Ariz. Admin. Code § R9-11-301 - Definitions
In this Article, unless otherwise specified:
1. "Adolescent" means an individual the
hospital designates as an adolescent based on the hospital's
criteria.
2. "Adult" means the same
as in A.A.C.
R9-10-201.
3. "Behavioral health service" means the same
as in A.R.S. §
36-401.
4. "Blood bank cross match" means a
laboratory analysis, performed by a facility that stores and preserves donated
blood, to test the compatibility of a quantity of blood donated by one
individual with another individual who is the intended recipient of the
blood.
5. "Complete blood count
with differential" means enumerating the number of red blood cells, platelets,
and white blood cells in a sample of an individual's blood, and including in
the enumeration of white blood cells the number of each type of white blood
cell.
6. "Contrast medium" means a
substance opaque to x-rays, radio waves, or electromagnetic radiation that
enhances an image of internal body structures.
7. "CT" means Computed Tomography, a
diagnostic procedure in which x-ray measurements from many angles are used to
provide images of internal body structures.
8. "Current rates and charges information"
means the most recent rates and charges schedule for a health care institution
on file with the Department, and all documents changing the most recent rates
and charges schedule.
9. "Drug"
means the same as in A.R.S. §
32-1901.
10. "EEG" means electroencephalogram, a
diagnostic procedure used to measure the electrical activity of the
brain.
11. "EKG" means
electrocardiogram, a diagnostic procedure used to measure the electrical
activity of the heart.
12.
"Facility" means a building and associated personnel and equipment that perform
a particular service or activity.
13. "Formulary" means a list of drugs that
are available to a patient through a hospital.
14. "Home health agency" means the same as in
A.R.S. §
36-151.
15. "Home health agency administrator" means
the chief administrative officer for a home health agency.
16. "Hospital department" means a subdivision
of a hospital providing administrative oversight for one or more charge
sources.
17. "Implementation date"
means the month, day, and year a health care institution intends to begin using
specific rates and charges when billing a patient or resident.
18. "Intensive care bed" means an available
bed used to provide intensive care services, as defined in A.A.C.
R9-10-201, to a patient.
19. "IVP" means intravenous pyelography, a
diagnostic procedure that uses an injection of a contrast medium into a vein
and x-rays to provide images of the kidneys, ureters, bladder, and
urethra.
20. "Labor and delivery"
means services provided to a woman related to childbirth.
21. "Lithotripsy" means a procedure that uses
sound waves to break up hardened deposits of mineral salts inside the human
body.
22. "Mark-up" means the
difference between the dollar amount a hospital pays for a drug, commodity, or
service and the charge billed to a patient.
23. "MRI" means Magnetic Resonance Imaging, a
diagnostic procedure that uses a magnetic field and radio waves to provide
images of internal body structures.
24. "Neonate" means the same as in A.A.C.
R9-10-201.
25. "Nursery bed" means an available bed used
to provide hospital services to a neonate.
26. "Outpatient treatment center" means the
same as in A.A.C.
R9-10-101.
27. "Outpatient treatment center
administrator" means the chief administrative officer for an outpatient
treatment center.
28. "Overview
form" means a document:
a. Submitted by a
hospital to the Department as part of a rates and charges schedule or a change
to the hospital's current rates and charges information, and
b. That contains the information required in
R9-11-302(B)(2)
for the hospital.
29.
"Pediatric" means the same as in A.A.C.
R9-10-201.
30. "Pediatric bed" means an available bed
used to provide hospital services to a pediatric patient.
31. "Physical therapy" means the same as in
A.R.S. §
32-2001.
32. "Post-hospital extended care services"
means the services that are described in and meet the requirements of
42 CFR
409.31.
33. "Private room" means a room that contains
one available bed.
34. "Rate" means
a specific dollar amount per unit of service set by a health care
institution.
35. "Rates and charges
schedule" means a document that meets the requirements of A.R.S. Title 36,
Chapter 4, Article 3 and contains the information required in
R9-11-302(B) for
hospitals, R9-11-303(A)(2)
for nursing care institutions,
R9-11-304(A)(2)
for home health agencies, or
R9-11-305(A)(2)
for outpatient treatment centers.
36. "Rehabilitation bed" means a type of bed
used to provide services to a patient to restore or to optimize the patient's
functional capability.
37. "Review"
means an analysis of a document to ensure that the document is in compliance
with the requirements of this Article.
38. "Semi-private room" means a room that
contains two available beds.
39.
"Skilled nursing bed" means an available bed used for a patient requiring
skilled nursing services.
40.
"Skilled nursing services" means nursing services provided by an individual
licensed under A.R.S. Title 32, Chapter 15.
41. "Small volume nebulizer" means a device
that:
a. Holds liquid medicine that is turned
into a mist by an air compressor, and
b. Is used for treatments lasting less than
20 minutes.
42. "Swing
bed" means an available bed for which a hospital has been granted an approval
from the Centers for Medicare and Medicaid Services to provide post-hospital
extended care services and be reimbursed as a swing-bed hospital.
43. "Swing-bed hospital" means the same as in
42
CFR 413.114.
44. "Trauma team activation" means a
notification by a health care institution:
a.
That alerts individuals designated by the health care institution to respond to
a particular type of emergency;
b.
That is based on a patient's triage information; and
c. For which the health care institution uses
Revenue Category 068X of the National Uniform Billing Committee, UB-04 Data
Specifications Manual to bill charges.
45. "Ultrasound" means a diagnostic procedure
that uses high-frequency sound waves to provide images of internal body
structures.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.