20 Miss. Code R. § 2-II

Current through June 25, 2024
Section 20-2-II - REIMBURSEMENT
A. If a payer and provider have a mutually agreed upon contractual arrangement governing the payment for home health services to injured/ill employees, the payer shall reimburse under the contractual agreement and not according to the Fee Schedule.
B. In the absence of a mutually agreed upon contractual arrangement governing payment for home health service, reimbursement shall be made as in other cases (see Billing and Reimbursement Rules) in an amount equal to billed charges, or the maximum allowable reimbursement (MAR), whichever is less. Billing for home health services is appropriate using the applicable billing form for other institutional providers or facilities.
C. A visit made simultaneously by two or more workers from a home health agency to provide a single covered service for which one supervises or instructs the other shall be counted as one visit.
D. A visit is defined as time up to and including the first two hours.
E. The maximum allowable reimbursement (MAR) listed herein are inclusive of mileage and other incidental travel expenses, unless otherwise agreed to by the payer and provider.
F. The rates set forth in this section of the Fee Schedule apply to all hours worked. No additional reimbursement is allowed for overtime hours, unless otherwise agreed to by the parties in a separate fee contract.

20 Miss. Code. R. § 2-II

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