15 Miss. Code R. § 16-1-82.9.1
Current through June 25, 2024
When an initial determination not to certify a health care service is made prior to or during an ongoing service requiring review, and the attending physician believes that the determination warrants immediate appeal, the attending physician shall have an opportunity to appeal that determination over the telephone on an expedited basis, within one working day. Each private review agent shall provide for reasonable access to its consulting physician(s) for such appeals. Both providers of care and private review agents should attempt to share the maximum information by phone, FAX, or otherwise to resolve the expedited appeal (sometimes called a reconsideration request) satisfactorily.
15 Miss. Code. R. § 16-1-82.9.1