|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 229
|
|
2000 LAWS OF MARYLAND
|
|
|
|
|
|
|
|
|
|
(iii) Billed by:
1. The health care practitioner performing or supervising the
services; or
2. A group practice of which the health care practitioner
performing or supervising the services is a member;
(5) A health care practitioner who has a beneficial interest in a health
care entity if, in accordance with regulations adopted by the Secretary:
(i) The Secretary determines that the health care practitioner's
beneficial interest is essential to finance and to provide the health care entity; and
(ii) The Secretary, in conjunction with the Maryland Health Care
Commission, determines that the health care entity is needed to ensure appropriate
access for the community to the services provided at the health care entity;
(6) A health care practitioner employed or affiliated with a hospital, who
refers a patient to a health care entity that is owned or controlled by a hospital or
under common ownership or control with a hospital if the health care practitioner
does not have a direct beneficial interest in the health care entity;
(7) A health care practitioner or member of a single specialty group
practice, including any person employed or affiliated with a hospital, who has a
beneficial interest in a health care entity that is owned or controlled by a hospital or
under common ownership or control with a hospital if:
(i) The health care practitioner or other member of that single
specialty group practice provides the health care services to a patient pursuant to a
referral or in accordance with a consultation requested by another health care
practitioner who does not have a beneficial interest in the health care entity; or
(ii) The health care practitioner or other member of that single
specialty group practice referring a patient to the facility, service, or entity personally
performs or supervises the health care service or procedure;
(8) A health care practitioner with a beneficial interest in, or
compensation arrangement with, a hospital or related institution as defined in §
19-301 of the Health - General Article or a facility, service, or other entity that is
owned or controlled by a hospital or related institution or under common ownership or
control with a hospital or related institution if:
(i) The beneficial interest was held or the compensation
arrangement was in existence on January 1, 1993; and
(ii) Thereafter the beneficial interest or compensation arrangement
of the health care practitioner does not increase;
(9) A health care practitioner when treating an enrollee of a
provider-sponsored organization as defined in § 19-7A-01 of the Health - General
Article if the health care practitioner is referring enrollees to an affiliated health care
provider of the provider-sponsored organization; [or]
|
|
|
|
|
|
|
|
|
|
- 1492 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
