MO HealthNet Professional Billing Book
The MO HealthNet Professional Billing Book contains information to help providers submit claims correctly to the MO HealthNet program. The book is not all inclusive of program benefits and limitations. Providers should refer to specific program manuals for complete information.
CPT codes, descriptions and other data are copyright 2012 (or other such date of publication of the CPT) of the American Medical Association. All Rights Reserved. CPT is a trademark of the American Medical Association (AMA).
- Introduction: Cover Page, Preface and Table of Contents Updated 06/19/13
- Section 1: MO HealthNet Program Resources Updated 06/19/13
- Section 2: CMS-1500 Claim Filing Instructions Updated 01/16/13
- Section 3: Injection (Pharmacy) Claim Filing Instructions Updated 04/24/13
- Section 4: Medicare/MO HealthNet Claims Updated 01/22/13
- Section 5: The Remittance Advice Updated 01/16/13
- Section 6: Pre-Certification for Radiological Services Updated 01/16/13
- Section 7: Adjustments Updated 08/03/11
- Section 8: Healthy Children and Youth Program Updated 05/16/13
- Section 9: Maternity Care and Delivery Updated 01/16/13
- Section 10: Family Planning Services Updated 04/08/13
- Section 11: Surgery Updated 04/28/11
- Section 12: Anesthesia Updated 04/15/10
- Section 13: Office Supply Codes Updated 08/03/11
- Section 14: Prior Authorization Updated 08/03/11
- Section 15: Laboratory Services Updated 11/20/12
- Section 16: Resource Publications for Providers Updated 01/16/13
- Section 17: Participant Liability Updated 05/02/13
- Nondiscrimination Policy Statement updated 05/02/13
The complete MO HealthNet Professional Billing Book