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2017 Mississippi Code
Title 41 - Public Health
Chapter 83 - Utilization Review of Availability of Hospital Resources and Medical Services
§ 41-83-21. Certification of need of immediate hospital care; prima facie evidence
Universal Citation: MS Code § 41-83-21 (2017)
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 immediate hospital care, such shall constitute a prima facie case of the medical necessity of the admission. To overcome this, the entity requesting the utilization review and/or the private review agent must show by clear and convincing evidence that the admitted person was not in need of immediate hospital care.
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