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PARRIS N. GLENDENING, Governor
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Ch. 64
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[(13)] (12) Determine the cost of mandated health insurance services in
the State in accordance with Title 15, Subtitle 15 of the Insurance Article; AND
(13) PROMOTE THE AVAILABILITY OF INFORMATION TO CONSUMERS ON
CHARGES BY PRACTITIONERS AND REIMBURSEMENTS FROM PAYORS.
(d) The Commission shall coordinate the exercise of its functions with the
Department and the Health Services Cost Review Commission to ensure an
integrated, effective health care policy for the State.
19-134.
(A) IN THIS SECTION, "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. IN THIS SECTION, "CODE" MEANS:
(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
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- 587 -
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