23 Miss. Code. R. 203-4.9

Current through December 10, 2024

Rule 23-203-4.9 - Post-Operative Pain Management

A. The surgeon is responsible for daily post-operative pain management services except under extraordinary circumstances.

B. Medicaid covers post-operative pain management provided by several means, including, but not limited to:

1. Oral and parenteral administration,

2. Patient controlled analgesia (PCA), and

3. Epidural.

C. Providers must maintain proper and complete documentation to verify the services provided. The provider has full responsibility for maintaining documentation to justify the services provided.

1. At a minimum, the medical record must include, but is not limited to, the following:

a) The medical necessity of providing the service.

b) The daily services provided by the surgeon.

c) The name, strength, dosage, route, date and time, indication for, and the administration of medications administered to the patient.

d) Documentation supporting failure of conservative management.

e) Relevant clinical signs and symptoms.

2. Documentation must be legible and medical records must be available to Medicaid, the fiscal agent, and/or the Utilization Management/Quality Improvement Organization (UM/QIO) upon request.

23 Miss. Code. R. 203-4.9

Miss. Code Ann. § 43-13-121