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Section: 192.0665 Definitions. Rsmo 192.665


Published: 2015

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Missouri Revised Statutes













Chapter 192

Department of Health and Senior Services

←192.657

Section 192.665.1

192.667→

August 28, 2015

Definitions.

192.665. As used in this section, section 192.667, and sections 197.150

to 197.165, the following terms mean:



(1) "Charge data", information submitted by health care providers on

current charges for leading procedures and diagnoses;



(2) "Charges by payer", information submitted by hospitals on amount

billed to Medicare, Medicaid, other government sources and all nongovernment

sources combined as one data element;



(3) "Department", the department of health and senior services;



(4) "Financial data", information submitted by hospitals drawn from

financial statements which includes the balance sheet, income statement,

charity care and bad debt and charges by payer, prepared in accordance with

generally accepted accounting principles;



(5) "Health care provider", hospitals as defined in section 197.020 and

ambulatory surgical centers as defined in section 197.200;



(6) "Nosocomial infection", as defined by the national Centers for

Disease Control and Prevention and applied to infections within hospitals,

ambulatory surgical centers, and other facilities;



(7) "Nosocomial infection incidence rate", a risk-adjusted measurement

of new cases of nosocomial infections by procedure or device within a

population over a given period of time, with such measurements defined by rule

of the department pursuant to subsection 3 of section 192.667 for use by all

hospitals, ambulatory surgical centers, and other facilities in complying

with the requirements of the Missouri nosocomial infection control act of

2004;



(8) "Other facility", a type of facility determined to be a source of

infections and designated by rule of the department pursuant to subsection 11

of section 192.667;



(9) "Patient abstract data", data submitted by hospitals which includes

but is not limited to date of birth, sex, race, zip code, county of

residence, admission date, discharge date, principal and other diagnoses,

including external causes, principal and other procedures, procedure dates,

total billed charges, disposition of the patient and expected source of

payment with sources categorized according to Medicare, Medicaid, other

government, workers' compensation, all commercial payors coded with a common

code, self-pay, no charge and other.



(L. 1992 H.B. 1574 § 5 merged with S.B. 721 § 1 merged with S.B. 796

§ 14, A.L. 2004 S.B. 1279)





1992



1992



192.665. As used in this section and section 192.667, the following

terms mean:



(1) "Charge data", information submitted by health care providers on

current charges for leading procedures and diagnoses;



(2) "Charges by payor", information submitted by hospitals on amount

billed to Medicare, Medicaid, other government sources and all nongovernment

sources combined as one data element;



(3) "Department", the department of health and senior services;



(4) "Financial data", information submitted by hospitals drawn from

financial statements which includes the balance sheet, income statement,

charity care and bad debt and charges by payor, prepared in accordance with

generally accepted accounting principles;



(5) "Health care provider", hospitals as defined in section 197.020,

RSMo, and ambulatory surgical centers as defined in section 197.200, RSMo;



(6) "Patient abstract data", data submitted by hospitals which includes

but is not limited to date of birth, sex, race, zip code, county of residence,

admission date, discharge date, principal and other diagnoses, including

external causes, principal and other procedures, procedure dates, total billed

charges, disposition of the patient and expected source of payment with

sources categorized according to Medicare, Medicaid, other government,

workers' compensation, all commercial payors coded with a common code,

self-pay, no charge and other.



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