Ariz. Admin. Code § 9-11-201

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-11-201 - Definitions

In this Article, unless otherwise specified:

1. "Accredited" means the same as in A.R.S. § 36-422.

2. "ALTCS" means the Arizona Long-term Care System established under A.R.S. § 36-2932.

3. "Asset" means the same as "asset" in generally accepted accounting principles.

4. "Audit" means the same as "audit" in generally accepted accounting principles.

5. "Bereavement services" means activities provided by or on behalf of a hospice to the family or friends of an individual that are intended to comfort the family or friends before and after the individual's death.

6. "Building improvement" means an addition to or reconstruction, removal, or replacement of any portion or component of an existing building that affects licensed capacity, increases the useful life of an available bed, or enhances resident safety.

7. "Caseload" means the number of assigned patients for which an individual working for a hospice is to provide hospice services.

8. "Certified nursing assistant" means the same as "nursing assistant" in A.R.S. § 32-1601.

9. "Chaplain" means an individual trained to offer support, prayer, and spiritual guidance to a patient and the patient's family.

10. "Continuous care" means hospice services provided in a patient's residence to a patient who requires nursing services to be available 24 hours a day.

11. "Contracted worker" means an individual who:

a. Performs:

i. Hospital services in a hospital,

ii. Nursing services or health-related services in a nursing care institution,

iii. Hospice services for a hospice, or

iv. Labor as a medical record coder or transcriptionist for a hospital; and

b. Is paid by a person with whom the hospital, nursing care institution, or hospice has a written agreement to provide hospital services, nursing services, health-related services, hospice services, or medical record coder or transcriptionist labor.

12. "Covered services" means hospice services that are provided to an individual by a hospice and are paid for by a payer source.

13. "Daily census" means a count of the number of patients to whom hospice services were provided during a 24-hour period.

14. "Direct care" means services provided to a resident that require hands-on contact with the resident.

15. "Direction" means the same as in A.R.S. § 36-401.

16. "Employee" means an individual other than a contracted worker who works for a health care institution for compensation and provides or assists in the provision of a service to patients or residents.

17. "Employee-related expenses" means costs incurred by an employer to pay for the employer's portion of Social Security taxes, Medicare taxes, and other costs such as health insurance.

18. "Equity" means the same as "equity" in generally accepted accounting principles.

19. "Expense" means the same as "expense" in generally accepted accounting principles.

20. "Free-standing" means that a health care institution does not operate as part of another health care institution.

21. "FTE" means full-time equivalent position, which is a job for which a health care institution expects to pay an individual for 2,080 hours per year.

22. "Generally accepted accounting principles" means the set of financial reporting standards administered by the Financial Accounting Standards Board, the Governmental Accounting Standards Board, or other specialized bodies dealing with accounting and auditing matters.

23. "Health professional" means the same as in A.R.S. § 32-3201.

24. "Hospice administrator" means the chief administrative officer for a hospice.

25. "Hospice chief financial officer" means an individual who is responsible for the financial records of a hospice.

26. "Hospice inpatient facility" means the same as in A.A.C. R9-10-101.

27. "Hospice services" means the activities described in A.A.C. R9-10-612.

28. "Hospice service agency" means the same as in A.R.S. § 36-401.

29. "Income" means the same as "income" in generally accepted accounting principles.

30. "Inpatient services" means sleeping accommodations and assistance, such as personal care and food preparation, provided to a patient at one of the following health care institutions:

a. A hospice inpatient facility licensed under 9 A.A.C. 10, Article 6;

b. A hospital licensed under 9 A.A.C. 10, Article 2; or

c. A nursing care institution licensed under 9 A.A.C. 10, Article 4.

31. "Level of care" means a designation that indicates the scope of medical services, nursing services, and health-related services that are provided to a patient or resident.

32. "Liability" means the same as "liability" in generally accepted accounting principles.

33. "Licensed nurse" means a registered nurse practitioner, registered nurse, or practical nurse.

34. "Licensee" means the same as in R9-10-101.

35. "Median length of stay" means the midpoint in the number of patient care days for all patients who were discharged from a hospice during a specific period of time.

36. "Medicaid" means a federal health insurance program, administered by states, for individuals who meet specific income criteria established, in Arizona, by AHCCCS.

37. "Medical record coder" means an individual who assigns codes to a patient's diagnoses and procedures for billing purposes.

38. "Medical record transcriptionist" means an individual who copies and edits dictation from medical practitioners into medical records.

39. "Medical records" mean the same as in A.R.S. § 12-2291.

40. "Medicare cost report" means the annual financial and statistical documents submitted to the United States Department of Health and Human Services as required by Title XVIII of the Social Security Act.

41. "Medicare-certified" means that a health care institution is authorized by the United States Department of Health and Human Services to bill Medicare for services provided to patients or residents who are eligible to receive Medicare.

