HOUSE BILL 672

File Code: Insurance - Health

Sponsored By:

Delegates Goldwater, Barkley, Bronrott, Heller, Kopp, Petzold, and Mandel

Entitled:

Health Insurance - Retroactive Denial of Reimbursement to Health Care Providers by Carriers - Codes and Coding Guidelines

Synopsis:

Altering the definition of "code" to exclude a specified code used by a carrier; altering the definition of "coding guidelines" to mean specified guidelines issued with specified codes; providing that specified time limits for retroactive denial of reimbursement to health care providers by carriers do not apply in the case of improper coding under specified circumstances; and providing that information may be considered improperly coded if the information uses codes that do not conform with specified coding guidelines.

History by Legislative Date

House Action

2/10

First Reading Economic Matters

Hearing 2/23 at 1:00 p.m.

3/25

Unfavorable Report by Economic Matters

Senate Action

No Action

Sponsored by:

Delegate Marilyn R. Goldwater, District 16

Delegate Charles E. Barkley, District 39

Delegate William A. Bronrott, District 16

Delegate Henry B. Heller, District 19

Delegate Nancy K. Kopp, District 16

Delegate Adrienne A. Mandel, District 19

Delegate Carol S. Petzold, District 19

Bill indexed under the following Subjects:

CODES -see also- ANNOTATED CODE OF MD; BUILDING CODES

HEALTH INSURANCE -see also- HMOS; MANAGED CARE ORGANIZATIONS

HEALTH MAINTENANCE ORGANIZATIONS -see also- MAN CARE ORGS

HEALTH OCCUPATIONS -see also specific health occupations-

Bill affects the following Statute:

Insurance

( 15-1008 )

Documents:

Bill Text: First Reading (PDF), Third Reading, Enrolled

Fiscal Note: Available (PDF)

Amendments: None offered