S.D. Admin. R. 44:66:02:03

Current through Register Vol. 51, page 54, October 28, 2024

Section 44:66:02:03 - Required patient data to be reported

Each hospital required to report pursuant to § 44:66:02:01 shall provide the following information from the UB-04 form:

(1) Record type;

(2) Hospital number;

(3) Patient control number;

(4) Date of birth;

(5) Sex;

(6) Admission date;

(7) Principal diagnosis;

(8) Admitting diagnosis;

(9) Principal procedure;

(10) Discharge date;

(11) Patient status; and

(12) Total charges.

All other fields on the UB-04 form shall be submitted as entered on the form or submitted with filler data as specified by the SDAHO.

S.D. Admin. R. 44:66:02:03

32 SDR 69, effective 11/7/2005; 34 SDR 88, effective 9/10/2007; 35 SDR 183, effective 2/2/2009.

General Authority: SDCL 34-12E-11.

Law Implemented: SDCL 34-12E-11(1).