KRS 216B.250: Health facility to furnish itemized statement of charges on request of

paying patient.

(1) For purposes of this section, "paying patient" means persons receiving health care

services who pay directly for services rendered, patients with private healt h

insurance or health maintenance organization coverage, persons receiving Medicaid

or Medicaid benefits under Title XVIII and Title XIX of the Social Security Act and

persons receiving veteran's health care benefits. "Paying patient" does not include

medically indigent persons with no source of payment whatsoever.

(2) (a) When a copy of an itemized statement is requested by any paying patient, each

health facility shall furnish to the patient within thirty (30) days of the patient's

discharge or within fif teen (15) days of the patient's request, whichever is

later, one (1) copy free of charge of the itemized statement of services

rendered and charges incurred by the patient.

(b) A summary statement of services rendered and charges incurred by the patient

shall be included with the invoice sent by a health facility to the patient. Each

invoice shall indicate that an itemized statement may be obtained upon

request. The Cabinet for Human Resources shall impose a civil fine of five

hundred dollars ($500) for each violation by a health care facility for failure to

provide an itemized statement as required under this section.

(c) The itemized statement shall be stamped "Kentucky Revised Statutes prohibit

the use of this statement for insurance payment purposes wher e benefits have

been assigned."

(3) Each health facility shall post in a publicly visible place in their admission,

outpatient areas and, where applicable, emergency areas that an itemized statement

is available to any paying patient upon request.

(4) The itemized statement rendered shall be the record maintained by the health

facility that details the charges made for services rendered to patients and shall

indicate whether an assignment of benefits has been obtained.

(5) Each health facility shall designa te and make available appropriate staff to provide,

upon patient request, an explanation of charges listed in the itemized statement.

(6) If a health facility knows of a discrepancy in the total charges as reported in an

itemized statement and that which i s reported to a third party payor, or at any time

that a health facility becomes aware of such a discrepancy, the health facility shall

provide the patient and third party payor with notification, an explanation and, if

applicable, any reconciliation of the discrepancy in total charges.