Laws New Mexico Healthcare Billing - Excel by yrn18055

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									State           Data Type Collected          State Mandate

Alabama         No data collection
                reported
Alaska          IP                           no
Arizona         IP, ED                       yes



Arkansas        IP                           yes
California      IP, AS, ED                   yes


Colorado        IP, AS                       no
Connecticut     IP                           yes
 Connecticut-   IP, AS, ED- Voluntary
                reporting to CHIME-
                helps to meet state
    CHIME       mandate
Delaware        IP                           yes



District of                                  yes
Columbia
Florida         IP, AS, ED                   yes




Georgia         IP, AS, ED                   yes
Hawaii          IP, AS, ED                   no
Idaho           No collection reported
Illinois        IP, AS, ED                   yes




Indiana         IP, AS, ED                   yes
Iowa            IP, AS, ED                   yes
Kansas          IP, AS                       yes
                ED                           no
Kentucky        IP, AS                       yes

Louisiana       IP                           yes




Maine           IP, AS, ED                   yes


                APD                          yes

Maryland        IP,ED                        yes




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                 APD                          yes




Massachusetts IP, AS, ED                      yes


                 APD                          yes

Michigan         IP, AS                       no

Minnesota        IP, AS, ED                   yes

                 APD                          yes

Mississippi      IP- mandated, do not         yes
                 collect
Missouri         IP, AS, ED                   yes




Montana          IP                           no
Nebraska         IP, AS, ED                   no
Neveda           IP                           yes

New Hampshire IP, AS, ED                      yes

                 APD                          yes

New Jersey       IP, AS, ED                   yes

New Mexico       IP                           yes


New York         IP, AS, ED                   yes


North Carolina   IP, AS                       yes

North Dakota     IP, AS, ED Has not           yes
                 collected since 2005

Ohio             IP, AS, ED                   no
Oklahoma         IP, AS                       yes

Oregon           IP, AS                       yes

Pennsylvania     IP, AS                       yes


Rhode Island     IP, ED                       yes


South Carolina IP, AS, ED                     yes



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South Dakota   IP, AS, ED                  no
Tennesse       IP, AS, ED                  yes

Texas          IP, AS                      yes




Utah           IP, AS, ED,                 yes
               APD




Vermont        IP, AS, ED,                 yes
               APD




Virgina        IP, AS                      yes

Washington     IP                          yes




West Vagina    IP                          yes

Wisconsin      IP, AS, ED                  yes


Wyoming        IP                          no

NOTES
IP- Inpatient Database
AS-Ambulatory Surgery Database
ED-Emergency Department Database
APD-All Payer Claims Database




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Legislation/Law/Statute




ARS 36-125.05



Act 670 of 1995
California Health and Safety Code-Division 107
Senate Bill 1973, Senate Bill 680 and Assembly Bill 3050
California Code of Regulations, Title 22, Division 7, Ch. 10-

Chapter 368z* Office of Health Care Access




Delaware Code/Title 16 Health & Safety Part II Regulatory
Delaware Code/Title 16 Health & Safety Part II Regulatory
Provisions Concerning Public Health, Chapter 20 Uniform
Health Data


Florida Statutes, Chapter 408.061 (11)




Georgia Code- Health –Title 31-7-280-285


20 ILCS 2215/4-1



Hospital Financial Disclosure Law
641 Iowa Administrative Code 177.1-8
Kansas Statutes Chapter 65-Article 68 01-6809

Kentucky Revised Statutes Chapter 216.2920-2929

Louisian Health Care Consumer right to know SB 287 2008




Title 22 Chapter 1683: Maine Health Data Organization




Annotated Code of Maryland-Title 19-Subtilte 2




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General Laws of Massachusetts Chapter 118G




Statute 62J.321 Data collection and processing procedures

Statute 62J.536 Uniforn electronic transactions and
implementation guide standards
Houes bill 1023

Missouri Revised Statutes
Chapter 192
Department of Health and Senior Services Section 192.667




Chapeter 205

NH RSA 126:25-30 (Health Care Data)



Health Care Reform act of 1992

Health Information Systems Act, Section 24-14A-1 et seq.

