Code of Maine Rules
90 - INDEPENDENT AGENCIES
590 - MAINE HEALTH DATA ORGANIZATION
Chapter 241 - UNIFORM REPORTING SYSTEM FOR HOSPITAL INPATIENT DATA SETS AND HOSPITAL OUTPATIENT DATA SETS
Section 590-241-4 - Standards for Data; Notification; Response
Universal Citation: 90 ME Code Rules ยง 590-241-4
Current through 2024-38, September 18, 2024
A. Standards. The MHDO shall evaluate each inpatient file and each outpatient file submission in accordance with the following standards:
(1) The code
for each data element identified in Appendices B-1 and C-1 shall be included
within eligible values for the field;
(2) Coding values indicating "data not
available" "data unknown" or the equivalent shall not be used for individual
data elements unless specified as an eligible value for the field;
(3) Outpatient data sets shall have Current
Procedural Terminology (CPT) Codes and Health Care Common Procedural Coding
System (HCPCS) codes reported for specific revenue centers. The list of revenue
centers requiring CPT and HCPCS codes shall be provided via the MHDO's
designee; and
(4) CPT and HCPCS
codes shall be assigned to the correct revenue centers.
B. Notification. Upon completion of the evaluation, the MHDO or its designee shall promptly notify each hospital whose data sets do not satisfy the standards for any filing period. This notification shall identify the specific file and the data fields and elements that do not satisfy the standards.
C. Response. Each hospital notified under Subsection B shall respond within 32 days of the notification by making the required changes and resubmitting, if necessary, to satisfy the standards.
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