Nev. Admin. Code § 439B.443 - Filing and contents of appeal; submission of additional material upon request
1. An appeal of a
determination of a county regarding the indigent status of an inpatient must be
in writing and must be filed with the director within 30 calendar days after
the date the hospital receives written notification of the county's final
determination.
2. An appeal must
include the following information and documentation:
(a) The name of the patient;
(b) The date or dates of service;
(c) The amount billed;
(d) A listing of all determinations made by
the county regarding the claim, including the date and the reason for
rejection;
(e) All correspondence
between the hospital and the county regarding the application for verification
of indigent status of the patient;
(f) Any other information submitted by the
hospital to the county for consideration in making its determination;
and
(g) A written explanation of
the basis for believing that the county's decision was clearly erroneous,
arbitrary, capricious or an abuse of discretion.
3. In addition to the information and
documentation required by subsection 2, the director or his designee may
request additional information or documentation from the hospital. An appeal
may be dismissed if the director or his designee does not receive the
additional information or documentation within 15 calendar days after the
request is made.
Notes
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