2014 Kentucky Revised Statutes CHAPTER 216B - LICENSURE AND REGULATION OF HEALTH FACILITIES AND SERVICES 216B.250 Health facility to furnish itemized statement of charges on request of paying patient.
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216B.250 Health facility to furnish itemized statement of charges on request
of paying patient.
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For purposes of this section, "paying patient" means persons receiving health
care services who pay directly for services rendered, patients with private
health insurance or health maintenance organization coverage, persons
receiving Medicaid or Medicaid benefits under Title XVIII and Title XIX of the
Social Security Act and persons receiving veteran's health care benefits.
"Paying patient" does not include medically indigent persons with no source of
payment whatsoever.
(a) When a copy of an itemized statement is requested by any paying
patient, each health facility shall furnish to the patient within thirty (30)
days of the patient's discharge or within fifteen (15) days of the patient's
request, whichever is later, one (1) copy free of charge of the itemized
statement of services rendered and charges incurred by the patient.
(b) A summary statement of services rendered and charges incurred by the
patient shall be included with the invoice sent by a health facility to the
patient. Each invoice shall indicate that an itemized statement may be
obtained upon request. The Cabinet for Human Resources shall impose a
civil fine of five hundred dollars ($500) for each violation by a health care
facility for failure to provide an itemized statement as required under this
section.
(c) The itemized statement shall be stamped "Kentucky Revised Statutes
prohibit the use of this statement for insurance payment purposes where
benefits have been assigned."
Each health facility shall post in a publicly visible place in their admission,
outpatient areas and, where applicable, emergency areas that an itemized
statement is available to any paying patient upon request.
The itemized statement rendered shall be the record maintained by the health
facility that details the charges made for services rendered to patients and shall
indicate whether an assignment of benefits has been obtained.
Each health facility shall designate and make available appropriate staff to
provide, upon patient request, an explanation of charges listed in the itemized
statement.
If a health facility knows of a discrepancy in the total charges as reported in an
itemized statement and that which is reported to a third party payor, or at any
time that a health facility becomes aware of such a discrepancy, the health
facility shall provide the patient and third party payor with notification, an
explanation and, if applicable, any reconciliation of the discrepancy in total
charges.
Effective:April 10, 1998
History: Amended 1998 Ky. Acts ch. 496, sec. 57, effective April 10, 1998. -Created 1986 Ky. Acts ch. 288, sec. 1, effective July 15, 1986.
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