N.J.S.A 45:1-53 Submission of bill to Medicare beneficiary by health care professional; reporting of nonpayment.

45:1-53 Submission of bill to Medicare beneficiary by health care professional; reporting of nonpayment.

2. a. A health care professional licensed pursuant to Title 45 of the Revised Statutes, who provides a health care service to a Medicare beneficiary, shall bill the beneficiary, within 90 days from the date the payment from Medicare or other third party payer is finalized for any amounts due and owing for the service that are not reimbursed by the Medicare program or other third party payer.

b. In the event the health care professional does not submit a bill to the beneficiary within 90 days from the date the payment from Medicare or other third party payer is finalized, the health care professional shall not be permitted to report any nonpayment of the bill by the beneficiary to a consumer reporting agency.

C. A health care professional who violates the provisions of this section shall be subject to such penalties as the Director of Consumer Affairs in the Department of Law and Public Safety may determine pursuant to sections 9 and 12 of P.L.1978, C. 73 (45:1-22 Additional, alternative penaltieS. and 45:1-25 Violations, penaltieS.).

d. As used in this section:

“Consumer reporting agency” means any person which, for monetary fees, dues, or on a cooperative nonprofit basis, regularly engages, in whole or in part, in the practice of assembling or evaluating consumer credit information or other information on consumers for the purpose of furnishing consumer reports to third parties, and which uses any means or facility for the purpose of preparing or furnishing consumer reportS.

L.2010, C. 95, S.2.

Case(s):

Look up case for New Jersey Statute 45:1-53 Submission of bill to Medicare beneficiary by health care professional; reporting of nonpayment.

Original Text maintained by the State of New Jersey:

NJ Maintained Unanotated Statutes References to 45:1-53 Submission of bill to Medicare beneficiary by health care professional; reporting of nonpayment.

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