Local Health Department Billing Manual

Billing Foundation Resources

Overview

Foundational processes set the tone for success. This section covers billing fundamentals which includes key elements you need for successful billing and collections.

Document Title

Date Document Added

Source

General

Preparing for AI in Healthcare Business Operations

Oct 31, 2024

Medical Revenue Cycle Specialists

2024 CMS Optimizing Healthcare Delivery to Improve Patient Lives Conference

Sep 18, 2024

CMS

UHC CommunityCare Provider Portal User Guide

Jul 12, 2024

United HC

Medical Practices Success Strategies for 2024

Jul 6, 2024

MRCS

Leveraging Credible Resources

Jul 22, 2024

MRCS

Key Steps to Follow for a Successful Medical Billing Process

Jun 20, 2024

SelectHub

Healthcare Financial Management: An Expert Guide

Jun 20, 2024

Oracle

PERFECTING THE PATIENT BILLING EXPERIENCE IN 2023

Jun 20, 2024

HealthLeaders

Review Choice Demonstration for Inpatient Rehabilitation Facility Services

Jun 20, 2024

CMS

Prior Authorization and Pre-Claim Review Initiatives

Jun 20, 2024

CMS

Prepayment Review Basics

Jun 20, 2024

AAPC

8 Best Practices for Patient Scheduling

Apr 29, 2024

Continuum/CareCloud

Member Handbook - Adult Dental Pilot 2019

Apr 29, 2024

Maryland Healthy Smiles Dental Program

How to Launch Managed IT Services in Healthcare the Right Way

Mar 30, 2024

Health Catalyst

Federal Poverty Level (FPL)

Feb 28, 2024

HealthCare.gov

CMS Snapshot January 11-18, 2024

Jan 26, 2024

CMS MLN

Medicaid & CHIP Renewals: Patient-Centered Messaging for Clinical Offices & Health Care Settings

Dec 22, 2023

CMS

FY 2023 Improper Payments Fact Sheet

Dec 22, 2023

CMS

2024 Medicare Parts A & B Premiums and Deductibles

Nov 30, 2023

CMS

The RCM Maturity Framework: A 4-Stage Journey to Digital Transformation and Operational Excellence

Nov 30, 2023

AGS

Unpacking the AHEAD Model: How CMS Aims to Revolutionize State Healthcare Systems

Oct 27, 2023

MRCS

What is the status Quo Costing You? Strategies to reduce nurse attrition and labor cost

Aug 24, 2023

QGenda

Outsourcing Medical Billing: A Comprehensive Guide for Your Practice

Jul 31, 2023

NCG Medical

Remittance Advice Remark Codes

Jul 31, 2023

X12

Claim Adjustment Reason Codes

Jul 31, 2023

X12

ABN Revision Details

Apr 15, 2023

CMS

NDC Crosswalk tables

Feb 22, 2023

CDC

Medical Record Maintenance & Access Requirements

Feb 22, 2023

CMS MLN

MDH COMAR 10.02.01 Reimbursement,Proof of Income

Feb 22, 2023

COMAR

Billing & Coding

Billing Maryland Medicaid: Guidance for SBHCs An Update for billers

Oct 25, 2024

MDH

Priority Partners 2024 Provider Manual

Oct 24, 2024

Johns Hopkins Health Plan

DDA Guidelines for Service Authorization and Provider Billing Documentation

Oct 20, 2024

MDH

MedStar Family Choice Claims Billing Manual

Oct 5, 2024

MedStar Family Choice

Health-Related Social Needs FAQ

Sep 22, 2024

CMS

Revenue Cycle 101: What is denial management in healthcare?

Sep 13, 2024

Waystar

Checking Medicare Eligibility

Jul 15, 2024

CMS MLN

CMS Manual System: Pub 100-04 Medicare Claims Processing

Jul 7, 2024

CMS

Medicare Learning Network MLN 6.20.24

Jun 20, 2024

CMS

UnitedHealthcare Quality Reference Guide - 2024 HEDIS, CMS Part D, CAHPS and HOS Measures

Jun 10, 2024

United Healthcare

Medicare Learning Network MLN 6.6.24

Jun 6, 2024

CMS

Insurance Carriers with Approved Individual Dental Polices in Maryland

Apr 29, 2024

Maryland Insurance Administration

HealthChoice Maryland's Medicaid Managed Care Program MCO Comparison Chart

Apr 29, 2024

HealthChoice

Medicare Claims Processing Manual Updates - HCPCS Billing Codes & ABN of Non-Coverage Requirements

Mar 30, 2024

CMS

Federal Poverty Level (FPL)

Feb 28, 2024

United Healthcare

2023 Maryland Medical Assistance Program Professional Services Provider Manual

Feb 28, 2024

Maryland Medicaid

Place of Service Codes for Professional Claims Database Updated Sept 2023

Feb 28, 2024

CMS

Final 2024 Medicare Physician Payment & Quality Reporting Changes

Dec 22, 2023

MGMA

What is CPT?

Dec 22, 2023

AAPC

2024 Medicare Physician Fee Schedule: Impact on Remote Physiologic Monitoring & Remote Therapeutic Monitoring Services

Dec 22, 2023

XiFiN

Coding & Auditing: A winning Comination for Financial Success

Dec 22, 2023

AAPC

What are Relative Value Units (RVUs)?

Dec 22, 2023

AAPC

What is HCC Coding?

Dec 22, 2023

AAPC

What is ICD-10?

Dec 22, 2023

AAPC

CMS MLN900943 – Health Care Code Sets: ICD-10 (cms.gov)

Sep 21, 2023

CMS

New Priority Bill Tracker Resource

Sep 21, 2023

MGMA

What do Medicare Beneficiary Indentifiers (MBIs) mean for health care providers & office managers?

Aug 24, 2023

CMS

Claim Adjustment Reason Codes

Aug 24, 2023

X12

Medicare Claims Processing Manual Chapter 22 - Remittance Advice

Jul 31, 2023

CMS

Resources for Billers and Coders (medicalbillingandcoding.org)

Apr 15, 2023

MB&CC

Place of Service Codes for Professional Claims

Feb 22, 2023

CMS

CLIA & Laboratory

Billing and Coding: Frequency of Laboratory Tests

Oct 15, 2024

CMS

Clinical Laboratory Improvement Amendments (CLIA)

Oct 10, 2024

CLIA

"CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)

APPLICATION FOR CERTIFICATION"

Feb 22, 2023

CMS

Credentialing/Provider Enrollment

Medicare Provider and Supplier Taxonomy Crosswalk

Feb 22, 2023

CMS