NMSA 1978
Authority- Article 28 of the Public Health Law- section 2816-
SPARCS

Article 11A, Chapter 131E, North Carolina General Statutes

Chapter 23-01.1 Health Care Data Committee

Chapter 33-03-23. Health Care Claims data

Oklahoma Health Care Information Systems Act, Title 63,
Section 1-117 et seq.
ORS 442.120

Health Care Cost Containment Act-July 17 2003


Regulations, inspections, and investigations – Certain
hospitals required to provide on-premises coverage by
physician – Uniform reports – Data systems.
Code of Laws of South Carolina 1976, section 44-6-170



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TCA 68-1-108

Chapter 108. Texas Health and Safety Code




Authority: Title 26, chapter 33a- Health Data Authority Act




VSA Title 18, Chapter 221 health care Administration ,
Sections 9410, 9453, 9454.




Authority : Title 30 General Assembly , Chapter 18 Joint
Commission on Health Care
RCW 70.170.010

Hospital discharge data, Financial reports, Data retrieval,
American Indian health data RCW 43.70.052
Chapter 16 Public Health 29 B WV Health Care Authority

Chapter 153 Wisconsin Statutes




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Legislation/Law/Statute Link




http://www.azleg.gov/ars/36/00125-05.htm



http://www.arkleg.state.ar.us/assembly/1995/R/Acts/670.pdf
http://www.oshpd.ca.gov/HID/MIRCal/Text_pdfs/LawsRegs/HealthDataLaw.pdf
http://www.oshpd.ca.gov/HID/MIRCal/Text_pdfs/LawsRegs/AmbERHSCodes.pdf
http://www.oshpd.ca.gov/HID/MIRCal/Text_pdfs/NewRegs/PDSRegulations.pdf

http://www.cga.ct.gov/2007/pub/Chap368z.htm#Sec19a-613.htm




http://delcode.delaware.gov/title16/c020/index.shtml#2009




http://www.flsenate.gov/statutes/index.cfm?App_mode=Display_Statute&Search_St
ring=&URL=Ch0408/SEC061.HTM&Title=-%3E2001-%3ECh0408-
%3ESection%20062


http://law.justia.com/georgia/codes/31/31-7.html


http://www.ilga.gov/legislation/legisnet92/hbgroups/hb/920HB4580LV.html



http://www.ai.org/legislative/ic/code/title16/ar21/ch6.html
http://www.legis.state.ia.us/ACO/IAChtml/641.htm#rule_641_177_1
http://kansasstatutes.lesterama.org/Chapter_65/Article_68/

http://www.lrc.ky.gov/KRS/216-00/CHAPTER.HTM

http://www.legis.state.la.us/billdata/streamdocument.asp?did=503697




http://www.mainelegislature.org/legis/statutes/22/title22ch1683sec0.html




http://www.dsd.state.md.us/comar/Annot_Code_Idx/H-GIndex.htm




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http://www.mass.gov/legis/laws/mgl/gl-118g-toc.htm




https://www.revisor.leg.state.mn.us/statutes/?id=62J.321#stat.62J.321

https://www.revisor.leg.state.mn.us/statutes/?topic=214133

http://billstatus.ls.state.ms.us/documents/2008/pdf/HB/1000-1099/HB1023PS.pdf

http://www.moga.mo.gov/statutes/C100-199/1920000667.HTM




http://www.leg.state.nv.us/Statutes/74th/Stats200706.html#Stats200706page661

http://www.gencourt.state.nh.us/rsa/html/NHTOC/NHTOC-X-126.htm

http://www.gencourt.state.nh.us/rsa/html/XXXVII/420-G/420-G-14.htm



http://www.hpc.state.nm.us/documents/Rules/Health%20Information%20System%2

0Act.pdf
http://public.leginfo.state.ny.us/menugetf.cgi?COMMONQUERY=LAWS


http://www.ncga.state.nc.us/EnactedLegislation/Statutes/PDF/ByArticle/Chapter_13
1E/Article_11A.pdf
http://www.legis.nd.gov/cencode/t23c011.pdf

http://www.legis.nd.gov/information/acdata/pdf/33-03-23.pdf

http://www.ok.gov/health/Data_and_Statistics/Center_For_Health_Statistics/Health
_Care_Information/Health_Care_Information_System_Act.html
http://www.oregon.gov/OHPPR/Statues.shtml#ORS_442_011_to_442_120

http://www.phc4.org/council/act14.pdf


http://law.justia.com/rhodeisland/codes/title23/23-17-10.html


http://www.scstatehouse.gov/code/t44c006.htm



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http://michie.lexisnexis.com/tennessee/lpext.dll?f=templates&fn=main-h.htm&cp=

