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Sponsor testifies HB 429 would bar payers from reinterpreting code sets, block denial of same‑day service claims
Summary
Jim Hoopes told the Ohio House Insurance Committee that House Bill 429 would prevent third‑party payers from reducing reimbursements by applying nonstandard definitions outside CPT, ICD‑10, CDT or HCPCS, and would prohibit denial of same‑day service claims; lawmakers asked about bundled billing and the difference between reduced reimbursement and non‑payment.
Jim Hoopes presented sponsor testimony for House Bill 429, telling the committee the bill aims to protect Ohio health‑care providers from what he described as unfair payment and reimbursement practices by third‑party payers.
"House Bill 429 seeks to protect Ohio's health care providers from unfair payment and reimbursement practices by third party payers," Hoopes said. He described two primary provisions: prohibiting payers from reducing reimbursements based…
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