Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 215. Rules and Regulations Governing Health Data Reporting
4/15/2024

12VAC5-215-70. Survey of rates.

Each health care institution shall file annually a survey of rates charged. For hospitals, the survey shall consist of up to 30 select charges, including semi-private and private room rates. The survey shall also consist of charges of the most frequently occurring diagnoses or procedures for inpatient and outpatient treatment. The charges shall be calculated by taking an average for one month of all patient bills where the requested CPT or ICD-9 code numbers are indicated as the principal diagnosis or procedure. For hospitals this information shall be received by the board no later than April 30 of each year.

The annual charge survey for nursing homes shall include up to 30 select charges, including semi-private and private room rates. The select charges shall reflect the rates in effect as of the first day of a sample month to be chosen by the board. For nursing homes this information shall be received by the board no later than March 31 of each year.

Statutory Authority

§§ 32.1-12 and 32.1-276.2 et seq. of the Code of Virginia.

Historical Notes

Derived from VR370-01-001 § 4.5, eff. February 25, 1987; amended, Virginia Register Volume 5, Issue 12, eff. April 12, 1989; Volume 6, Issue 15, eff. July 1, 1990; Volume 7, Issue 10, eff. April 1, 1990; Volume 8, Issue 1, eff. January 1, 1992; Volume 8, Issue 13, eff. January 1, 1992; Volume 8, Issue 17, eff. July 1, 1992; Volume 8, Issue 21, eff. September 1, 1992; Volume 8, Issue 26, eff. November 1, 1992; Volume 9, Issue 12, eff. April 7, 1993; Volume 10, Issue 15, eff. June 1, 1994; renumbered and amended, Virginia Register Volume 13, Issue 4, eff. December 11, 1996.

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