Nev. Admin. Code § 439B.510 - Reasonable cause to believe that prohibited transaction between hospital and related entity has occurred

Reasonable cause to believe that a violation of subsection 2 of NRS 439B.430 has occurred includes, but is not limited to:

1. The failure of a hospital or related entity to submit the copies required by NAC 439B.490 concerning an agreement, contract or transaction between the hospital and a related entity.

2. One or more related agreements, contracts or transactions between the hospital and its related entities resulting in:

(a) An increase in the hospital's operating expenses;

(b) A decrease in the hospital's net patient revenue; or

(c) A combination of paragraphs (a) and (b), of more than 1 percent from the previous fiscal year.

3. The value of the goods, services or consideration which is the subject of an agreement, contract or transaction between the hospital and a related entity being found to be materially different from the fair market value for similar agreements, contracts or transactions between nonrelated entities in the same area.

Notes

Nev. Admin. Code § 439B.510

Added to NAC by Dep't of Human Resources, eff. 4-13-88