Statutes, codes, and regulations
Arizona Administrative Code
Title 9 - HEALTH SERVICESChapter 11 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTION FACILITY AND HEALTH PROFESSIONALS WORKFORCE DATA
Article 3 - RATES AND CHARGES SCHEDULES
Section R9-11-301 - Definitions

Ariz. Admin. Code § 9-11-301

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Current through Register Vol. 30, No. 50, December 13, 2024
Section R9-11-301 - Definitions

In this Article, unless otherwise specified:

1. "Adolescent" means an individual the hospital designates as an adolescent based on the hospital's criteria.
2. "Adult" means the same as in A.A.C. R9-10-201.
3. "Behavioral health service" means the same as in A.R.S. § 36-401.
4. "Blood bank cross match" means a laboratory analysis, performed by a facility that stores and preserves donated blood, to test the compatibility of a quantity of blood donated by one individual with another individual who is the intended recipient of the blood.
5. "Complete blood count with differential" means enumerating the number of red blood cells, platelets, and white blood cells in a sample of an individual's blood, and including in the enumeration of white blood cells the number of each type of white blood cell.
6. "Contrast medium" means a substance opaque to x-rays, radio waves, or electromagnetic radiation that enhances an image of internal body structures.
7. "CT" means Computed Tomography, a diagnostic procedure in which x-ray measurements from many angles are used to provide images of internal body structures.
8. "Current rates and charges information" means the most recent rates and charges schedule for a health care institution on file with the Department, and all documents changing the most recent rates and charges schedule.
9. "Drug" means the same as in A.R.S. § 32-1901.
10. "EEG" means electroencephalogram, a diagnostic procedure used to measure the electrical activity of the brain.
11. "EKG" means electrocardiogram, a diagnostic procedure used to measure the electrical activity of the heart.
12. "Facility" means a building and associated personnel and equipment that perform a particular service or activity.
13. "Formulary" means a list of drugs that are available to a patient through a hospital.
14. "Home health agency" means the same as in A.R.S. § 36-151.
15. "Home health agency administrator" means the chief administrative officer for a home health agency.
16. "Hospital department" means a subdivision of a hospital providing administrative oversight for one or more charge sources.
17. "Implementation date" means the month, day, and year a health care institution intends to begin using specific rates and charges when billing a patient or resident.
18. "Intensive care bed" means an available bed used to provide intensive care services, as defined in A.A.C. R9-10-201, to a patient.
19. "IVP" means intravenous pyelography, a diagnostic procedure that uses an injection of a contrast medium into a vein and x-rays to provide images of the kidneys, ureters, bladder, and urethra.
20. "Labor and delivery" means services provided to a woman related to childbirth.
21. "Lithotripsy" means a procedure that uses sound waves to break up hardened deposits of mineral salts inside the human body.
22. "Mark-up" means the difference between the dollar amount a hospital pays for a drug, commodity, or service and the charge billed to a patient.
23. "MRI" means Magnetic Resonance Imaging, a diagnostic procedure that uses a magnetic field and radio waves to provide images of internal body structures.
24. "Neonate" means the same as in A.A.C. R9-10-201.
25. "Nursery bed" means an available bed used to provide hospital services to a neonate.
26. "Outpatient treatment center" means the same as in A.A.C. R9-10-101.
27. "Outpatient treatment center administrator" means the chief administrative officer for an outpatient treatment center.
28. "Overview form" means a document:
a. Submitted by a hospital to the Department as part of a rates and charges schedule or a change to the hospital's current rates and charges information, and
b. That contains the information required in R9-11-302(B)(2) for the hospital.
29. "Pediatric" means the same as in A.A.C. R9-10-201.
30. "Pediatric bed" means an available bed used to provide hospital services to a pediatric patient.
31. "Physical therapy" means the same as in A.R.S. § 32-2001.
32. "Post-hospital extended care services" means the services that are described in and meet the requirements of 42 CFR 409.31.
33. "Private room" means a room that contains one available bed.
34. "Rate" means a specific dollar amount per unit of service set by a health care institution.
35. "Rates and charges schedule" means a document that meets the requirements of A.R.S. Title 36, Chapter 4, Article 3 and contains the information required in R9-11-302(B) for hospitals, R9-11-303(A)(2) for nursing care institutions, R9-11-304(A)(2) for home health agencies, or R9-11-305(A)(2) for outpatient treatment centers.
36. "Rehabilitation bed" means a type of bed used to provide services to a patient to restore or to optimize the patient's functional capability.
37. "Review" means an analysis of a document to ensure that the document is in compliance with the requirements of this Article.
38. "Semi-private room" means a room that contains two available beds.
39. "Skilled nursing bed" means an available bed used for a patient requiring skilled nursing services.
40. "Skilled nursing services" means nursing services provided by an individual licensed under A.R.S. Title 32, Chapter 15.
41. "Small volume nebulizer" means a device that:
a. Holds liquid medicine that is turned into a mist by an air compressor, and
b. Is used for treatments lasting less than 20 minutes.
42. "Swing bed" means an available bed for which a hospital has been granted an approval from the Centers for Medicare and Medicaid Services to provide post-hospital extended care services and be reimbursed as a swing-bed hospital.
43. "Swing-bed hospital" means the same as in 42 CFR 413.114.
44. "Trauma team activation" means a notification by a health care institution:
a. That alerts individuals designated by the health care institution to respond to a particular type of emergency;
b. That is based on a patient's triage information; and
c. For which the health care institution uses Revenue Category 068X of the National Uniform Billing Committee, UB-04 Data Specifications Manual to bill charges.
45. "Ultrasound" means a diagnostic procedure that uses high-frequency sound waves to provide images of internal body structures.

Ariz. Admin. Code § R9-11-301

Adopted effective May 22, 1989 (Supp. 89-2). Repealed effective June 25, 1993, through an exemption from A.R.S. Title 41, Chapter 6 pursuant to Laws 1992, Ch. 197, § 2; received in the Office of the Secretary of State June 10, 1993 (Supp. 93-2). New Section adopted effective February 22, 1995, through an exemption from A.R.S. Title 41, Chapter 6 pursuant to Laws 1994, Ch. 115, § 9 (Supp. 95-1). Former R9-11-301 recodified to R9-11-401; new R9-11-301 recodified from R9-11-103at 10 A.A.R. 3835, effective August 24, 2004 (Supp. 04-3). Section repealed; new Section made by final rulemaking at 13 A.A.R. 3648, effective December 1, 2007 (Supp. 07-4). Amended by final rulemaking at 28 A.A.R. 1481, effective 11/7/2022.