C.M.R. 90, 351, ch. 5, § 351-5-3, subsec. 351-5-3-07
Current through 2025-02, January 8, 2025
Where an implantable exceeds $10,000.00 in cost, an acute care or critical access hospital may seek additional reimbursement by submitting a copy of the invoice(s) along with the bill. Invoices need not be requested by the employer/insurer. Reimbursement is set at the actual amount paid plus $500.00. Handling and freight charges must be included in the hospital's invoiced cost and are not to be reimbursed separately. When a hospital seeks additional reimbursement pursuant to this chapter, the implantable charge is excluded from any calculation for an outlier payment.
C.M.R. 90, 351, ch. 5, § 351-5-3, subsec. 351-5-3-07