Billing, Claims, Demand for Payment for Anatomic Pathology Service; Second Opinion

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Sec. 5. (a) Except as provided in subsection (b), a provider shall not present a bill, claim, or other demand for payment for an anatomic pathology service unless the anatomic pathology service was performed:

(1) within the provider's office;

(2) by a physician or under the direct supervision of a physician; and

(3) in accordance with Section 353 of the federal Public Health Service Act (42 U.S.C. 263a).

(b) If a sample taken from a human body is sent:

(1) by a provider that has performed an anatomic pathology service; and

(2) to a second provider for a second opinion;

the provider described in subdivision (1) may present a bill, claim, or other demand for payment for the second opinion.

As added by P.L.222-2011, SEC.1.


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