§ 915.52. Fees charged for Council data and special reports.
(a) The Council will charge requesters an amount sufficient to cover the costs associated with providing access to Council data, including computer-to-computer access, including, but not limited to, computer time, cost of materials and staff time. Subsequent requests for the same information will require a fee sufficient to cover only the costs of duplicating the original access. Fee quotes will be provided to requesters in advance of the special request being processed. Special requests will be completed only upon an agreement by the requester to pay the quoted fee.
(b) The Council will charge requesters an amount sufficient to cover preparation and provision of special reports, including, but not limited to, computer time, staff time, cost of materials, and the like. Subsequent requests for the same information will pay a fee only to cover the provision of the report. The Council may waive the fee if the Council determines that the special report is of great public interest. The Council will not charge a fee for reports to be provided under the act.
APPENDIX A
NONDISCLOSABLE DATA
Field Number Data Element Name FRM PRM 1 3 Uniform Patient I. D. 2 4 Patient Birthdate (MDY of MY) 4 — Patient Zip Code (6 through 9 digits) 5 6 Date of Admission (MDY) 6 7 Date of Discharge (MDY) 8a, b 8 Principle Procedure Date 9a1-9c2 — Secondary Procedure Date 23 17 Patient Control Number 29a-c 20 Certificate/Social Security Number/Health Insurance Claim/I. D. Number FRM—Facility Reporting Manual
PRM—Payor Reporting Manual
Cross References This appendix cited in 28 Pa. Code § 915.3 (relating to definitions); 28 Pa. Code § 915.21 (relating to classes of data collected by the Council); and 28 Pa. Code § 915.22 (relating to release of nondisclosable data).
APPENDIX B
PROTECTED DATA
Field Number Data Element Name FRM PRM (2*) (4*) Year of Birth/Age 3 5 Patient Sex 4 — Patient Zip Code (first 5 digits) 14e 1-4 — Estimated Responsibility 14f 1-4 — Prior Payments—Payor and Patient 14g 1-4 — Estimated Amount Due 19 16 Payor Group Number 21e 21 Reserve Field 28a-c 19 Patients’ Relationship to Insured 32 — Employer Name 35 — Patient Race — 14 Primary Payor Payments — 15 Other Payments * * Proxy Patient Identifier * constructed data element using submitted data elements
FRM—Facility Reporting Manual
PRM—Payor Reporting Manual
Cross References This appendix cited in 28 Pa. Code § 915.3 (relating to definitions); 28 Pa. Code § 915.21 (relating to classes of data collected by the Council); and 28 Pa. Code § 915.23 (relating to release of protected data).
APPENDIX C
NONPROTECTED DATA
Field Number Data Element Name FRM PRM (5/6*) — Length of Stay (5/6*) — Day of Week, Admit (5/6*) — Day of Week, Dchg. 7a — Principal Diagnosis Code 7b-e — Secondary Diagnosis Codes (8*) — Day of Week of Procedure (8*) — Pre-operative LOS 8a, b 8 Principal Procedure Code 9a1-9c2 — Secondary Procedure Code 10 9 Uniform Identifier for Health Care Facility 11 10 Attending Physician ID 12 10 Operating Physician ID 13a1-13w1 — Revenue Description 13a2-13w2 — Revenue Code 13a3-13w3 12 Units of Service 13a4-13w4 13 Total Charges (by Revenue Code Category) 13a5-13w5 — Noncovered Charges (by Revenue Category) 14b1-3 — Payor Identification 14c1-3 — Deductible Amount 14d1-3 — Co-Insurance Amount 17 — Uniform Identifier of Primary Payor 18 — Zip code of Facility 20 — Patient Discharge Status 21a — Patient Severity upon Admission 21b — Patient Morbidity 21c — Unusual Occurrence— Nosocomial Infections 21d — Unusual Occurrence— Readmission 22 — Type of Bill 24 — Diagnosis Related Group 25 18 Procedure Coding Method Used 26 — Type of Admission 27 — Source of Admission 30 — Principal and other Diagnoses Descriptions 31 — Principal and other Procedure Descriptions 33a, b — Employment Information 34a, b — Employment Status Code — 2 Place of Service — 11 Type of Professional Service * constructed data element using submitted data elements
FRM—Facility Reporting Manual
PRM—Payor Reporting Manual
Cross References This appendix cited in 28 Pa. Code § 915.3 (relating to definitions); 28 Pa. Code § 915.21 (relating to classes of data collected by the Council); and 28 Pa. Code § 915.24 (relating to release of nonprotected data).
No part of the information on this site may be reproduced for profit or sold for profit.
This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.
