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Nevada Revised Statutes Title 40. Public Health and Safety § 449.1818. Off-campus location of hospital to obtain distinct national provider identifier; inclusion of national provider identifier of off-campus location or independent center for emergency medical care on claims for reimbursement

Current as of January 01, 2025 | Updated by Findlaw Staff

1. Each off-campus location of a hospital shall obtain and use and include on all claims for reimbursement or payment for health care services provided at the location a national provider identifier that is distinct from the national provider identifier used by the main campus and any other off-campus location of the hospital. If the off-campus location includes the national provider identifier on such a claim, the off-campus location may also include on the claim the national provider identifier used by the main campus of the hospital. If the off-campus location includes both the national provider identifier used by the off-campus location and the national provider identifier used by the main campus on a claim, the claim must clearly identify which national provider identifier corresponds to the off-campus location and which national provider identifier corresponds to the main campus.

2. An independent center for emergency medical care shall include on all claims for reimbursement or payment for health care services provided at the independent center for emergency medical care the national provider identifier used by the independent center for emergency medical care.

3. As used in this section:

(a) “National provider identifier” means the standard, unique health identifier for health care providers that is issued by the national provider system in accordance with 45 C.F.R. Part 162.

(b) “Off-campus location” means a facility:

(1) With operations that are directly or indirectly owned or controlled by, in whole or in part, a hospital or which is affiliated with a hospital, regardless of whether it is operated by the same governing body as the hospital;

(2) That is located more than 250 yards from the main campus of the hospital;

(3) That provides services which are organizationally and functionally integrated with the hospital; and

(4) That is an outpatient facility providing ambulatory surgery, urgent care or emergency room services.

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Cite this article: FindLaw.com - Nevada Revised Statutes Title 40. Public Health and Safety § 449.1818. Off-campus location of hospital to obtain distinct national provider identifier; inclusion of national provider identifier of off-campus location or independent center for emergency medical care on claims for reimbursement - last updated January 01, 2025 | https://codes.findlaw.com/nv/title-40-public-health-and-safety/nv-rev-st-449-1818/

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