W. Va. Code R. § 4-1-8

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 4-1-8 - Abusive Billing Practices

1-8.1. A licensee shall not engage in fraud, misrepresentation or deception in business affairs relating to the practice of chiropractic.

1-8.2. A licensee shall not engage in abusive billing practices which include, but are not limited to:

1-8.2.a. Filing claims for services not rendered;

1-8.2.b. Filing claims which misrepresent the service performed;

1-8.2.c. Filing multiple claims for a single service when not required for proper coordination of insurance benefits.

1-8.2.d. Failing to disclose pertinent information on a claim form; and

1-8.2.e. Increasing charges when a patient uses a third party payment program.

W. Va. Code R. § 4-1-8