2015 Code of Virginia
Title 65.2 - Workers' Compensation
§ 65.2-1300. Definitions

As used in this chapter:

"Health systems area" means those cities, counties and towns in the Commonwealth that are included within the jurisdiction of the health systems agency for that portion of the Commonwealth, as established by the United States Department of Health and Welfare pursuant to United States Public Law 93-641; however, Scott County, Washington County and the City of Bristol, Virginia shall be deemed to be a part of Health Services Area III as established by the United States Department of Health and Welfare.

"Hospital" means any facility in which the primary function is the provision of diagnosis, treatment and medical and nursing services, surgical or nonsurgical, for two or more nonrelated individuals, including hospitals known by varying nomenclature or designation such as sanitoriums, sanitariums and general, acute, short-term, long-term and outpatient hospitals.

"Peer review" means an evaluation and determination by a regional peer review committee of the appropriateness of the level, quality, duration and cost of health care and health services provided a patient based on medically accepted standards.

"Physician" means any person licensed to practice medicine or osteopathy in this Commonwealth pursuant to Chapter 29 (§ 54.1-2900 et seq.) of Title 54.1.

"Utilization review" means the initial evaluation of appropriateness, in terms of the level, quality and duration of health care and health services provided a patient based on medically accepted standards. Such evaluation shall be accomplished by means of a system which identifies any utilization of medical services above the usual range of utilization for such services based on medically accepted standards.

1980, c. 444, § 65.1-153; 1991, c. 355 .