Current through Register Vol. 24-18, September 15, 2024
(1) Hospitals shall collect and report the
following data set elements to the department:
(a) Patient control number: Patient's unique
alpha-numeric number assigned by the hospital to facilitate retrieval of
individual patient records;
(b)
Patient medical record number;
(c)
Type of bill;
(d) National Provider
Identifier (UB-04), or department assigned identifier, as applicable;
(e) Patient last name;
(f) Patient first name;
(g) Patient middle initial;
(h) Patient Social Security number (at least
the last four digits);
(i) Patient
address;
(j) Patient zip code
(U.S.A.);
(k) Patient country code
(outside U.S.A.) International Organization for Standardization (ISO)
3166-1;
(l) Patient's date of
birth;
(m) Sex assigned at
birth;
(n) Admission
date;
(o) Type of
admission;
(p) Admitting diagnosis
code;
(q) Patient's ICD code (1-3)
reason for visit;
(r) Point of
origin for admission;
(s) Patient
discharge status;
(t) Statement
covers period (from - through);
(u)
Revenue code;
(v) Units of
service;
(w) Total
charges;
(x) Payer identification
(up to three): Payer identification number per the CHARS procedure manual
identifying each payer group from which the hospital may expect some payment of
the bill;
(y) Principal diagnosis
code;
(z) Other diagnosis
codes;
(aa) External cause of
injury (ECI) code;
(bb) Principal
procedure code;
(cc) Other
procedure code;
(dd) Referring
provider's National Provider Identifier (NPI), as applicable;
(ee) Attending provider's National Provider
Identifier (NPI) according to Centers for Medicare and Medicaid Services (CMS)
schedule;
(ff) Operating
physician's National Provider Identifier (NPI) according to CMS schedule, as
applicable;
(gg) Other provider's
National Provider Identifier (NPI) according to CMS schedule, as
applicable;
(hh) Admission
hour;
(ii) Race - Until hospitals
are required to report race consistent with WAC
246-455-025, race shall be
reported per minimum office of management and budget (OMB) standards;
(jj) Ethnicity - Until hospitals are required
to report ethnicity consistent with WAC
246-455-025, ethnicity shall be
reported per minimum OMB standards;
(kk) Discharge hour;
(ll) Procedure date;
(mm) Present on admission status;
(nn) Health care provider taxonomy
code;
(oo) Health care common
procedure coding system (HCPCS);
(pp) Service date;
(qq) Facility federal tax number;
(rr) Insured last name, first name, middle
name, suffix;
(ss) Patient's
relationship to insured code;
(tt)
Insured ID.
(2) The
hospital shall report all patient discharge data required in this section
according to UB-04 specifications unless noted otherwise.
(3) If the department has a designee, the
hospital shall report all patient discharge data required in this section to
the designee. The designee will report the patient discharge data required in
this section submitted by the hospital to the department in the format
prescribed by the department.
Statutory Authority:
RCW
43.70.040 and
43.70.052. 07-09-091, §
246-455-020, filed 4/18/07, effective 5/23/07. Statutory Authority:
RCW
43.70.040 and [43.]70.170. 03-13-029, §
246-455-020, filed 6/10/03, effective 7/11/03. Statutory Authority:
RCW
43.70.040 and chapter 70.170 RCW. 94-12-090,
§ 246-455-020, filed 6/1/94, effective 7/2/94. Statutory Authority:
RCW
43.70.040. 91-02-049 (Order 121), recodified
as § 246-455-020, filed 12/27/90, effective 1/31/91. Statutory Authority:
Chapter 70.39 RCW. 87-08-037 (Order 87-02, Resolution No. 87-02), §
261-50-030, filed 3/30/87; 87-04-008 (Order 87-01, Resolution No. 87-01),
§ 261-50-030, filed 1/23/87. Statutory Authority: RCW 70.39.180. 86-14-081
(Order 86-03, Resolution No. 86-03), § 261-50-030, filed 7/1/86; 85-17-020
(Order 85-05, Resolution No. 85-05), § 261-50-030, filed 8/13/85.
Statutory Authority: Chapter 70.39 RCW. 84-20-067 (Order 84-06, Resolution No.
84-06), § 261-50-030, filed
10/1/84.
