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MO SB707
Bill
Status
1/26/2012
Primary Sponsor
Jane Cunningham
Click for details
AI Summary
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Adds section 376.408 to Missouri law establishing requirements for diagnostic radiology testing authorization and denial decisions by radiology benefits managers
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Defines "diagnostic radiology testing" to include X-ray, computerized tomography, magnetic resonance imaging, positron emission tomography, fluoroscopy, ultrasound, and nuclear imaging studies
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Requires that any decision to deny authorization for diagnostic radiology testing ordered by a treating physician must be made only by a state-licensed physician subject to regulation by the state board for the healing arts
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Mandates that treating physicians and patients receive the full name, mailing address, telephone number, and employer of the radiology benefits manager physician making a denial decision
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Declares that any authorized diagnostic radiology test satisfies medical necessity requirements and protects providers from claim denials unless fraud occurred in obtaining authorization
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Exempts electronic clinical decision support tools that offer ordering guidance and document clinical appropriateness from these requirements
Legislative Description
Restricts the authority of radiology benefit managers to deny diagnostic testing ordered and recommended by a physician
Last Action
Hearing Conducted S General Laws Committee
2/7/2012