Chapter
Utilization Review of Availability of Hospital Resources and Medical Services
- Miss. Code Ann. § 41-83-1— Definitions
- Miss. Code Ann. § 41-83-3— Certificate requirement for utilization review; nontransferability; disclosure to public
- Miss. Code Ann. § 41-83-5— Certificate requirement for general in-house utilization review; exemptions
- Miss. Code Ann. § 41-83-7— Application for certificate; fees
- Miss. Code Ann. § 41-83-9— Submission of information in conjunction with application
- Miss. Code Ann. § 41-83-11— Expiration date of certificate; renewal; fees
- Miss. Code Ann. § 41-83-13— Grounds for denial or revocation of certificate; time to supply additional information; hearing
- Miss. Code Ann. § 41-83-15— Reporting requirements to evaluate and determine compliance
- Miss. Code Ann. § 41-83-17— Disclosure or publication of information; consent or authorization; court order
- Miss. Code Ann. § 41-83-19— Penalties for violations
- Miss. Code Ann. § 41-83-21— Certification of need of immediate hospital care; prima facie evidence
- Miss. Code Ann. § 41-83-23— Judicial review; other remedies
- Miss. Code Ann. § 41-83-25— Health insurance plans; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute
- Miss. Code Ann. § 41-83-27— Other health insurance policies; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute
- Miss. Code Ann. § 41-83-29— Group or blanket health insurance policies; certificate requirement; contract with private review agent
- Miss. Code Ann. § 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