PARRIS N. GLENDENING, Governor Ch. 134

(2) Dispenses drugs, medical devices, medical appliances, or medical goods
for the treatment of human disease or dysfunction.

(g) (1) "Office facility" means the office of one or more health care
practitioners in which health care services are provided to individuals,

(2) "Office facility" includes a facility that provides:

(i) Ambulatory surgery;

(ii) Radiological or diagnostic imagery; or

(iii) Laboratory services.

(3) "Office facility" does not include any office, facility, or service operated
by a hospital and regulated under Subtitle 2 of this title.

(h) "Payor" means:

(1) A health insurer or nonprofit health service plan that holds a certificate
of authority and provides health insurance policies or contracts in the State in accordance
with this article or Article 48A of the Code;

(2) A health maintenance organization that holds a certificate of authority
in the State; or

(3) A third party administrator as defined in Article 48A, § 490R of the

Code.
19-1509.

(a) (1) In this section the following words have the meanings indicated.

(2) "Code" means the applicable current procedural terminology (CPT)
code as adopted by the American Medical Association or other applicable code under an
appropriate uniform coding scheme approved by the Commission.

(3) "Payor" means:

(i) A health insurer or nonprofit health service plan that holds a
certificate of authority and provides health insurance policies or contracts in the State in
accordance with Article 48A of the Code or the Health - General Article;

(ii) A health maintenance organization that holds a certificate of

authority.

(4) "Unbundling" means the use of two or more codes by a health care
provider to describe a surgery or service provided to a patient when a single, more
comprehensive code exists that accurately describes the entire surgery or service.

(b) (1) By January 1, [ 1997] 1999, the Commission shall implement a payment
system for all health care practitioners in the State.

(2) The payment system established under this section shall include a
methodology for a uniform system of health care practitioner reimbursement.

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