Ohio Code 4769.02 – Balance billing for supplies and services
No health care practitioner, and no person that employs any health care practitioner, shall balance bill for any supplies or service provided to a medicare beneficiary.
Terms Used In Ohio Code 4769.02
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Health care practitioner: means all of the following:
(1) A dentist or dental hygienist licensed under Chapter 4715 of the Revised Code;
(2) A registered or licensed practical nurse licensed under Chapter 4723 of the Revised Code;
(3) An optometrist licensed under Chapter 4725 of the Revised Code;
(4) A dispensing optician, spectacle dispensing optician, or spectacle-contact lens dispensing optician licensed under Chapter 4725 of the Revised Code;
(5) A pharmacist licensed under Chapter 4729 of the Revised Code;
(6) A physician authorized under Chapter 4731 of the Revised Code to practice medicine and surgery, osteopathic medicine and surgery, or podiatry;
(7) A physician assistant authorized under Chapter 4730 of the Revised Code to practice as a physician assistant;
(8) A practitioner of a limited branch of medicine issued a certificate under Chapter 4731 of the Revised Code;
(9) A psychologist licensed under Chapter 4732 of the Revised Code;
(10) A chiropractor licensed under Chapter 4734 of the Revised Code;
(11) A hearing aid dealer or fitter licensed under Chapter 4747 of the Revised Code;
(12) A speech-language pathologist or audiologist licensed under Chapter 4753 of the Revised Code;
(13) An occupational therapist or occupational therapy assistant licensed under Chapter 4755 of the Revised Code;
(14) A physical therapist or physical therapy assistant licensed under Chapter 4755 of the Revised Code;
(15) A licensed professional clinical counselor, licensed professional counselor, social worker, or independent social worker licensed, or a social work assistant registered, under Chapter 4757 of the Revised Code;
(16) A dietitian licensed under Chapter 4759 of the Revised Code;
(17) A respiratory care professional licensed under Chapter 4761 of the Revised Code;
(18) An emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic certified under Chapter 4765 of the Revised Code. See Ohio Code 4769.01
- Medicare: means the program established by Title XVIII of the "Social Security Act" 49 Stat. See Ohio Code 4769.01
- Person: includes an individual, corporation, business trust, estate, trust, partnership, and association. See Ohio Code 1.59