Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE
Subchapter 24.29.14 - General Medical Rules and Facility Service Rules
Rule 24.29.1406 - FACILITY BILLS

Universal Citation: MT Admin Rules 24.29.1406

Current through Register Vol. 18, September 20, 2024

(1) Facility bills must be submitted on a UB04 when the injured worker is discharged from the facility or every 30 days.

(2) The providers and payers shall use, when possible, electronic billing for the billing and reimbursement process.

(3) It is the responsibility of the facility to use the proper service codes on any bills submitted for payment.

(4) Insurer-initiated medical necessity review, bill audits, and other administrative review procedures may only be conducted on a post-payment basis.

AUTH: 39-71-203, MCA IMP: 39-71-105, 39-71-107, 39-71-203, 39-71-704, MCA

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