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Local Health Department Billing Manual

Coding and Medical Record Documentation​


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Accurate medical reco​rd documentation and code selection is a cornerstone of care continuation, demonstrating care complexity, compliance and reimbursement. This section offers general and Specialty-Specific Coding Guidelines.

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Document Title Date Document Added​Source
General
​Maryland Medicaid Wellpoint HEDIS Coding Booklet​​
​Oct 28, 2024
​Wellpoint

​HCC Coding: V24 versus V28​

​Oct 25, 2024

​Coding Intel

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UnitedHealthcare National Gold Card Program CPT Code List​​
Oct 1, 2024​​United Healthcare
​Setting your organization up for HCC success​​Sep 6, 2024​IMO Health
​Specificity in clinical documentation: 5 considerations for revenue optimization​ Sep 5, 2024​IMO Health
Coding for Screening and Brief Intervention Reimbursement ​Feb 22, 2023 SAMHSA
Medical Documentation and checklists Feb 22, 2023 Novitas
Ins and Outs of Behavioral Health Documentation Audits Feb 22, 2023 AAPC
​Kaiser Compliance and Regulatory Policy ​​Apr 15, 2023​JHHP
​Payment Error Rate Measurement Program​​Apr 15, 2023​​JHHP
​​Guidelines for Medical Record Documentation​​May 31, 2023​NCQA
​Maryland Medical Record Retention and Release Guidelines​May 31, 2023​MDH
​E/M Services Guide MLN​May 31, 2023​CMS
CMS Coding Guidelines
​Billing Requirements for Intensive Outpatient Program Services with New Condition Code 92​​
Oct 20, 2024
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​MLN

​MD Insurance Commissioner Provider Issues​​Apr 15, 2023​MDH
​2024 ICD-10-CM Code Addendum - UPDATED 6.23.23​Jun 30, 2023​CMS
​Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance​​Jun 30, 2023​CMS
​Medicare NCCI Procedure to Procedure (PTP) Edits​​Jun 30, 2023​CMS
​Medicare NCCI Medically Unlikely Edits (MUEs)​Jun 30, 2023​​CMS
​Medicare NCCI Add-on Code Edits​​Jun 30, 2023​CMS
​ICD-10 & Other Coding Revisions to Laboratory National Coverage Determinations: October 2023 Update​​​Jul 31, 2023​Medicare Learning Network
Evaluation and Management
​Coding Compliance​


Oct 31, 2024
​		​Medical Revenue Cycle Specialists
​AMA releases CPT 2025 code set​Sep 10, 2024​​AMA
​ CPT® Evaluation and Management (E/M)Code and Guideline Changes Feb 22, 2023 AMA
​Compliance Program Guidance​Apr 15, 2023​​ASCO
​Connecting Social Determinants of Health to ICD-10 CM Z Codes​ ​Jun 30, 2023​ASCO
​USING Z CODES: The Social Determinants of Health (SDOH) Data Journey to Better Outcomes​​Jun 30, 2023​CMS
​Billing and Revenue Cycle for Telehealth Using SDOH Z Codes and Telemedicine to Increase Revenue​​Jul 31, 2023​​
​MRCS
Jul 31, 2023​Advanced MD

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