Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 25 - MARYLAND HEALTH CARE COMMISSION
Chapter 10.25.10 - Maryland Trauma Physician Services Fund
Section 10.25.10.15 - Annual Reconciliation Reporting Requirements
Universal Citation: MD Code Reg 10.25.10.15
Current through Register Vol. 51, No. 19, September 20, 2024
A. On or before January 31 of each year, trauma physicians who have received uncompensated care reimbursement from the Fund during the prior calendar year shall file an annual reconciliation report with the Commission.
B. The annual reconciliation report shall include:
(1) The
name, address, and telephone number of the physician, practice, or
center;
(2) The name, address, and
telephone number of the physician, practice, or center's contact person for the
report;
(3) The name of the trauma
center where care was provided;
(4)
The amount of money recovered from another payer source for claims that had
been reimbursed by the Fund, including:
(a)
The physician's name providing the care;
(b) The patient's name, Trauma Registry
number, Social Security number, dates of service, and total amount paid by the
Trauma Fund;
(c) The source of the
additional funds received;
(d) The
amount of the other payment received; and
(e) The amount returned to the Trauma Fund;
and
(5) A certification
by an authorized designee of the physician, practice, or center that the facts
stated in the annual reconciliation report are true and accurate.
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