§ 63-6-1201. Part Definitions
For purposes of this part, unless the context otherwise requires: “Cytopathology services” means the examination of cells from fluids, aspirates, washings, brushings or smears, including the Pap test examination performed by a physician or under the supervision of a physician; and “Onsite medical clinic” means a medical clinic located on the premises of the patient’s […]
§ 63-6-1202. Claims, Bills or Demands for Payment for Services
A clinical laboratory or physician, located in this state, or in another state, providing cytopathology services for patients in this state, shall present or cause to be presented a claim, bill or demand for payment for these services only to the following: The patient directly; The responsible insurer or other third party payor; The hospital, […]
§ 63-6-1203. Restrictions on Solicitation for Payment by Licensed Practitioner
Except as provided by § 63-6-1206, no licensed practitioner in the state shall, directly or indirectly, charge, bill or otherwise solicit payment for cytopathology services, unless the professional component of the services was rendered personally by the licensed practitioner or under the licensed practitioner’s direct supervision in accordance with § 353 of the Public Health […]
§ 63-6-1204. Reimbursement of Licensed Practitioner
No patient, insurer, third party payor, hospital, public health clinic or nonprofit health clinic shall be required to reimburse any licensed practitioner for charges or claims submitted in violation of this part.
§ 63-6-1205. Assignment of Benefits
Nothing in this part shall be construed to mandate the assignment of benefits for cytopathology services as defined in § 63-6-1201.
§ 63-6-1206. Referring Laboratory
This part does not prohibit billing of a referring laboratory for cytopathology services in instances where a sample or samples must be sent to another specialist; provided, that, for purposes of this section, “referring laboratory” does not include a laboratory of a physician’s office or group practice that does not perform the technical or professional […]
§ 63-6-1207. Violations
The appropriate state licensing board having jurisdiction over any practitioner who may request or provide cytopathology services may revoke, suspend or deny renewal of the license of any practitioner who violates this part.