fraud or malice.

To indicate your interest in providing outside medical reviews, contact The Board is always interested in establishing contact with qualified outside reviewers.

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