7 AAC 27.660 - Reporting of discharge data; noncompliance

(a) The department will request that a health care facility submit discharge data, including data for all discharges from inpatient services, emergency room services, and outpatient services. If a health care facility is subject to licensure under AS 47.32 and 7 AAC 12 or is a provider of Medicaid services that is subject to 7 AAC 105 - 7 AAC 160, the department will require that the health care facility submit the discharge data, and the health care facility shall provide the required discharge data in accordance with (b) of this section.

(b) If a health care facility is required under (a) of this section to submit discharge data, the health care facility shall submit the data in a format and with data elements described in the Official UB-04 Data Specifications Manual 2018, adopted by reference. The health care facility shall submit the data on a quarterly basis, and not later than 60 days after the end of each calendar quarter.

(c) If a health care facility is required under (a) of this section to submit discharge data, fails to submit the data as required under this section, and is

(1) subject to licensure under AS 47.32 and 7 AAC 12, the department may impose sanctions available under AS 47.32 and 7 AAC 10.9600 - 7 AAC 10.9620;

(2) a Medicaid provider under 7 AAC 105 - 7 AAC 160, the department may impose sanctions available under 7 AAC 105.400 - 7 AAC 105.490.

(d) In this section, "health care facility"

(1) means

(A) a private, municipal, state, or federal hospital;

(B) a hospital operated by an Alaska Native organization;

(C) a psychiatric hospital;

(D) an independent diagnostic testing facility within the meaning given in 7 AAC 07.900;

(E) a residential psychiatric treatment center;

(F) a skilled nursing facility;

(G) an intermediate care facility; or

(H) an ambulatory surgical facility;

(2) does not include

(A) a tuberculosis hospital;

(B) a kidney disease treatment center;

(C) an Alaska Pioneers' Home or Alaska Veterans' Home administered by the department under AS 47.55; or

(D) an office of a private physician or dentist in an individual or group practice.

Notes

7 AAC 27.660

Eff. 12/13/2014, Register 212, January 2015; am 5/13/2018,Register 226, July 2018

The Official UB-04 Data Specifications Manual 2018, adopted by reference in 7 AAC 27.660, may be reviewed at the Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records (formerly, the Bureau of Vital Statistics), 5441 Commercial Boulevard, Juneau, AK 99801.

Authority:AS 18.05.040

AS 18.15.355

AS 18.15.360