15 Miss. Code R. § 16-1-82.13.5

Current through June 25, 2024
Rule 15-16-1-82.13.5

Private review agents shall utilize the following:

1. Written clinical criteria, as needed, for the purpose of determining the Appropriateness of the certification; such criteria should be periodically evaluated and updated;
2. Physician consultants or specialists who are certified by the Boards within the American Board of Medical Specialists or the American Board of Osteopathy from the major areas of clinical services;
3. A formal program for orientation and training of UR staff; and
4. Written documentation of an active Quality Assessment Program.

15 Miss. Code. R. § 16-1-82.13.5

Miss. Code Ann. §41.83.1