Discriminatory Billing issue described in CCR, Title 22, Section 51480?
A. As the case is with virtually all third-party payer sources (i.e. health insurance, Medi-Cal, Veteran’s, Managed Care, etc), SCAN has most likely entered into a contract reimbursement rate. The key with the Discriminatory Billing issue is the usual and customary charge (UCC), which must be equal to or greater than the amount charged to the Medi-Cal program. Any contractual allowance or cut-back or deduction should be noted in Section G, Column 2 of the cost report. Q.
