W. Va. Code R. § 65-8-2

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 65-8-2 - Definitions

As used in the regulations, all terms have the same meaning as provided in the definition section (Code section two, article twenty-nine-b, chapter sixteen) of the statutes. Verbatim definitions, therefore, are not repeated here. Definitions set forth below amplify and clarify the statutory definitions or define terms not specifically set forth in the statute.

2.1. "Authority" means the Health Care Cost Review Authority established in Code section five, article twenty-nine-b, chapter sixteen.
2.2. "Base Period" means the twelve (12) months covering the period February 1, 1982 to January 31, 1983.
2.3. "Contractual Allowance to Third Party Payers" means the uncollectible difference between a hospital's charges posted for services and the rates paid by third party payers in accordance with contracts between the third party payers and the hospital.
2.4. "Control Period for a Hospital" means the period from February 1, 1983 to, and including, the month in which the Authority establishes the hospital's initial rate schedule which shall not be prior to March 1984.
2.5. "Gross Patient Revenue" means the total amount of charges posted by a hospital for services rendered to patients in a given period of time (e.g., month or year).
2.6. "Gross Patient Revenue as most Recently Reported" means the gross patient revenue reported under Code section four, article five-f, chapter sixteen for the base period.
2.7. "Interested Persons" means persons on the Authority's general mailing list and persons who have requested to be notified of the review of a specific application.
2.8. "Net Patient Revenue" means the total amount of revenue actually received by a hospital in a given period of time (e.g., month or year) for services rendered to patients.
2.9. "Proportion of Medicare, Medicaid or Charity Care Patients" means the ratio of a hospital's uncollectible accounts, charity and contractual allowances to its gross patient revenue for a fiscal year as reported in its audited financial statement.

W. Va. Code R. § 65-8-2