N.M. Admin. Code § 7.1.4.10

Current through Register Vol. 35, No. 21, November 5, 2024

Section 7.1.4.10 - DATA REPORTING BY LICENSED NONFEDERAL GENERAL AND SPECIALTY INPATIENT HEALTH CARE FACILITIES

A.Schedule for reporting: Beginning with the first quarter of 2011 (January 1-March 31), all licensed nonfederal general and specialty inpatient health care facilities in New Mexico shall submit to the commission on a quarterly basis the data required by this rule, in accordance with the following schedule:

Reporting period	Report due to the commission	Commission returns integrity and validation errors	Final corrected report due to the commission
January 1 - March 31	June 30	July 31	August 30
April 1 - June 30	September 30	October 30	November 30
July 1 - September 30	December 31	January 30 of the following year	February 28 of the following year
October 1 - December 31	March 31 of the following year	April 30 of the following year	May 31 of the following year

B.Pursuant to the electronic reporting requirements in 7.1.4.11 NMAC, submit the data as a fixed-width ASCII text (flat) file. Follow the record layout specifications, provided by the commission, for field placement and lengths (field lengths are maximum values).

C.Data required to be reported: All licensed nonfederal general and specialty inpatient health care facilities in New Mexico shall report to the commission the following data elements, in the record layout provided by the commission:

(1) admission hour;

(2) attending physician NPI;

(3) birth weight;

(4) discharge hour;

(5) 1st E-code, left justified;

(6) 2nd E-code, left justified;

(7) 3rd E-code, left justified;

(8) medicare provider number, left justified;

(9) New Mexico state license number left justified;

(10) operating physician NPI;

(11) patient principal diagnosis code (ICD-9-CM) left justified;

(12) patient 2nd diagnosis code (ICD-9-CM) left justified;

(13) patient 3rd diagnosis code (ICD-9-CM) left justified;

(14) patient 4th diagnosis code (ICD-9-CM) left justified;

(15) patient 5th diagnosis code (ICD-9-CM) left justified;

(16) patient 6th diagnosis code (ICD-9-CM) left justified;

(17) patient 7th diagnosis code (ICD-9-CM) left justified;

(18) patient 8th diagnosis code (ICD-9-CM) left justified;

(19) patient 9th diagnosis code (ICD-9-CM) left justified;

(20) patient 10th diagnosis code (ICD-9-CM) left justified;

(21) patient 11th diagnosis code (ICD-9-CM) left justified;

(22) patient 12th diagnosis code (ICD-9-CM) left justified;

(23) patient 13th diagnosis code (ICD-9-CM) left justified;

(24) patient 14th diagnosis code (ICD-9-CM) left justified;

(25) patient 15th diagnosis code (ICD-9-CM) left justified;

(26) patient 16th diagnosis code (ICD-9-CM) left justified;

(27) patient 17th diagnosis code (ICD-9-CM) left justified;

(28) patient 18th diagnosis code (ICD-9-CM) left justified;

(29) patient principal diagnosis code, present on admission, left justified;

(30) patient 2nd diagnosis code, present on admission, left justified;

(31) patient 3rd diagnosis code, present on admission, left justified;

(32) patient 4th diagnosis code, present on admission, left justified;

(33) patient 5th diagnosis code, present on admission, left justified;

(34) patient 6th diagnosis code, present on admission, left justified;

(35) patient 7th diagnosis code, present on admission, left justified;

(36) patient 8th diagnosis code, present on admission, left justified;

(37) patient 9th diagnosis code, present on admission, left justified;

(38) patient 10th diagnosis code, present on admission, left justified;

(39) patient 11th diagnosis code, present on admission, left justified;

(40) patient 12th diagnosis code, present on admission, left justified;

(41) patient 13th diagnosis code, present on admission, left justified;

(42) patient 14th diagnosis code, present on admission, left justified;

(43) patient 15th diagnosis code, present on admission, left justified;

(44) patient 16th diagnosis code, present on admission, left justified;

(45) patient 17th diagnosis code, present on admission, left justified;

(46) patient 18th diagnosis code, present on admission, left justified;

(47) patient principal procedure code, left justified;

(48) patient 2nd procedure code, left justified;

(49) patient 3rd procedure code, left justified;

(50) patient 4th procedure code, left justified;

(51) patient 5th procedure code, left justified;

(52) patient 6th procedure code, left justified;

(53) procedure date for patient principal procedure code (mmddyyyy);

(54) procedure date for patient 2^nd procedure code (mmddyyyy);

(55) procedure date for patient 3^rd procedure code (mmddyyyy);

(56) procedure date for patient 4^th procedure code (mmddyyyy);

(57) procedure date for patient 5^th procedure code (mmddyyyy);

(58) procedure date for patient 6^th procedure code (mmddyyyy);

(59) patient admission date (mmddyyyy);

(60) patient street address, left justified;

(61) patient city, left justified;

(62) patient county, left justified;

(63) patient state, left justified;

(64) patient zip code, left justified;

(65) patient control number, left justified;

(66) patient date of birth (mmddyyyy);

(67) patient diagnosis related group (DRG) code;

(68) patient discharge date (mmddyyyy);

(69) patient EMS ambulance run number, left justified;

(70) patient race;

(71) patient ethnicity;

(72) patient tribal affiliation;

(73) patient first name, left justified;

(74) patient last name, left justified;

(75) patient middle initial;

(76) patient medicaid I.D. number;

(77) patient medical record number, left justified;

(78) patient social security number;

(79) patient status;

(80) primary payer category, right justified;

(81) primary payer identification name, left justified;

(82) primary payer type, right justified;

(83) provider zip code, left justified;

(84) secondary payer category, right justified;

(85) secondary payer identification name, left justified;

(86) secondary payer type;

(87) sex of patient;

(88) source of admission;

(89) total charges, right justified;

(90) traffic crash report number, left justified;

(91) type of admission.

D.Data reporting requirements for New Mexico human services department's medicaid system: The New Mexico human service department's medicaid system shall provide all data listed by cooperative agreement between the commission and the human services department, pursuant to the reporting schedule contained in Subsection A of 7.1.4.10 NMAC.

E.Data reporting requirements for the medicare (part A) fiscal intermediary: The medicare (part A) fiscal intermediary shall provide all data mutually agreed upon in accordance with law between the commission and the fiscal intermediary, pursuant to the reporting schedule contained in Subsection A of 7.1.4.10 NMAC.

F.Annual financial statements: All licensed nonfederal general and specialty inpatient health care facilities shall submit annual audited financial statements to the commission. If the owners of such facilities obtain one audit covering more than one facility, combined annual audited financial statements may be submitted in compliance with this section. Facilities reporting in combined annual audited financial statements must also submit annual unaudited, individual facility financial statements to the commission. These reports shall be submitted no later than the end of the calendar year following the statement year.

N.M. Admin. Code § 7.1.4.10

7.1.4.10 NMAC - Rp, 7.1.4.10 NMAC, 11/14/2008; A, 12/1/2010