Current through September 16, 2024
The following referrals do not present a perception of a
conflict of interest, are consistent with the overall purpose of chapter 439B
of NRS and are not prohibited by the provisions of
NRS
439B.425:
1. Any referral within one or more locations
of a business entity if:
(a) The goods or
services provided as a result of the referral are routinely provided to all
patients of the referring practitioner based on their needs;
(b) The referring practitioner has the right
to see regular patients for personal medical care, consultations, diagnoses and
treatment at the same site and general location where the goods or services
will be provided as a result of the referral;
(c) The goods and services provided as a
result of the referral are billed as part of the bill provided by the referring
practitioner or the business entity;
(d) The goods or services provided as a
result of the referral are not provided at a facility operating under a
different name; and
(e) The
referral is not a referral by a licensed physician to a medical laboratory:
(1) In which the physician has a financial
interest; and
(2) That is not
operated solely in connection with the diagnosis or treatment of the
physician's patients.
2. Any referral within one or more locations
of a business entity if:
(a) The goods or
services provided as a result of the referral are not provided at a facility
operating under a different name; and
(b) The referral does not result in any
revenue for the referring practitioner, except in the form of additional net
profit of a business:
(1) That is based upon a
formula reflective of the referring practitioner's percentage of ownership;
and
(2) That is incidentally
increased by the referral.
3. A referral made to a renal dialysis center
for the treatment of end-stage renal disease.
4. A referral of a patient who is covered
under a capitated insurance program, if the referral does not result in any
additional revenue for either the referring practitioner or the business entity
to which the patient is referred.
Added to NAC by Dep't of
Human Resources, eff. 3-9-94; A 7-7-94
