Nevada § 449.490 - Financial statements and reports required to be filed with Department; additional reporting requirements for hospitals with 100 or more beds; availability of complete current charge master

§ 449.490. Financial statements and reports required to be filed with Department; additional reporting requirements for hospitals with 100 or more beds; availability of complete current charge master

1. Every institution which is subject to the provisions of NRS 449.450 to 449.530 , inclusive, shall file with the Department the following financial statements or

reports in a form and at intervals specified by the Director but at least annually: (a) A balance sheet detailing the assets, liabilities and net worth of the institution

for its fiscal year; and (b) A statement of income and expenses for the fiscal year. 2. Each hospital with 100 or more beds shall file with the Department, in a form and

at intervals specified by the Director but at least annually, a capital improvement

report which includes, without limitation, any major service line that the hospital

has added or is in the process of adding since the previous report was filed, any

major expansion of the existing facilities of the hospital that has been completed

or is in the process of being completed since the previous report was filed, and any

major piece of equipment that the hospital has acquired or is in the process of acquiring

since the previous report was filed. 3. In addition to the information required to be filed pursuant to subsections 1 and

2, each hospital with 100 or more beds shall file with the Department, in a form and

at intervals specified by the Director but at least annually: (a) The expenses that the hospital has incurred for providing community benefits and

the in-kind services that the hospital has provided to the community in which it is

located. These expenses must be reported as the total amount expended for community benefits

and in-kind services and reported as a percentage of the total net revenues of the

hospital. For the purposes of this paragraph, “ community benefits ” includes, without limitation, goods, services and resources provided by a hospital

to a community to address the specific needs and concerns of that community, services

provided by a hospital to the uninsured and underserved persons in that community,

training programs for employees in a community and health care services provided in

areas of a community that have a critical shortage of such services, for which the

hospital does not receive full reimbursement. (b) A statement of its policies and procedures for providing discounted services to,

or reducing charges for services provided to, persons without health insurance that

are in addition to any reduction or discount required to be provided pursuant to NRS 439B.260 . (c) A list of the services which the hospital purchased from its corporate home office. (d) A report of the cost to the hospital of providing services to patients covered

by Medicare. (e) Financial information from the consolidated corporation, if the hospital is owned

by such a corporation and if that information is publicly available, including, without

limitation, the annual report of the consolidated corporation. (f) A statement of its policies regarding patients' account receivables, including,

without limitation, the manner in which a hospital collects or makes payment arrangements

for patients' account receivables, the factors that initiate collections and the method

by which unpaid account receivables are collected. 4. A complete current charge master must be available at each hospital during normal

business hours for review by the Director, any payor that has a contract with the

hospital to pay for services provided by the hospital, any payor that has received

a bill from the hospital and any state agency that is authorized to review such information. The complete and current charge master must be made available to the Department,

at the request of the Director, in an electronic format specified by the Department. The Department may use the electronic copy of the charge master to review and analyze

the data contained in the charge master and, except as otherwise provided in NRS 439A.200 to 439A.290 , inclusive, shall not release or publish the information contained in the charge

master. 5. The Director shall require the certification of specified financial reports by

an independent certified public accountant and may require attestations from responsible

officers of the institution that the reports are, to the best of their knowledge and

belief, accurate and complete to the extent that the certifications and attestations

are not required by federal law. 6. The Director shall require: (a) The filing of all reports by specified dates, and may adopt regulations which

assess penalties for failure to file as required; and (b) The submission of a final annual report not later than 6 months after the close

of the fiscal year, and may grant extensions to institutions which can show that the required information

is not available on the required reporting date. 7. All reports, except privileged medical information, filed under any provisions

of NRS 449.450 to 449.530 , inclusive: (a) Are open to public inspection; (b) Must be in a form which is readily understandable by a member of the general public; (c) Must, as soon as practicable after those reports become available, be posted on

the Internet website maintained pursuant to NRS 439A.270 ; and (d) Must be available for examination at the office of the Department during regular

business hours.