Mo HealthNet Bulletin on Lab and Radiology Services

Mo HealthNet recently released a bulletin regarding provider based clinics billing for laboratory and radiology services. Effective January 1, claims billed by a provider based rural health clinic for the technical component of a laboratory or radiology service will be denied.

Provider based RHCs owned and operated by a hospital may bill MO HealthNet for these services using the hospital’s NPI on the UB-04 billing form. The provider based RHC may also bill with an active Clinic/Group NPI using the CMS-1500 billing form. Providers will be reimbursed according to the MHD fee schedule.