ARSD Article 44:66 — HOSPITAL CHARGE REPORTING

article-44-66ARSD Article 44:66Regulation

HEALTH HEALTH

Chapter 44:66:01

ARSD 44:66:01:01 Definitions, Repealed
    44:66:01:01.  Definitions. Repealed.

History

  • Source: 32 SDR 69, effective November 7, 2005; 34 SDR 88, effective September 10, 2007; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.

Chapter 44:66:02

ARSD 44:66:02:01 Entities required to report, Repealed
    44:66:02:01.  Entities required to report. Repealed.

History

  • Source: 32 SDR 69, effective November 7, 2005; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.
ARSD 44:66:02:02 Organization and structure

The South Dakota Association of Healthcare Organizations is responsible for the collection, analysis, and dissemination of data and information related to reporting required in § 44:66:02:03.

History

  • Source: 32 SDR 69, effective November 7, 2005; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.
  • General Authority: SDCL 34-12E-11.
  • Law Implemented: SDCL 34-12E-11.
ARSD 44:66:02:03 Required patient data to be reported

Each hospital required to report charge information pursuant to SDCL 34-12E-11 shall provide the following information from the UB-04 form:

(1) Record type;

(2) Hospital number;

(3) Patient control number;

(4) Date of birth;

(5) Sex;

(6) Admission date;

(7) Principal diagnosis;

(8) Admitting diagnosis;

(9) Principal procedure;

(10) Discharge date;

(11) Patient status; and

(12) Total charges.

For the purposes of this section, "UB-04 form" is a standardized form from the Centers for Medicare and Medicaid Services used to electronically submit claims for health care received in an institutional setting.

History

  • Source: 32 SDR 69, effective November 7, 2005; 34 SDR 88, effective September 10, 2007; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.
  • General Authority: SDCL 34-12E-11.
  • Law Implemented: SDCL 34-12E-11.
ARSD 44:66:02:03.01 Required financial data to be reported

Each hospital required to report pursuant to SDCL 34-12E-11 shall annually provide financial information including revenue by type, uncompensated care, and revenue by payor on a form provided by the South Dakota Association of Healthcare Organizations.

History

  • Source: 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.
  • General Authority: SDCL 34-12E-11.
  • Law Implemented: SDCL 34-12E-11.
ARSD 44:66:02:04 Timelines for reporting

Each hospital required to report charge information pursuant to SDCL 34-12-11 shall report the patient information described in § 44:66:02:03 to the South Dakota Association of Healthcare Organizations as follows:

(1) January first to June thirtieth data by October first of the same year; and

(2) July first through December thirty-first data by April first of the following year.

History

  • Source: 32 SDR 69, effective November 7, 2005; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 7, 2025.
  • General Authority: SDCL 34-12E-11.
  • Law Implemented: SDCL 34-12E-11.

Chapter 44:66:03

ARSD 44:66:03:01 Annual publication of data, Repealed
    44:66:03:01.  Annual publication of data. Repealed.

History

  • Source: 32 SDR 69, effective November 7, 2005; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.
ARSD 44:66:03:02 Data to be published, Repealed
    44:66:03:02.  Data to be published. Repealed.

History

  • Source: 32 SDR 69, effective November 7, 2005; 35 SDR 183, effective February 2, 2009; 52 SDR 41, effective October 27, 2025.

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