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MO HB982
Bill
Status
3/31/2011
Primary Sponsor
Caleb Jones
Click for details
AI Summary
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Defines "practicing medicine" to include countermanding a treating physician's treatment order or recommendation by any means intended to influence a patient to refuse or choose a different service.
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Requires that decisions to deny authorization for diagnostic radiology testing ordered by a treating physician must be made only by a physician licensed in Missouri and subject to state board regulation.
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Mandates that radiology benefit managers provide the treating physician and patient with the full name, mailing address, telephone number, and employer of the denying physician when authorization is denied.
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Establishes that any authorization granted for diagnostic radiology testing becomes conclusive proof of medical necessity and requires timely payment of claims unless fraud occurred in obtaining the authorization.
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Defines diagnostic radiology testing to include X-ray, CT scans, MRI, PET scans, fluoroscopy, ultrasound, and nuclear imaging studies.
Legislative Description
Restricts the authority of radiology benefit managers to deny diagnostic testing ordered and recommended by a licensed physician
Last Action
Referred: Health Care Policy (H)
4/12/2011