10A NCAC 13C .0205      ITEMIZED CHARGES

(a)  The facility shall either present an itemized list of charges to all discharged patients or include on patients' bills that are not itemized notification of the right to request an itemized bill within three years of receipt of the non‑itemized bill or so long as the facility, collections agency, or other assignee asserts the patient has an obligation to pay the bill.

(b)  If requested, the facility shall present an itemized list of charges to each patient or his or her representative. This list shall detail in language comprehensible to an ordinary layperson the specific nature of the charges or expenses incurred by the patient.

(c)  The listing shall include each specific chargeable item or service in the following service areas:

(1)           Surgery (facility fee);

(2)           Anesthesiology;

(3)           Pharmacy;

(4)           Laboratory;

(5)           Radiology;

(6)           Prosthetic and Orthopedic appliances; and

(7)           Other professional services.

(d)  The facility shall indicate on the initial or renewal license application that patient bills are itemized, or that each patient or his or her representative is formally advised of the patient's right to request an itemized listing within three years of receipt of a non‑itemized bill.

History Note:        Authority G.S. 131E‑91; 131E-147.1; S.L. 2013-382, s. 13.1;

Eff. December 1, 1991;

Temporary Amendment Eff. May 1, 2014;

Amended Eff. November 1, 2014;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017.