Current through Register No. 45, November 7, 2024
Section Ins 4202.09 - Submission ComplianceWith each submission, healthcare data sets shall comply with the following reporting requirements:
(a) The applicable code for each data element shall be within the eligible values of the element;(b) Coding values indicating "data not available", "data unknown", or the equivalent shall not be used for individual data elements unless specified as an eligible value for the element.(c) Patient sex, diagnosis and procedure codes, date of birth, and all other data fields shall be consistent within an individual record;(d) No duplicate records shall be submitted; and(e) The volume of records submitted by type of bill shall be within 10 percent of the immediately proceeding submission, and if not, healthcare facilities shall provide information to the department explaining the change in volume.N.H. Admin. Code § Ins 4202.09