Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part VI - Health Care Cost Containment Council
Chapter 912 - DATA REPORTING REQUIREMENTS
Subchapter B - PENNSYLVANIA UNIFORM CLAIMS AND BILLING FORM SUBMISSION SCHEDULES
GENERAL PROVISIONS
Section 912.21 - Required data elements

Universal Citation: 28 PA Code ยง 912.21

Current through Register Vol. 54, No. 44, November 2, 2024

(a) A health care facility is required to submit the following data elements:

(1) Data elements specified in the act contained in Council Manual HC-87-101, Volume A. (See Appendix A.) A health care facility shall refer to Appendix A to determine specific data elements definitions and formats.

(2) Additional data elements, as defined in Appendix A:
(i) Unusual occurrences.
(A) Nosocomial infections.

(B) Readmissions.

(ii) Patient race.

(b) A hospital is required to submit the following additional data elements:

(1) Patient morbidity. A hospital shall refer to Council Manual HC-87-101, Volume A, Field 21b (See Appendix A) to determine formats.

(2) Patient severity. A hospital shall refer to Council Manual HC-87-101, Volume A, Field 21a (See Appendix A) to determine formats.

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