Tenn. Comp. R. & Regs. 1200-07-03-.02

Current through December 26, 2024

Section 1200-07-03-.02 - REQUIRED DATA ELEMENTS

(1) The Department will prepare the Hospital Discharge Data System (HDDS) Procedure Manual that will list the variables to be reported, their descriptions and reporting format, and other information associated with data submission. The Department shall make future changes in the Procedure Manual when the Commissioner deems changes to be necessary. Reporting entities will be notified by the Department of all revisions. These revisions become effective one hundred and eighty (180) days following the date of notification. At that time, failure to meet the amended requirements are subject to the penalties as prescribed by T.C.A. §68-l-108.

(2) The minimum data set for each reported discharge will include the following data elements:

(a) Patient Control Number

(b) Type of Bill

(c) Federal Tax Number

(d) Statement Covers Period

(e) Patient's Address: City, State and Zip Code

(f) Patient's Date of Birth

(g) Patient's Sex

(h) Admission Date

(i) Admission Type

(j) Source of Admission

(k) Patient's Status

(l) Medical/Health Record Number

(m) Revenue Codes

(n) Date(s) of Service

(o) Unit(s) of Service

(p) Charges Associated with Revenue Codes

(q) Payer Identification

(r) Provider Number

(s) Patient's Relationship to Insured

(t) Certificate Number/ID Number/SSN

(u) Insurance Group Number

(v) Employment Status Code

(w) Insured's Employer Name

(x) Insured's Employer Location: Zip Code

(y) Principal Diagnosis Codes

(z) Other Diagnosis Codes

(aa) E Code

(bb) Principal Procedure Code and Date

(cc) Other Procedure Codes and Dates

(dd) Attending Physician ID Number

(ee) Other Physician ID Numbers

(ff) Patient's Social Security Number

(gg) Patient's Race/Ethnicity

(3) All inpatient discharges are required to be reported.

(4) All outpatient and emergency room discharges are required to be reported.

(5) All data elements reported by the hospital should be the actual values used by the hospital. None should be encrypted or otherwise altered.

(6) All hospitals which are required to report data by T.C.A. § 68-1-108 shall designate one staff member to be responsible for reporting the claims data. The Department shall be notified by the hospital, on a form supplied by the Department, with the name, title, work address, and work telephone number of the designated staff member.

(7) All hospitals which are required to report data by T.C.A. § 68-1-108 shall notify Health Statistics and Information on a form supplied by HSI of the name, title, work address, and work telephone number of the designated staff member.

Tenn. Comp. R. & Regs. 1200-07-03-.02

Original rule filed July 30, 1987; effective September 13, 1987. Amendment filed May 7, 1997; effective July 21, 1997. Amendment filed June 14, 2006; effective August 28, 2006.

Authority: T.C.A. §§ 4-5-202, 4-5-204, and 68-1-108.