Mont. Admin. R. 37.85.413 - LIMITATIONS ON CODING ADVICE
(1)
Employees of the department, or of any contractor or agent of the department,
may give a provider general information as to what codes are available for
billing under Medicaid for a particular service or item being provided.
However, the provider retains responsibility for selecting and submitting the
proper code to describe the service or item provided. If an employee of the
department or of a contractor or agent of the department suggests, recommends,
or directs the provider to use a particular code from the choices available or
gives other specific coding advice, the provider may not rely on such advice
unless the advice is provided in writing before the provider submits a claim
for the service or item.
Notes
53-6-113, MCA; IMP, 53-6-101, MCA;
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