Medical Reimbursement Schedule | Midpage

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Louisiana Administrative Code

Chapter 51

Medical Reimbursement Schedule

State of Louisiana

5101Statement of Policy 5103Introduction 5105Verification of Coverage 5107Other Payer Liabilities 5109Prior Authorization 5111Billing Instructions 5113Coding System 5115Surgery Guidelines 5117Anesthesia 5119Deposition/Witness Fee Limitation 5121Missed Appointments 5123Copies of Records and Reports 5125Special Instructions 5127Physical Medicine 5129Allergy and Clinical Immunology 5131Biofeedback 5133Injections 5135Evaluation and Management 5137Neurologic and Neuromuscular Services 5139Psychiatry 5141Soft Tissue Injury Care 5143Thermography 5145Carrier Responsibilities for Reimbursement Determinations 5147Explanation of Medical Benefits (EOMB)5149Reconsideration of Disputed Reimbursements 5151Out-of-State, On-the-Job Injuries or Work-Related Illness Treated in Louisiana 5153In State Medical Treatment 5155Maintenance of Schedule 5157Maximum Reimbursement Allowances