(a) General Requirements.
- (1) Before the provision of any services, the licensee and the recipient of psychological services reach an agreement specifying the compensation and billing arrangements.
- (2) If services are not paid for as agreed, the licensee shall not utilize a collection agency or legal measures to collect the fees until after the licensee has first informed the affected party that such measures will be taken and the party has been provided with a reasonable opportunity to make prompt payment.
- (3) Licensees shall not withhold records solely because payment has not been received unless specifically permitted by law.
- (4) In their reports to third-party payors for services, licensees accurately state the nature, date and amount of the services provided, the fees, and the identity of the individual(s) who actually provided the services.
(b) Ethical & Legal Aspects.
- (1) Licensees do not engage in fraudulent billing.
- (2) Licensees do not misrepresent their fees.
- (3) Licensees do not overcharge or otherwise exploit recipients of services or payors with respect to fees.
- (4) Licensees do not receive payments or divide fees with another health care provider for professional referrals.
- (5) A licensee does not participate in bartering if it is clinically contraindicated or the relationship has the potential to create an exploitative or harmful dual relationship.
Source Note:The provisions of this §465.15 adopted to be effective June 3, 1999, 24 TexReg 4017.