Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 220 - Radiology
Chapter 1 - General
Rule 23-220-1.11 - Documentation
Universal Citation: MS Code of Rules 23-220-1.11
Current through September 24, 2024
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.
Miss. Code Ann. § 43-13-121; 42 CFR §431.10(e).
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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