42. "Midnight census" means a count of the number of patients or residents in a health care institution at 12:00 a.m.

43. "Net assets" means the same as "net assets" in generally accepted accounting principles.

44. "Non-covered ancillary services" means activities, such as rehabilitation services, laboratory tests, or x-rays, provided to an individual in a health care institution that are paid for by:

a. A payer source other than ALTCS, or

b. ALTCS to an entity that is not a health care institution.

45. "Nursery patient" means a newborn who was born in a hospital and not admitted to a type of bed that is counted toward the hospital's licensed capacity.

46. "Nursing personnel" means the individuals authorized by a health care institution to provide nursing services to a patient or resident.

47. "Occupancy rate" means the midnight census divided by the number of available beds, expressed as a percent.

48. "Operating expense" means the same as "operating expense" in generally accepted accounting principles.

49. "Outpatient hospice services" means hospice services provided at a location outside a hospice inpatient facility.

50. "Owner" means the same as in A.A.C. R9-10-101.

51. "Patient care day" means a calendar day during which a hospice provides hospice services to a patient.

52. "Patient day" means a period during which a patient received inpatient services with:

a. The time between the midnight census on two successive calendar days counting as one period, and

b. The day of discharge being counted only when the patient is admitted and discharged on the same day.

53. "Person" means the same as in A.R.S. § 41-1001.

54. "Practical nurse" means an individual licensed under A.R.S. Title 32, Chapter 15, Article 2, to practice practical nursing, as defined in A.R.S. § 32-1601.

55. "Registered nurse" means an individual licensed under A.R.S. Title 32, Chapter 15, Article 2, to practice professional nursing, as defined in A.R.S. § 32-1601.

56. "Rehabilitation services" means the same as in A.A.C. R9-10-101.

57. "Resident day" means a period during which a resident received nursing services or health-related services provided by a nursing care institution with:

a. The time between the midnight census on two successive calendar days counting as one period, and

b. The day of discharge being counted only when the resident is admitted and discharged on the same day.

58. "Respite care services" means the same as in A.R.S. § 36-401.

59. "Revenue" means the same as "revenue" in generally accepted accounting principles.

60. "Routine home care" means hospice services provided in a patient's residence to a patient who does not require nursing services to be available 24 hours a day.

61. "Rural" means the same as in A.R.S. § 36-2171.

62. "Self-pay" means that charges for hospice services are billed to an individual.

63. "Social worker" means an individual licensed according to A.R.S. §§ 32-3291, 32-3292, or 32-3293.

64. "Statement of cash flows" means the same as "statement of cash flows" in generally accepted accounting principles.

65. "Surgery" means the excision of a part of a patient's body or the incision into a patient's body for the correction of a deformity or defect; repair of an injury; or diagnosis, amelioration, or cure of disease.

66. "Turnover rate" means:

a. For a hospital, a percent calculated by dividing the number of individuals employed by the hospital who resign or retire from or are dismissed by the hospital during a reporting period by the average number of individuals employed during the reporting period; or

b. For a nursing care institution, a percent calculated by dividing the number of employees who resign or retire from or are dismissed by a nursing care institution during a reporting period by the average number of employees during the reporting period.

67. "Uniform accounting report" means a document that meets the requirements of A.R.S. § 36-125.04 and contains the information required in R9-11-203 for hospitals, R9-11-204 for nursing care institutions, and R9-11-205 for hospices.

68. "Unscheduled medical services" means the same as in A.R.S. § 36-401.

69. "Urban" means an area not defined as "rural."

70. "Urgent care unit" means a facility under a hospital's license that is:

a. Located within one-half mile of the hospital, and

b. Designated by the hospital for the provision of unscheduled medical services for medical conditions that are of a less critical nature than emergency medical conditions.

71. "Vacancy rate" means a percent calculated by dividing the number of unfilled FTEs at the end of a hospital's reporting period by the sum of the unfilled FTEs and filled FTEs at the end of the hospital's reporting period.

72. "Volunteer" means the same as in A.A.C. R9-10-101.

Ariz. Admin. Code § R9-11-201

Section repealed, new Section adopted effective June 25, 1993, through an exemption from A.R.S. Title 41, Chapter 6 pursuant to Laws 1992, Ch. 197, § 2; received in the Office of the Secretary of State June 10, 1993 (Supp. 93-2). Former R9-11-201 recodified to R9-11-202; new R9-11-201 recodified from R9-11-102at 10 A.A.R. 3835, effective August 24, 2004 (Supp. 04-3). Section repealed; new Section made by final rulemaking at 13 A.A.R. 3648, effective December 1, 2007 (Supp. 07-4). Amended by final rulemaking at 28 A.A.R. 1481, effective 11/7/2022.