California Code of Regulations
Title 22 - Social Security
Division 7 - Health Planning and Facility Construction
Chapter 10 - Health Facility Data
Article 8 - Patient Data Reporting Requirements
Section 97247 - Approval Criteria

Universal Citation: 22 CA Code of Regs 97247

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The following requirements must be met for a report to be approved by the Department:

(1) Complete transmittal information must be submitted with each report.

(2) The facility identification number stated in the transmittal information must be consistent with the facility identification number on each of the records in the report.

(3) The report period stated in the transmittal information must be consistent with all of the records in the report.

(4) The number of records stated in the transmittal information must be consistent with the number of records contained in the report.

(5) All records required to be reported pursuant to 97213(a) must be reported.

(6) The data must be reported in compliance with the format specifications in Section 97215.

(7) For report periods beginning on or after January 1, 2015, all records must contain a valid Principal Diagnosis.

(8) The data must be at, or below, the Error Tolerance Level specified in Section 97248.

(9) The data must be consistent with the reporting facility's anticipated trends and comparisons, except as in (A) below:
(A) If data are correctly reported and yet fail to meet approval criteria due to inconsistency with the reporting facility's anticipated trends and comparisons, the reporting facility may submit to the Department, in writing, a detailed explanation of why the data are correct as reported. The Department may determine, upon review of a written explanation, that it will approve a report.

(10) Each report must contain only one type of record as specified in Subsections (1), (2), and (3) of Subsection (a) of Section 97213.

(b) The Department shall approve or reject each report within 15 days of receiving it. The report shall be considered not filed as of the date that the facility is notified that the report is rejected. Notification of approval or rejection of any report submitted online shall not take more than 15 days unless there is a documented HCAI report submission system failure.

1. Amendment of subsections (a)(5), (a)(8) and (a)(8)(A), new subsection (a)(9) and amendment of NOTE filed 5-5-2005; operative 5-5-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 18).
2. Change without regulatory effect amending subsection (a)(8) filed 12-28-2011 pursuant to section 100, title 1, California Code of Regulations (Register 2011, No. 52).
3. New subsection (a)(7) and subsection renumbering filed 9-4-2014; operative 10-1-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 36).
4. Change without regulatory effect amending subsection (b) filed 12-13-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 50).
5. Change without regulatory effect amending subsections (a), (a)(9)(A) and (b) filed 1-24-2023 pursuant to section 100, title 1, California Code of Regulations (Register 2023, No. 4).

Note: Authority cited: Sections 128810 and 128755, Health and Safety Code. Reference: Sections 128735, 128736 and 128737, Health and Safety Code.

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