Ohio Revised Code|Section 4769.01 | Balance billing of medicare beneficiary definitions.

                                                
As used in this chapter: 
(A) "Medicare" means the program established by Title XVIII  of the "Social Security Act," 49 Stat. 620 (1935), 42 U.S.C.A.  301, as amended.
(B) "Balance billing" means charging or collecting from a  medicare beneficiary an amount in excess of the medicare  reimbursement rate for medicare-covered services or supplies  provided to a medicare beneficiary, except when medicare is the  secondary insurer. When medicare is the secondary insurer, the  health care practitioner may pursue full reimbursement under the  terms and conditions of the primary coverage and, if applicable,  the charge allowed under the terms and conditions of the  appropriate provider contract, from the primary insurer, but the  medicare beneficiary cannot be balance billed above the medicare  reimbursement rate for a medicare-covered service or supply.  "Balance billing" does not include charging or collecting  deductibles or coinsurance required by the program.
(C) "Health care practitioner" means all of the following:
(1) A dentist or dental hygienist licensed under Chapter  4715. of the Revised Code;
(2) A registered or licensed practical nurse licensed under  Chapter 4723. of the Revised Code;
(3) An optometrist licensed under Chapter 4725. of the  Revised Code;
(4) A dispensing optician, spectacle dispensing optician,  contact lens dispensing optician, or spectacle-contact lens  dispensing optician licensed under Chapter 4725. of the Revised  Code;
(5) A pharmacist licensed under Chapter 4729. of the Revised  Code;
(6) A physician authorized under Chapter 4731. of the Revised  Code to practice medicine and surgery, osteopathic medicine and  surgery, or podiatry;
(7) A physician assistant authorized under Chapter 4730. of  the Revised Code to practice as a physician assistant;
(8) A practitioner of a limited branch of medicine issued a  certificate under Chapter 4731. of the Revised Code;
(9) A psychologist licensed under Chapter 4732. of the  Revised Code;
(10) A chiropractor licensed under Chapter 4734. of the  Revised Code;
(11) A hearing aid dealer or fitter licensed under Chapter  4747. of the Revised Code;
(12) A speech-language pathologist or audiologist licensed  under Chapter 4753. of the Revised Code;
(13) An occupational therapist or occupational therapy  assistant licensed under Chapter 4755. of the Revised Code;
(14) A physical therapist or physical therapy assistant  licensed under Chapter 4755. of the Revised Code;
(15) A licensed professional clinical counselor, licensed  professional counselor, social worker, or independent social  worker licensed, or a social work assistant registered, under  Chapter 4757. of the Revised Code;
(16) A dietitian licensed under Chapter 4759. of the Revised  Code;
(17) A respiratory care professional licensed under Chapter  4761. of the Revised Code;
(18) An emergency medical technician-basic, emergency medical  technician-intermediate, or emergency medical technician-paramedic  certified under Chapter 4765. of the Revised Code.