Originally published: . Volume 13, No. 3. Source pages: 10.
Sen. Mills may support health care providers with his SB 59.
The current law provides for the Louisiana Medicaid managed care program and the payment of claims submitted by participating healthcare providers.
The proposed law retains present law and further provides that a Medicaid managed care organization or its contractor, assignee, or agent is prohibited from requiring any enrolled provider to be subject to prepayment review unless the requirement is
implemented directly by the La. Dept. of Health and in accordance with the provisions of the Medical Assistance Programs Integrity Law.
Proposed law provides that "prepayment review" means requiring a healthcare provider to provide medical record documentation in conjunction with, or after, the submission of a claim for payment for medical services rendered but before the claim has been adjudicated by the Medicaid managed care organization.
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