NAC439B.443. Filing and contents of appeal; submission of additional material upon request.

     1. An appeal of a determination of a county regarding the indigent status of an inpatient must be in writing and must be filed with the director within 30 calendar days after the date the hospital receives written notification of the county’s final determination.

     2. An appeal must include the following information and documentation:

     (a) The name of the patient;

     (b) The date or dates of service;

     (c) The amount billed;

     (d) A listing of all determinations made by the county regarding the claim, including the date and the reason for rejection;

     (e) All correspondence between the hospital and the county regarding the application for verification of indigent status of the patient;

     (f) Any other information submitted by the hospital to the county for consideration in making its determination; and

     (g) A written explanation of the basis for believing that the county’s decision was clearly erroneous, arbitrary, capricious or an abuse of discretion.

     3. In addition to the information and documentation required by subsection 2, the director or his designee may request additional information or documentation from the hospital. An appeal may be dismissed if the director or his designee does not receive the additional information or documentation within 15 calendar days after the request is made.

     (Added to NAC by Dep’t of Human Resources, eff. 9-16-92)