Ala. Admin. Code r. 420-12-1-.02

Current through Register Vol. 43, No. 02, November 27, 2024

Section 420-12-1-.02 - Required Elements

(1) The minimum data set for each Discharge Record to be included in the Discharge Data Report will include the following data elements:

(a) Patient Control Number

(b) Type of Bill

(c) Federal Tax Number

(d) Statement Covers Period

(e) Patient's Address: City, State and Zip Code

(f) Patient's Date of Birth

(g) Patient's Sex

(h) Admission Date

(i) Admission Type

(j) Source of Admission

(k) Patient's Status

(l) Medical/Health Record Number

(m) Revenue Codes

(n) Date(s) of Service

(o) Unit(s) of Service

(p) Charges Associated with Revenue Codes

(q) Payer Identification

(r) Provider Number

(s) Patient's Relationship to Insured

(t) Certificate Number/ID Number/SSN

(u) Insurance Group Number

(v) Employment Status Code

(w) Insured's Employer Name

(x) Insured's Employer Location: Zip Code

(y) Principal Diagnosis Codes

(z) Other Diagnosis Codes

(aa) E Code

(bb) Principal Procedure Code and Date

(cc) Other Procedure Codes and Dates

(dd) Attending Physician ID Number

(ee) Other Physician ID Numbers

(ff) Patient's Social Security Number

(gg) Patient's Race/Ethnicity

(2) All Inpatient Discharges are required to be reported.

(3) All reportable Outpatient and Emergency Room Discharges are required to be reported.

(4) All data elements reported by the hospital should be the actual values used by the hospital. No reported data elements should be encrypted or otherwise altered.

(5) All hospitals required by Code of Ala. 1975, § 22-21-410, et seq. and these rules to report Discharge Data shall designate one staff member to be responsible for reporting the required data. The Department shall be notified by the hospital, on a form supplied by the Department, with the name, title, work address, and work telephone number of the designated staff member. The Department must be notified in writing of any change in the designated staff member within thirty (30) days of such change and receive the completed form supplying the name, title, work address, and work telephone number of the newly designated staff member within such time period.

(6) The disclosure of protected health information by a hospital pursuant to Code of Ala. 1975, § 22-21-410, et seq. and this Chapter shall be recognized as a disclosure to a public health authority as required by law, pursuant to the Health Insurance Portability and Accountability Act and the Privacy Rules promulgated thereunder at 45 C.F.R. §§ 164.514(a) and (b).

Ala. Admin. Code r. 420-12-1-.02

Adopted by Alabama Administrative Monthly Volume XL, Issue No. 04, January 31, 2022, eff. 3/17/2022.

Author: Sherri L. Davidson, Ph.D., M.P.H.; Dana H. Billingsley

Statutory Authority:Code of Ala. 1975, § 22-21-410, et seq.