15 Miss. Code R. § 16-1-82.13.4
Current through June 25, 2024
In cases where an appeal to reverse a determination not to certify for clinical reasons is unsuccessful, the private review agent should assure that a physician in the same or similar general specialty as typically manages the medical condition, procedure or treatment under discussion is reasonably available, as appropriate, to review the case. For the purpose of this review, the phrase "reasonably available" shall mean within one working day, unless extenuating circumstances exist. These extenuating circumstances shall be in writing.
15 Miss. Code. R. § 16-1-82.13.4