http://tlo2.tlc.state.tx.us/statutes/hs.toc.htm




http://le.utah.gov/~code/TITLE26/26_33a.htm




http://www.leg.state.vt.us/statutes/sections.cfm?Title=18&Chapter=221




http://leg1.state.va.us/cgi-
bin/legp504.exe?000+cod+TOC30000000018000000000000
http://apps.leg.wa.gov/RCW/default.aspx?cite=70.170.010

http://apps.leg.wa.gov/RCW/default.aspx?cite=43.70.052

http://www.legis.state.wv.us/WVCODE/Code.cfm?chap=16&art=29B#29B

http://www.legis.state.wi.us/statutes/1991/91Stat0153.pdf




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Rule/Regulation/Code




Hospital Inpatient Discharge Reporting AAC 9-
11-4
Emergency Department Discharge
reportingAAC 9-11-5

CA codes-Health & Saftey code section




Administrative code 59E-7.011; Patient data

collection Inpatient
Administrative data code 59B-9.01 Patient
data collection AS and ED



Part 1010 Health Care Data Collection &
Submission Code
Part 1005 Collection, Disclosure &
Confidentiality of Health Sattistics




Administrative Regulation 902 KAR 19:020.
Data reporting by health care providers.
Louisiana Register, Vol. 24, No. 10, October
20, 1998
LAC 48: V, Subpart 53, Chapter 151pg-1933

Chapter 241Uniform Reporting System for
Hospital Inpatient Data Sets and Hospital
Outpatient Data Sets
Chapter 243:Uniform reporting system for
health care claims data sets
Submission of Discharge data set to the
commision COMAR 10.37.06



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Submission of Hospital outpatient data to the
commissionCOMAR 10.37.04
Medical Care Database and data collection
authority COMAR 10.25.06
114.1 .1 CMR 17.00 Requirements for the
submission of Hospital Case Mix and Charge
Data Administrative Bulletin 02-06
129 CMR 2.00: Uniform reporting system for
health care claims data sets




Rules of DOH 19 CSR 10-33.010




RSA 400-A:15 I; RSA 420-G:14

N.J.A.C. 8:31B-2- Hospital reporting of
uniform bill data
Rule: Title 7, Chapter 1, Part 1- Data reporting

requirements for health care facilities
Information policy and other reporting
requirements- Title 10 Section 400.18
Data requirements -Title 10 Section 755.10




Rule: Chapter 9 Health care information ,
subchapter one 310:9-7-3
AS Data reporting program OAR 409-022-
0005
Chapter 911 Data Submission & Collection


Regulations: Hospital Licensure - R23-17-

HOSP




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Chapter 1200-7-3 (Regs)

Title 25 Part 1 Chapter 421 Subchapter A
Collection and release of hospital discharge
data
Title 25 Part 1 Chapter 421 Subchapter D
Collection of Hospital Outpatient and
Ambulatory Surgical Center Data
R428-10 Health Data Authority Hospital
Inpatient Reporting Rule
Rule R428-11. Health Data Authority
Ambulatory Surgical Data Reporting Rule
Rule R426-7. Emergency Medical Services
Prehospital Data System Rules.


REGULATION H-2008-01
Vermont Healthcare Claims Uniform
Reporting and Evaluation System
(“VHCURES”)
Code of Virginia Title 32.1 chapter 7.2 Health
Care Data Reporting
Hospital patient discharge information
reporting WAC 246-455


Uniform Health Care Administration Act-
Chapter 33 Article 15B
Chapter DHS 120, Wisconsin Administrative

Code-Health Care Information




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Rule/Regulation/Code Link




http://www.azsos.gov/public_services/Title_09/9-11.htm#Article_4

http://www.azsos.gov/public_services/Title_09/9-11.htm#Article_5

http://www.healthyarkansas.com/rules_regs/hospital_discharge_data.pdf
http://www.oshpd.ca.gov/Boards/CHPDAC/TextPDFfiles/CHPDACH&SCode




