Okla. Admin. Code § 310:9-3-1

Current through Vol. 42, No. 7, December 16, 2024

Section 310:9-3-1 - Required information to be collected from information providers

(a) The Department is required by law to collect the following types of information from information providers:

(1) Financial information including, but not limited to, consumption of resources to provide services, reimbursement, costs of operation, revenues, assets, liabilities, fund balances, other income, rates, charges, units of service, wage and salary data;

(2) Service information including, but not limited to,

(A) occupancy, capacity, and special and ancillary services;

(B) Physician profiles in the aggregate by clinical specialties and nursing services;

(C) Discharge data, including but not limited to, completed discharge data sets or comparable information for each patient discharged from the facility after the effective date of this act; and

(D) Ambulatory care data including, but not limited to, provider-specific and encounter data.

(b) The data elements to be submitted by information providers for hospital inpatient discharges include, but are not limited to the data elements defined in the current version of the National Uniform Bill

(c) The data elements to be submitted by information providers for ambulatory surgery and emergency department patients include, but are not limited to the data elements defined in the current version of the National Uniform Bill and the CMS-1500

(d) Data file formats that will be accepted include:

(1) XML format as defined by the Division,

(2) Other formats agreed upon by OSDH and the data provider prior to submission.

(e) Formats containing the appropriate fields without adhering to the appropriate format shall be considered unreadable and will be returned to the provider.

Okla. Admin. Code § 310:9-3-1

Added at 16 Ok Reg 2451, eff 6-25-99; Amended at 18 Ok Reg 2472, eff 6-25-01; Amended at 18 Ok Reg 3589, eff 8-22-01 (emergency); Amended at 19 Ok Reg 376, eff 11-19-01 (emergency); Amended at 19 Ok Reg 2657, eff 7-11-02; Amended at 26 Ok Reg 2000, eff 6-25-09

Amended by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020