15 Miss. Code R. § 16-1-82.16.8
Current through June 25, 2024
No certificate is required for those private review agents conducting general in-house utilization review for hospitals, home health agencies, preferred provider organizations or other managed care entities, clinics, private physician offices or any other health facility or entity, so long as the review does not result in the approval or denial of payment for hospital or medical services for a particular case. Such general in-house utilization review is completely exempt.
15 Miss. Code. R. § 16-1-82.16.8