4734-9-07 Billing practices.

(A) Chiropractic physicians who function as owners, operators, members, partners, shareholders, officers, directors, and/or managers of a chiropractic clinic shall be responsible for the policies, procedures and billings generated by the clinic.

(B) Chiropractic physicians who function only as clinical staff without any management or financial responsibilities are required to familiarize themselves with the clinic’s billing practices to ensure that the services rendered are accurately reflected in the billings generated.

(C) Chiropractic physicians have a right to review and correct all billings submitted under their name and/or identifying number(s). Signature stamps and/or automatically generated signatures shall be utilized only with the authorization of the chiropractic physician whose name or signature is designated. Such authorization may be revoked at any time in writing by that individual.

(D) Chiropractic physicians shall accurately report the services rendered to a patient on all billing documents.

(E) Chiropractic physicians shall release copies of billing records upon a written request from a patient or a patient’s authorized representative within thirty days of said request.

(F) Chiropractic physicians shall not knowingly:

(1) Increase charges when a patient utilizes a third-party payment program;

(2) Report incorrect dates or types of service on any billing documents;

(3) Report charges for services not rendered;

(4) Bill for services rendered which are not documented in a patient’s file.

(G) Nothing in this rule shall prevent a chiropractic physician from providing a reasonable time of service discount.

Effective: 08/01/2007

R.C. 119.032 review dates: 01/19/2007 and 08/01/2012

Promulgated Under: 119.03

Statutory Authority: 4734.10

Rule Amplifies: 4734.31

Prior Effective Dates: 5/2/2003