HB 1259 -- Health Care Provider Contracts

Sponsor:  Cooper (155)

This bill prohibits health carriers and health benefit plans from
changing or attempting to change a code submitted by the health
care provider for services without the written permission of the
physician, unless the change is done pursuant to correct coding
initiative guidelines and the change is based on the examination
of the patient record.  Codes, fee schedules, and reimbursement
policies of the health carrier or health benefit plans must be
included in the contract with the health care provider.

The bill becomes effective January 1, 2007.

Missouri House of Representatives
93rd General Assembly, 2nd Regular Session
Last Updated November 29, 2006 at 9:42 am