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102 chapters · 1,225 sections in this title.
Miss. Code Ann. § 41-83-1 Definitions
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(a) As used in this chapter, the following terms shall be defined as follows:(a) “Utilization review” means a system for reviewing the appropriate and efficient allocation of hospital resources and medical services given or proposed to be given, including, but not limited to, any…
Miss. Code Ann. § 41-83-11 Expiration date of certificate; renewal; fees
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(1) A certificate expires on the second anniversary of its effective date unless the certificate is renewed for a two-year term as provided in this section. (2) Before the certificate expires, a certificate may be renewed for an additional two-year term if the applicant:(a) Other…
Miss. Code Ann. § 41-83-13 Grounds for denial or revocation of certificate; time to supply additional information; hearing
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(1) The department shall deny a certificate to any applicant if, upon review of the application, the department finds that the applicant proposing to conduct utilization review does not:(a) Have available the services of a physician to carry out its utilization review activities;…
Miss. Code Ann. § 41-83-15 Reporting requirements to evaluate and determine compliance
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(a) The department shall establish reporting requirements to:(a) Evaluate the effectiveness of private review agents; and(b) Determine if the utilization review programs are in compliance with the provisions of this section and applicable regulations. (a) Evaluate the effectivene…
