NAC428.070. Application for reimbursement.

     1. A hospital’s application for reimbursement must include the following documents:

     (a) A completed copy of the application by the hospital to the appropriate county for certification of indigency;

     (b) A copy of the certification of indigency by the appropriate county;

     (c) An itemized statement of all charges for hospital care furnished to the patient;

     (d) A copy of all physician’s charges itemized according to the Current Procedural Terminology of the American Medical Association, adopted by reference in subsection 3, that was in effect in Nevada at the time that the patient was treated;

     (e) Records documenting the hospital’s efforts to collect the amount of charges for hospital care from third persons or programs liable;

     (f) A report of the accident from:

          (1) A law enforcement officer who responded to the accident; or

          (2) If a law enforcement officer did not respond to the accident, an emergency medical technician, intermediate emergency medical technician, advanced emergency medical technician or other first responder to the accident;

     (g) A release of medical and financial information by the patient or his or her guardian or parent in favor of the Board;

     (h) An assignment of the claim to the Board; and

     (i) A summary of the diagnosis.

     2. The standard edition of the Current Procedural Terminology, in the form most recently published by the American Medical Association, must be used to itemize all physicians’ charges for which a hospital seeks reimbursement from the Fund, unless the Executive Director of the Nevada Association of Counties gives notice pursuant to subsection 3.

     3. The most recently published standard edition of the Current Procedural Terminology of the American Medical Association is hereby adopted by reference and is effective unless, within 30 days after its publication, the Executive Director of the Nevada Association of Counties gives written notice that all or part of the revisions to the Current Procedural Terminology are not suitable for this State. If the Executive Director gives notice pursuant to this subsection, any section deemed unsuitable is not effective in this State beginning 30 days after the notice is published. This publication and all related data files are available by mail from the Order Department, American Medical Association, P.O. Box 930876, Atlanta, Georgia 31193-0876, by telephone at [phone] or on the Internet at https://catalog.ama-assn.org/Catalog/cpt/cpt_home.jsp. The cost of the publication is $59.95 for members and $84.95 for nonmembers.

     4. As used in this section, “first responder” has the meaning ascribed to it in NAC 450B.115.

     (Added to NAC by Bd. of Trustees of Fund for Hosp. Care to Indigent Persons, eff. 4-17-84; A 6-20-90; R054-10, 10-15-2010)