Utilization Review of Availability of Hospital Resources and Medical Services

  1. Law
  2. Mississippi Code
  3. Public Health
  4. Utilization Review of Availability of Hospital Resources and Medical Services

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Section
41-83-1

Definitions

Section
41-83-3

Certificate requirement for utilization review; nontransferability; disclosure to public

Section
41-83-5

Certificate requirement for general in-house utilization review; exemptions

Section
41-83-7

Application for certificate; fees

Section
41-83-9

Submission of information in conjunction with application

Section
41-83-11

Expiration date of certificate; renewal; fees

Section
41-83-13

Grounds for denial or revocation of certificate; time to supply additional information; hearing

Section
41-83-15

Reporting requirements to evaluate and determine compliance

Section
41-83-17

Disclosure or publication of information; consent or authorization; court order

Section
41-83-19

Penalties for violations

Section
41-83-21

Certification of need of immediate hospital care; prima facie evidence

Section
41-83-23

Judicial review; other remedies

Section
41-83-25

Health insurance plans; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute

Section
41-83-27

Other health insurance policies; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute

Section
41-83-29

Group or blanket health insurance policies; certificate requirement; contract with private review agent

Section
41-83-31

Adverse determination to patient or health-care provider; discussion of reasons; denial of third party reimbursement or precertification; evaluation by trained specialist