Mont. Admin. r. 24.29.1406

Current through Register Vol. 1, January 10, 2025
Rule 24.29.1406 - FACILITY BILLS
(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.

Mont. Admin. r. 24.29.1406

Eff. 12/31/72; AMD, 2008 MAR p. 2490, Eff. 12/1/08; AMD, 2011 MAR p. 1137, Eff. 6/24/11; AMD, 2013 MAR p. 1185, Eff 7/12/13; AMD, 2024 MAR p. 1457, Eff. 7/1/2024

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