20 Miss. Code. R. 2-VII

Current through October 31, 2024
Section 20-2-VII - OTHER INSTRUCTIONS
A. Charges will not be reimbursed for publications, books, or digital media unless prior approval of the payer is obtained.
B. All charges for services must be clearly itemized by CPT code, and the state professional license number must be on the bill.
C. The treating physician must approve and sign all physical capability/restriction forms for the work-related injury/illness. This form must be submitted to the payer within fourteen (14) working days of the release to work.
D. Documentation may be required by the payer to substantiate the necessity for treatment rendered. Documentation to substantiate charges and reports of tests and measurements are included in the fee for the service and do not warrant additional reimbursement.
E. When patients do not show measurable progress, the payer may request the physician discontinue the treatment or provide documentation to substantiate medical necessity.
F. When physical medicine therapies are provided to more than one body area, modifier 51 must be added to the procedure code or codes billed for the additional body area and will be reimbursed according to the multiple procedure rule.
G. Non-surgical debridement of active wounds should be billed as CPT code 97597, 97598, or 97602.

20 Miss. Code. R. 2-VII

Amended 6/14/2017
Amended 6/15/2019.