Library: Policy

317:30-5-21. Unusual procedures

Issued 7-27-95

     A service that is rarely provided, unusual, variable, new or unlisted requires a special report to determine the medical appropriateness or reimbursement rate.  Pertinent information should include an adequate definition or description of the nature, extent, and need for the procedure, i.e., operative report.  This information should be submitted to OHCA Provider Relations.