23 Miss. Code. R. 220-1.11 - Documentation

A. Documentation for advanced imaging procedures must:

1. Include the referring physician, nurse practitioner or physician's assistant documentation of medical necessity and criteria met in Rule 1.2,

2. Not duplicate other covered diagnostic tests,

3. Be maintained in the referring provider's file,

4. Include documentation the procedure involved only FDA approved drugs and devices and did not involve investigational drugs, as determined by the FDA,

5. Support the referral to the rendering provider, and

6. Be maintained in accordance with Part 200, Chapter 3, Rule 1.3.

B. Providers and facilities are subject to on-site and documentation reviews of technical and professional imaging services and are reimbursed only for procedures, products, and services within the scope of the provider's clinical practice.

Notes

23 Miss. Code. R. 220-1.11

Miss. Code Ann. § 43-13-121; 42 CFR §431.10(e).

Added Rule 1.11 eff. 01/01/2014.