616B.529 - Inducements to deny, reduce or delay medically necessary services prohibited. - Nevada Statutes

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Statutes > Nevada > Title-53 > Chapter-616b > Organizations-for-managed-care > 616b-529

616B.529 Inducements to deny, reduce or delay medically necessary services prohibited.

1. An organization for managed care shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay specific medically necessary medical or health care services to an injured employee.

2. The provisions of this section do not prohibit an arrangement for payment between an organization for managed care and a provider of health care that uses financial incentives, if the arrangement is designed to provide an incentive to the provider of health care to use medical and health care services effectively and consistently in the best interest of the treatment of the injured employee.

(Added to NRS by 1999, 2213)

State Codes and Statutes

Statutes > Nevada > Title-53 > Chapter-616b > Organizations-for-managed-care > 616b-529

616B.529 Inducements to deny, reduce or delay medically necessary services prohibited.

1. An organization for managed care shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay specific medically necessary medical or health care services to an injured employee.

2. The provisions of this section do not prohibit an arrangement for payment between an organization for managed care and a provider of health care that uses financial incentives, if the arrangement is designed to provide an incentive to the provider of health care to use medical and health care services effectively and consistently in the best interest of the treatment of the injured employee.

(Added to NRS by 1999, 2213)

State Codes and Statutes

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State Codes and Statutes

Statutes > Nevada > Title-53 > Chapter-616b > Organizations-for-managed-care > 616b-529

616B.529 Inducements to deny, reduce or delay medically necessary services prohibited.

1. An organization for managed care shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay specific medically necessary medical or health care services to an injured employee.

2. The provisions of this section do not prohibit an arrangement for payment between an organization for managed care and a provider of health care that uses financial incentives, if the arrangement is designed to provide an incentive to the provider of health care to use medical and health care services effectively and consistently in the best interest of the treatment of the injured employee.

(Added to NRS by 1999, 2213)