https://www.flrules.org/gateway/RuleNo.asp?id=59E-7.022


https://www.flrules.org/gateway/RuleNo.asp?id=59B-9.010




http://www.ilga.gov/commission/jcar/admincode/077/07701010sections.html

http://www.ilga.gov/commission/jcar/admincode/077/07701005sections.html




http://www.lrc.ky.gov/kar/902/019/020.htm

http://www.doa.louisiana.gov/osr/reg/9810/9810rul.pdf




http://mhdo.maine.gov/imhdo/rules.aspx


http://mhdo.maine.gov/imhdo/_pdf/Chapter%20243_12-6-2008.pdf

http://www.dsd.state.md.us/comar/subtitle_chapters/10_Chapters.htm#Subti
tle37



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http://www.dsd.state.md.us/comar/subtitle_chapters/10_Chapters.htm#Subti
tle37
http://www.dsd.state.md.us/comar/idq_files/search.idq

http://www.mass.gov/Eeohhs2/docs/dhcfp/g/regs/114_1_17.pdf


http://www.mass.gov/Ihqcc/docs/regs/129cmr200_uniform_data_adopted.pd
f




http://www.sos.mo.gov/adrules/csr/current/19csr/19c10-33.pdf




http://www.leg.state.nv.us/Statutes/74th/Stats200706.html#Stats200706pag
e661


http://gencourt.state.nh.us/rules/ins4000.html

http://www.michie.com/newjersey/lpext.dll?f=templates&fn=main-h.htm&cp

http://www.hpc.state.nm.us/documents/Rules/Data%20Reporting%20Requir

ements%20for%20Health%20Care%20Facilities.pdf
http://w3.health.state.ny.us/dbspace/NYCRR10.nsf/0/8525652c00680c3e85
25652c00634a29?OpenDocument
http://www.health.state.ny.us/nysdoh/phforum/nycrr10.htm




http://www.ok.gov/health/documents/HCI_Rules.pdf

http://www.oregon.gov/OHPPR/adminrules.shtml#OAR_409_022_0005_to_
0080
http://www.pacode.com/secure/data/028/chapter911/028_0911.pdf


http://www.mhrh.state.ri.us/esh/pdf/DOH_3493.pdf




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http://www.state.tn.us/sos/rules/1200/1200-07/1200-07-03.pdf

http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&p

t=1&ch=421&sch=A&rl=Y
http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&p

t=1&ch=421&sch=D&rl=Y
http://www.rules.utah.gov/publicat/code/r428/r428-010.htm#T1

http://www.rules.utah.gov/publicat/code/r428/r428-011.htm

http://www.rules.utah.gov/publicat/code/r426/r426-007.htm



http://www.bishca.state.vt.us/HcaDiv/RegsBulls/hcaregs/REG_H-2008-


01.pdf
http://leg1.state.va.us/cgi-
bin/legp504.exe?000+cod+TOC32010000007000020000000
http://apps.leg.wa.gov/WAC/default.aspx?cite=246-455



http://www.legis.state.wv.us/WVCODE/ChapterEntire.cfm?chap=33&art=15
B
http://www.legis.state.wi.us/rsb/code/dhs/dhs120.pdf




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Other data collection/release information




Discharge data release information




CA have an internal policy on data release

http://www.oshpd.ca.gov/HID/MIRCal/LawsRegs.html




Public Records 59E-7-015




Release of data to the public




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MA Department of PH Confidentiality Policy


129 CMR 3.00:Diclosure of health care claims

Michigan Health and Hospital Association state uniform
billing committee


Implementation guide for the health care claims




NJ department of health and senior services statement
of policy on release of health data
http://nmlegis.gov/Sessions/09%20Regular/final/HB0293

.pdf




Access to data and fees for data research OAR 409-021-
005 to 0150




Principles and protocols for the release of health care
data

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Link




http://www.azdhs.gov/plan/crr/ddr/rel/info.htm




https://www.flrules.org/gateway/ruleno.asp?id=59E-7.015




http://mhdo.maine.gov/imhdo/_pdf/Chapter%20120%20proposed%

2008.pdf




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http://www.mass.gov/Eeohhs2/docs/dph/privacy/mdph_confidentiali

ty_policy.pdf
http://www.mass.gov/Ihqcc/docs/regs/129cmr300.pdf

http://www.mha.org/mha_app/public_site/about_us/cctf.jsp



http://www.health.state.mn.us/asa/mn835guide.pdf




http://nj.gov/health/cancer/documents/data_release_policy.pdf




http://www.oregon.gov/OHPPR/adminrules.shtml#OAR_409_021_0
05_to_0150




http://www2.umdnj.edu/ishppweb/proto16.htm



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