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December 2016 Texas Medicaid Provider Procedures Manual

Clinics and Other Outpatient Facility Services Handbook : 6 Renal Dialysis Facility : 6.3 Documentation Requirements

6.3
All services require documentation to support the medical necessity of the service rendered, including renal dialysis services. Renal dialysis services are subject to retrospective review and recoupment if documentation does not support the service submitted for reimbursement. All physicians’, renal dialysis centers’, and medical suppliers’ supporting documentation is subject to retrospective review.

Texas Medicaid & Healthcare Partnership
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