Section 24 of chapter 176O is hereby amended by adding the following paragraphs:
(f) Every external review must be conducted by a physician licensed to practice in the Commonwealth of Massachusetts and certified in the medical specialty underlying the medical claim at issue. Furthermore, such physician shall be identified to the patient, shall provide a written report to the patient detailing any and all findings and opinions rendered along with citations to any and all applicable peer reviewed materials which form the basis for such opinions, shall, when circumstances warrant, conduct a physical examination of the patient, and shall carry malpractice insurance for services rendered as part of the physician/patient relationship established through the external review process.
(g) The patient may appeal any external review decision in the superior court department of the trial court and, if successful, shall be entitled to recover any and all attorney's fees and costs incurred from the risk-bearing provider organization.
The information contained in this website is for general information purposes only. The General Court provides this information as a public service and while we endeavor to keep the data accurate and current to the best of our ability, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.