15 Miss. Code R. § 16-1-82.7.6

Current through June 25, 2024

Rule 15-16-1-82.7.6

Notwithstanding language to the contrary elsewhere contained herein, if a licensed physician certifies in writing to an insurer within seventy-two (72) hours of an admission that the insured person admitted was in need of emergency admission to hospital care, such shall constitute a prima facie case of the medical necessity of the admission. An emergency admission results from sudden onset of a medical condition manifested by acute symptoms of sufficient severity that absence of immediate inpatient hospitalization could reasonably result in:

1. Permanently placing the patient's health in jeopardy;

2. Serious impairment to bodily functions; or

3. Serious and permanent dysfunction of any bodily organ or part, or other serious medical consequences.

15 Miss. Code. R. § 16-1-82.7.6

Miss. Code Ann. §41.83.1