Fla. Admin. Code Ann. R. 59E-7.027 - Header Record

The first record in the data file shall be a header record containing the information described below.

(1) Report Year. Enter the year of the data in the format YYYY where YYYY represents the year in four (4) digits. A required field.

(2) Report Quarter. Enter the quarter of the data, 1, 2, 3 or 4, where 1 corresponds to the first quarter of the calendar year, 2 corresponds to the second quarter of the calendar year, 3 corresponds to the third quarter of the calendar year, and 4 corresponds to the fourth quarter of the calendar year. A required field.

(3) Data Type. Enter PD10-5 for Inpatient Data. A required field.

(4) Submission Type. Enter I or R where I indicates an initial submission of a data file or resubmission of a data file prior to certification, R indicates a replacement submission of previously certified inpatient data where resubmission has been requested or authorized by the Agency. A required field.

(5) Processing Date. Enter the date that the data file was created in the format YYYY-MM-DD where MM represents numbered months of the year from 01 to 12, DD represents numbered days of the month from 01 to 31, and YYYY represents the year in four (4) digits. A required field.

(6) AHCA Facility Number. Enter the identification number of the facility as assigned by the Agency for reporting purposes. A valid identification number must be between one (1) digit and eight (8) digits. A required field.

(7) Medicare Number. Enter the Medicare number of the facility as assigned by Centers for Medicare & Medicaid Services (CMS). A valid identification number must contain seven (7) numeric digits. A required field.

(8) Organization Name. Enter the name of the hospital from which the patient was discharged, and which is responsible for reporting the data. All questions regarding data accuracy and integrity will be referred to this entity. Up to a forty (40) character field. A required field.

Notes

Fla. Admin. Code Ann. R. 59E-7.027

Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS.

New 1-1-10, Formerly 59E-7.014, Amended by Florida Register Volume 41, Number 106, June 2, 2015 effective 10/1/2015, Amended by Florida Register Volume 43, Number 233, December 5, 2017 effective 1/1/2018, Amended by Florida Register Volume 49, Number 020, January 31, 2023 effective 2/16/2023.

New 1-1-10, Formerly 59E-7.014, Amended 10-1-15, 1-1-18, 2-16-23.