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H.B. 138 VETOES
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(1) THE APPLICABLE CURRENT PROCEDURAL TERMINOLOGY (CPT)
CODE AS ADOPTED BY THE AMERICAN MEDICAL ASSOCIATION; OR
(2) IF A CPT CODE IS NOT AVAILABLE. THE APPLICABLE CODE UNDER AN
APPROPRIATE UNIFORM CODING SCHEME APPROVED BY THE COMMISSION.
[(a)] (B) The Commission shall establish a Maryland medical care data base
to compile statewide data on health services rendered by health care practitioners
and office facilities selected by the Commission.
[(b)] (C) In addition to any other information the Commission may require by
regulation, the medical care data base shall:
(1) Collect for each type of patient encounter with a health care
practitioner or office facility designated by the Commission:
(i) The demographic characteristics of the patient;
(ii) The principal diagnosis;
(iii) The procedure performed;
(iv) The date and location of where the procedure was performed;
(v) The charge for the procedure;
(vi) If the bill for the procedure was submitted on an assigned or
nonassigned basis;
(vii) If applicable, a health care practitioner's universal
identification number; and
(viii) If the health care practitioner rendering the service is a
certified registered nurse anesthetist or certified nurse midwife, identification
modifiers for the certified registered nurse anesthetist or certified nurse midwife;
(2) Collect appropriate information relating to prescription drugs for
each type of patient encounter with a pharmacist designated by the Commission; and
(3) Collect appropriate information relating to health care costs,
utilization, or resources from payors and governmental agencies.
[(c)] (D) (1) The Commission shall adopt regulations governing the access
and retrieval of all medical claims data and other information collected and stored in
the medical care data base and any claims clearinghouse licensed by the Commission
and may set reasonable fees covering the costs of accessing and retrieving the stored
data.
(2) These regulations shall ensure that confidential or privileged patient
information is kept confidential.
(3) Records or information protected by the privilege between a health
care practitioner and a patient, or otherwise required by law to be held confidential,
shall be filed in a manner that does not disclose the identity of the person protected.
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- 4290 -
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