Physician Reviewers
Qualifications
- Be board certified in the specialty for which you will review
- Have an active license to practice medicine or surgery in Kansas
- Have active staff privileges in at least one Kansas hospital; maintain an active practice for at least 20 hours per week; and, for Medicare review, care for and treat Medicare beneficiaries in Kansas on a routine basis
Credentialing
A credential file is maintained for each KFMC physician reviewer. To become a physician reviewer submit the following to KFMC Review Assistant via fax at 785-273-0237 or email.
- Curriculum vitae (resume)
- A completed KFMC Physician Reviewer Information Sheet
- A copy of your Board Certification
- Signed KFMC Confidentiality of Information Form
- Signed IRS Form W-9
Reimbursement
Physician Reviewers are reimbursed at an hourly rate for the actual time reviewing a medical record.
Conflict of Interest
Some examples of instances in which we request that a PR not review a case are:
- Previous involvement in the case
- Association with the hospital at which the care was provided
- Physician involved is from a close neighboring town. In Kansas "close" is a relative term. In some instances a five-mile distance removes the issue of "economic competition." In others, physicians within 100 miles of each other may be in "economic competition." We must depend on the PR to identify these types of cases if, despite our best efforts to prevent them, you receive a review involving an economic competitor.
- Affiliation with the physician involved in the care.
- Involved in care not within the PR expertise.
PRogress Notes
Tips and educational information for KFMC physician reviewers. More information here.
Physician Reviewer Education
For More Information
Call 1-800-432-0770, ext 351 or contact us by email.