Tenn. Comp. R. & Regs. 0800-02-33-.06

Current through January 8, 2025

Section 0800-02-33-.06 - REQUIREMENTS OF CERTIFIED PHYSICIANS

(1) Upon listing, Certified Physicians shall comply with the following conditions:

(a) Agree to have their name, clinic address, medical specialty and board certification published on the Bureau's website in a listing of Certified Physicians on the CPP Registry who are available to treat Tennessee workers' compensation injuries when selected in compliance with the Tennessee Workers' Compensation Law;

(b) Agree to treat Tennessee workers' compensation patients within the norms of their specialty and in compliance with the Tennessee Workers' Compensation Law and the Medical Fee Schedule rules in Tenn. Comp. R. and Regs. 0800-02-18;

(c) While serving as a Certified Physician, agree to maintain an active and unrestricted license to practice medicine, osteopathy, or chiropractic, in Tennessee, to maintain all board certifications listed on the application, and to immediately notify the Administrator of any change in the status of their license or board certification, including any restrictions;

(d) Conduct all evaluations and treatment for Tennessee workers' compensation claims in an objective and impartial manner, and shall:

1. Conduct all evaluations and treatment only in a facility where the primary use of the site is for medical service, except in instances of telehealth, as permitted under the Tennessee Workers' Compensation Law;

2. Comply with all local, state, and federal laws, regulations, and other requirements with regard to business operations, including specific requirements for the provision of medical services;

3. Decline to treat or evaluate workers' compensation patients with whom the physician has a conflict of interest; and

4. Agree to treat and evaluate injured workers in a timely manner appropriate to the circumstances and medical specialty.

(e) Adopt and consistently apply the CPP's "Best Practices for Treating Injured Workers"; and the Treatment Guidelines adopted by the Bureau;

(f) While serving as a Certified Physician, submit his or her first three permanent impairment ratings with supporting medical records to the Bureau for peer review by a licensed physician appointed by the Administrator and adopt recommended changes, when appropriate;

(g) Comply with the Certified Physician Program Rules; and

(h) Agree to a probationary period of one year and agree that removal from the CPP Registry during this probationary period is at the Administrator's discretion.

(2) Physicians who fail to comply with any portion of these rules during their probation period, as determined by the Administrator, may have their certification revoked.

(3) Physicians shall be notified in writing of the Administrator's decision to revoke the listing pursuant to this rule.

Tenn. Comp. R. & Regs. 0800-02-33-.06

New rules filed June 16, 2023; effective 9/14/2023.

Authority: T.C.A. §§ 4-5-102, 50-6-126, 50-6-204, and 50-6-233.