Ariz. Admin. Code § 9-11-402

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-11-402 - Reporting Requirements

A. A hospital administrator shall ensure that the following information, in a format specified by the Department, is submitted to the Department with the inpatient discharge report required in subsection (C):

1. The name of the hospital;

2. The hospital's Arizona facility ID and national provider identifier;

3. The name, mailing address, telephone number, and e-mail address of the individual at the hospital whom the Department may contact about the inpatient discharge report;

4. If the entity submitting the inpatient discharge report to the Department is different from the hospital:

a. The name of the entity submitting the inpatient discharge report to the Department; and

b. The name, mailing address, telephone number, and e-mail address of the individual at the entity specified in subsection (A)(4)(a) who prepared the inpatient discharge report;

5. The reporting period; and

6. The name of the electronic file containing the inpatient discharge report specified in subsection (C).

B. A hospital administrator or designee shall on a form provided by the Department:

1. Attest that, to the best of the knowledge and belief of the hospital administrator or designee, the information submitted according to subsection (C) is accurate and complete; or

2. If the hospital administrator or designee has personal knowledge that the information submitted according to subsection (C) is not accurate or not complete:

a. Identify the information that is not accurate or not complete;

b. Describe the circumstances that make the information not accurate or not complete;

c. State what actions the hospital is taking to correct the inaccurate information or make the information complete; and

d. Attest that, to the best of the knowledge and belief of the hospital administrator or designee, the information submitted according to subsection (C), except the information identified in subsection (B)(2)(a), is accurate and complete.

C. A hospital administrator shall ensure that an inpatient discharge report:

1. Is prepared and named in a format specified by the Department;

2. Uses codes and a coding format specified by the Department for data items specified in subsection (C)(3) that require codes; and

3. Contains the following information for each inpatient discharge that occurred during the reporting period specified in subsection (A)(5):

a. The Arizona facility ID and national provider identifier for the hospital;

b. A code indicating that the information submitted about the patient is for an inpatient episode of care;

c. The patient's medical record number;

d. The patient's control number;

e. The patient's name;

f. The patient's mailing address;

g. If the patient is not a resident of the United States, a code indicating the country in which the patient resides;

h. A code indicating that the patient is homeless, if applicable;

i. The patient's date of birth and last four digits of the patient's Social Security number;

j. Codes indicating the patient's gender, race, ethnicity, and marital status;

k. The date and a code indicating the hour the patient was admitted to the hospital;

l. A code indicating the priority of visit;

m. A code indicating the referral source;

n. The date and a code indicating the hour the patient was discharged from the hospital;

o. A code indicating the patient's discharge status;

p. If the patient is a newborn, the patient's birth weight in grams;

q. Whether the patient has a DNR known to the hospital;

r. The date the bill for hospital services was created;

s. The total charges billed for the episode of care;

t. A code indicating the expected payer source;

u. For each unit of service billed for the episode of care, the:

i. Revenue code;

ii. Charge billed; and

iii. HIPPS code, if applicable;

v. The DRG code for the episode of care;

w. The code designating the version of the set of International Classification of Diseases codes used to prepare the bill for the episode of care;

x. The International Classification of Diseases codes for the patient's admitting, principal, and secondary diagnoses;

y. If applicable, the external cause of injury codes or location of injury codes associated with the episode of care;

z. If applicable, the state in which an accident leading to the episode of care occurred;

aa. If applicable, the date of the onset of symptoms leading to the episode of care;

bb. If a procedure was performed during the episode of care:

i. The International Classification of Diseases codes for the principal procedure and any other procedures performed during the episode of care, and

ii. The dates the principal procedure and any other procedures were performed;

cc. The name, state license number, and, if applicable, national provider identifier of the patient's attending provider;

dd. The code for the state licensing board that issued the license for the patient's attending provider;

ee. The name, state license number, and, if applicable, national provider identifier of the medical practitioner who performed the patient's principal procedure, if applicable;

ff. The code for the state licensing board that issued the license for the medical practitioner who performed the patient's principal procedure, if applicable;

gg. The name, state license number, and, if applicable, national provider identifier of any other medical practitioner associated with the patient's episode of care; and

hh. The code for the state licensing board that issued the license for each of the individuals specified in subsection (C)(3)(gg).

D. A hospital administrator shall ensure that the report specified in subsection (C), the information specified in subsection (A), and the attestation statement specified in subsection (B) are submitted to the Department at least twice each calendar year, according to the following schedule:

1. For initial electronic submission of reports for individual inpatient discharges on a real-time basis, within 48 hours after the discharge; and

2. For bulk submission of inpatient discharges or completion of an electronic submission:

a. For each inpatient discharge between January 1 and June 30, the reports, information, and attestation statement shall be submitted after June 30 and no later than August 15; and

b. For each inpatient discharge between July 1 and December 31, the reports, information, and attestation statement shall be submitted after December 31 and no later than February 15.

E. A hospital administrator who receives a request from the Department for revision of a report not prepared according to subsections (A), (B), and (C) shall ensure that the revised report is submitted to the Department:

1. Within 21 calendar days after the date on the Department's letter requesting an initial revision, and

2. Within seven calendar days after the date on the Department's letter requesting a second revision.

F. If a hospital administrator or designee does not submit the report specified in subsection (C), the information specified in subsection (A), and the attestation statement specified in subsection (B) according to this Section, the Department may assess civil penalties as specified in A.R.S. § 36-126.

Ariz. Admin. Code § R9-11-402

New Section made by final rulemaking at 9 A.A.R. 2105, effective June 3, 2003 (Supp. 03-2). Former R9-11-402 recodified to R9-11-502; new R9-11-402 recodified from R9-11-302at 10 A.A.R. 3835, effective August 24, 2004 (Supp. 04-3). Amended 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.