Maryland Department of Health
Office of Population Health Improvement

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Local Health Department Billing Manual

Billing Foundation Resources

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Overview

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

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Document TitleDateExpiration
Source
General
​8 Best Practices for Patient Scheduling​
​No date
​No date
​Continuum/CareCloud
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Member Handbook - Adult Dental Pilot 2019​
No date​​No date
​Maryland Healthy Smiles Dental Program
​Front-End Revenue Cycle Improvement: Patient Registration​

Jan-2021​
No date​​National Rural Health Resource Center
​How to Launch Managed IT Services in Healthcare the Right Way​
Mar-2024​​No date
​Health Catalyst
​Federal Poverty Level (FPL)​
​Jan-2024
No date​​HealthCare.gov
​CMS Snapshot January 11-18, 2024 ​
​Jan-2024
No date​​CMS
​Medicaid & CHIP Renewals: Patient-Centered Messaging for Clinical Offices & Health Care Settings​
​Nov-2023
​No date
​CMS
​FY 2023 Improper Payments Fact Sheet​
​Nov-2023
​No date
​CMS
National Drug Code (NDC) Info and Guide2021
No date
RSF
NCIRD-NDC Cr​osswalk Tables​Mar-2014
No date
NDC Tool from Sanofi Pasteur
No date
No date
MD Health Connection Who to Include as Include​
No date
No date
RSF
CMS Medical RecordMaintenance & Access Requirements​​
No date
No date
CMS
MDH COMAR 10.02.01 Reimbursement, Proof of IncomeNo date
No date
RSF
Building the Internal Billing Infrastructure
2021No date
RSF
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Apr-2022
No date
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Jan-2021

No date​		​

NCG Medical
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X12
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X12
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Aug-2023​
No date​
​QGenda
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Oct-2023
​No date
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MRCS
​2024 Medicare Parts A & B Premiums and Deductibles​

​Oct 2023
​Dec 2024
​CMS
​The RCM Maturity Framework: A 4-Stage Journey to Digital Transformation and Operational Excellence​
​Nov 2023
No date​​AGS
Billing & Coding
​HealthChoice Maryland's Medicaid Managed Care Program MCO Comparison Chart​
​Oct-2023
​No date
​HealthChoice
​Insurance Carriers with Approved Individual Dental Polices in Maryland​
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​Jul-2023
​No date
​Maryland Insurance Administration
​Medicare Claims Processing Manual Updates - HCPCS Billing Codes & ABN of Non-Coverage Requirements​
​Mar-2024
No date​​CMS​
​Unlock the power of chat United Healthcare​
Jan-2024​
​No date
​United Healthcare
​2023 Maryland Medical Assistance Program Professional Services Provider Manual​

​Oct-2023
​No date
​Maryland Medicaid
​Place of Service Codes for Professional Claims Database Updated Sept 2023​

Sep-2023​​No date
​CMS
​What is CPT?​
​Dec-2023
​No date
​AAPC
​2024 Medicare Physician Fee Schedule: Impact on Remote Physiologic Monitoring & Remote Therapeutic Monitoring Services​
Dec-2023​No date​​XiFiN
​Coding & Auditing: A winning Comination for Financial Success​
​Dec-2023
​No date
​AAPC
​What are Relative Value Units (RVUs)?​
Dec-2023​No date​​AAPC
​What is HCC Coding?​
Dec-2023​​No date
​AAPC
​What is ICD-10?​
​Dec-2023
​No date
​AAPC
​Final 2024 Medicare Physician Payment & Quality Reporting Changes​
​Nov-2023
No date​​MGMA
FY 2021 Non-Chargeable ServicesJul-2020
No date
MDH
FY2022 Non-Chargeable Services List​
2022No date
MDH
Place of Service Codes for Professional Claims​​
May-2022
No date
CMS
Proper Documentation and Coding2021No date
RSF
​Resources for Billers and Coders (medicalbillingandcoding.org)​
​No date
​No date
​MB&CC
​ABN Revision Details​
Apr-2023​​No date
​CMS
​New ABN Form​
Apr-2023​
​No date
​CMS
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May-2022​
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No date
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CMS
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​Jun-2022
​No date
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CMS​
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No date​
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​X12
​CMS MLN900943 – Health Care Code Sets: ICD-10 (cms.gov)​

​Jul-2023
​No date
​CMS
​New Priority Bill Tracker Resource​
​No date
​No date
​MGMA
​CLIA & Laboratory
CLIA Application CMS-116No date
No date
CMS
CLIA Change FormNo date
No date
MDH
​​Types of CLIA Certificates2021No date
RSF
MDH FY22 Ability to Pay OutpatientJul-2021
No date
MDH
MD Lab Licensure - Non-Expiring LicenseJul-2018
No date
MDH
Medicare QW Modifier for Lab TestsNo date
No date
CMS
Provider-Performed Microscopy ProceduresNo date 
No date
How to Obtain a CLIA Certifcate Brochure
No date
No date
CMS


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No date
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​CMS
Credentialing/Provider Enrollment
Clarification for Form W9, Request for Taxpayer Identification Number and Certification (Rev. December 2014) 10APR2015​Dec-2014
No date
CMS Specialty Codes Taxonomy Crosswalk
No date
No date
CMS
How to Apply for an NPI
No date
No date
CMS
Instructions for W9​​​​​​​​​​​​​​​​​Oct-2018
No date
NPI FAQs
2021No date
RSF
NPI Subpart
Mar-2016
No date
CMS
​NPI Subparts FAQs2021No date
RSF
NPI What You Need to KnowNo date
No date
CMS
Tax ID Number2021No date
RSF
Taxonomy Codes
2021No date
RSF
W-9
No date
No date
Medicare Provider and Supplier Taxonomy Crosswalk​
No date​
​No date
​CMS

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