Update to Physician Manual: Section 13.41.E

April 22nd, 2013

¬† In order to effectively treat chronic pain, physicians rely on drug testing to monitor¬† prescribed medications and drugs of abuse.¬† Urine Drug Screening tests which provide qualitative or semi-quantitative initial screen or preliminary results may not be reported with … Continued


Spend Down Update

April 4th, 2013

Home Health Issue: Some FSD offices were requiring home health providers to submit the physician order, or plan of care (485) along with the bill for private services delivered during the time the patient is not receiving MO HealthNet benefits … Continued


Recovery Audit Contractor Sends Out Initial Overpayment Letters

April 2nd, 2013

In an effort to help states reduce improper payments for Medicaid health care claims, the Centers for Medicare and Medicaid Services (CMS) issued a final rule to implement section 6411 of the Affordable Care Act. Section 6411 of the Affordable … Continued