216B.250 Health facility to furnish itemized statement of charges on request of paying patient. - Kentucky Statutes

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216B.250 Health facility to furnish itemized statement of charges on request of paying patient. (1) 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. (2) (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." (3) 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. (4) 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. (5) Each health facility shall designate and make available appropriate staff to provide, upon patient request, an explanation of charges listed in the itemized statement. (6) 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.