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Nevada Administrative Code (Last Updated: January 6, 2015) |
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Chapter439B Restraining Costs of Health Care |
| GENERAL PROVISIONS |
| NAC 439B.010. Definitions. |
| NAC 439B.030. “Billed charge” defined. |
| NAC 439B.040. “Department” defined. |
| NAC 439B.050. “Director” defined. |
| NAC 439B.080. “Fiscal year” defined. |
| NAC 439B.090. “Health facility” defined. |
| NAC 439B.100. “Hospital” defined. |
| NAC 439B.110. “Hospital fiscal year” defined. |
| NAC 439B.120. “Indigent” defined. |
| NAC 439B.130. “Inpatient” defined. |
| NAC 439B.140. “Inpatient billed charges” defined. |
| NAC 439B.150. “Inpatient net revenue” defined. |
| NAC 439B.155. “Major hospital” defined. |
| NAC 439B.160. “Medicaid” defined. |
| NAC 439B.170. “Medicare” defined. |
| NAC 439B.180. “Net revenue” defined. |
| NAC 439B.185. “Operating budget” defined. |
| NAC 439B.190. “Practitioner” defined. |
| FINANCIAL PRACTICES OF HOSPITALS |
| NAC 439B.220. Submission of quarterly reports. |
| NAC 439B.230. Submission of annual financial reports. |
| NAC 439B.240. Certification of financial reports; penalty for failure to submit information; request for extension of time. |
| NAC 439B.250. Submission of copy of audit. |
| NAC 439B.260. Independent audits; penalty for failure to cooperate. |
| MAJOR HOSPITALS |
| NAC 439B.335. Initial payment from patient upon admittance to hospital. |
| NAC 439B.340. Determination of annual rate of interest on unpaid balance of total billed charge; effect of delinquent account; sale, assignment or transfer of right to balance due on account. |
| CARE OF INDIGENT PATIENTS |
| General Requirements |
| Appeal of Determination of Indigent Status |
| PROHIBITED CONTRACTS AND TRANSACTIONS |
| NAC 439B.455. Disclosure required of financial interest in facility or service to which patient referred. |
| NAC 439B.470. Procedure to determine whether prohibited contract between hospital and practitioner exists. |
| NAC 439B.480. Contracts and agreements which must be listed and submitted to department. |
| NAC 439B.490. Preliminary procedure to determine whether prohibited transaction between hospital and related entity has occurred. |
| NAC 439B.500. Determination by director of whether prohibited transaction between hospital and related entity has occurred. |
| NAC 439B.510. Reasonable cause to believe that prohibited transaction between hospital and related entity has occurred. |
| NAC 439B.520. Hearing required before imposition of penalty. |
| REFERRALS BY PRACTITIONERS |
| NAC 439B.5205. Definitions. |
| NAC 439B.5207. “Commercial establishment” defined. |
| NAC 439B.530. “Financial interest” defined. |
| NAC 439B.5302. “Group practice” defined. |
| NAC 439B.5304. “Medical laboratory” defined. |
| NAC 439B.5306. “One parcel of land” defined. |
| NAC 439B.5308. “Patient” defined. |
| NAC 439B.540. “Refer” defined. |
| NAC 439B.5402. Prohibited referral of patients by agent, employee or independent contractor of practitioner. |
| NAC 439B.5404. Authorized referrals. |
| NAC 439B.5406. Authorized referrals to facilities in which practitioner has financial interest. |
| NAC 439B.5408. Investigation of possible prohibited referral by practitioner; determination by director after investigation. |
| EDUCATIONAL PROGRAM TO PROMOTE WELLNESS, PHYSICAL FITNESS AND PREVENTION OF DISEASE AND ACCIDENTS |
| NAC 439B.550. Development and implementation of program. |
| NAC 439B.555. Description of program: Submission to director; contents. |
| NAC 439B.560. Description of program: Accompanying statement. |
| NAC 439B.565. Notification by director of decision regarding program; opportunity to make corrections. |
| PETITION FOR DECLARATORY ORDER OR ADVISORY OPINION |
| NAC 439B.600. Applicability. |
| NAC 439B.610. Contents of petition. |
| NAC 439B.620. Powers of director: Designation of person to issue declaratory order or advisory opinion; consolidation of petitions for advisory opinions. |
| NAC 439B.630. Issuance of declaratory order or advisory opinion: Time for issuance; tolling of time for issuance; consolidated petitions. |
| NAC 439B.640. Copy of declaratory order or advisory opinion to be mailed to petitioner and made available to public. |
Notation
REVISER’S NOTE.
The regulation of the Director of the Department of Human Resources (now the Department of Health and Human Services) filed with the Secretary of State on December 31, 1991, LCB File No. R168-91, contains several provisions not included in NAC. Those provisions:
1. Require each major hospital to submit to the Department within 5 days after the beginning of each calendar quarter a complete charge master that was in effect on the first day of the quarter;
2. Describe the required contents of the charge master;
3. Prohibit a major hospital from charging a patient for an item that is not included on its charge master or its supplemental listing for miscellaneous items, and from charging a higher amount than the amount shown on the charge master, without the approval of the Director; and
4. Establish procedures regarding the approval and disapproval of billed charges for items not included in the supplemental listing for miscellaneous items.