Sections
6 entriesSection 510Prohibits terminating, penalizing, or otherwise retaliating against covered health care practitioners principally for advocating appropriate patient care through specified appeals or protests.…Section 511Prohibits health-care subcontracts from paying specific incentives to physicians or other licensed practitioners to deny, reduce, limit, or delay medically necessary and…Section 511.1Requires contracting agents transferring provider lists and discounted rates to disclose transfer practices, payors, and active beneficiary-encouragement methods, and generally lets providers…Section 511.3Establishes that when a contracting agent sells, leases, or transfers a provider contract to a payor, the provider’s rights and obligations are…Section 511.4Requires contracting agents, beginning July 1, 2006, to disclose provider payment amounts, fee schedules, claim-payment policies, and specified coding methods before contracting,…Section 512Prohibits contracts issued, amended, renewed, or delivered on or after January 1, 1999 from restricting a health care provider’s advertising. Allows reasonable…