COMMITTEE AMENDMENT AMENDED AND ADOPTED

April 19, 2012

S. 1044

Introduced by Senators Knotts, Cromer and Ford

S. Printed 4/19/12--S.

Read the first time January 10, 2012.

            

A BILL

TO AMEND SECTION 38-59-250, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO NOTICE REQUIREMENTS FOR THE INITIATION OF OVERPAYMENT RECOVERY EFFORTS PURSUANT TO THE SOUTH CAROLINA HEALTH CARE FINANCIAL RECOVERY AND PROTECTION ACT, SO AS TO ADD REQUIREMENTS CONCERNING AN APPEAL.

Amend Title To Conform

Be it enacted by the General Assembly of the State of South Carolina:

SECTION    1.    Section 38-59-250(A)(2) of the 1976 Code, as added by Act 356 of 2008, is amended to read:

"(2)    The written notice required by this section shall include:

(a)    the patient's name;

(b)    the service date;

(c)    the payment amount received by the provider; and

(d)    a reasonably specific explanation of the change in payment; and

(e)    if the claim is submitted pursuant to a provider contract that includes an appeals process, the telephone number or a mailing address through which the provider may initiate an appeal, and the deadline by which an appeal must be received."

SECTION    2.    This act takes effect ninety days after approval by the Governor.