Rules & Regulations of the State of Tennessee
Title 0780 - Commerce and Insurance
Subtitle 0780-01 - Insurance Division
Chapter 0780-01-44 - Relating to Reporting Hospital Charges for Patients
Section 0780-01-44-.04 - APPLICABILITY

Current through September 24, 2024

(A) Insurers and administrators shall print and make available charge data information annually. The report shall contain the previous calendar year's data and nothing is to preclude an insurer or administrator from printing this information more frequently. The report should be printed and made available by March 1, of each year.

(B) The report shall include all in-patient and non-governmental hospital claims, utilizing the first three digits of the International Classification of Diseases coding system (ICD), which represent the twenty-five most frequent diagnoses as determined by the Commissioner. The report will be run by diagnosis with a frequency of ten or more within each hospital. The format will show the name and address of the hospital, nomenclature for the twenty-five most frequent diagnosis, the number of cases for each diagnosis, and the reported hospital average charge for each diagnosis.

(C) An insurer or administrator may charge a fee for the report. Such fee shall not exceed the cost of producing the report.

Authority: Chapter 876, Public Acts of 1980.

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