UB04 BILLING COMPLIANCE
Submission Data Dictionaries
Hospital Submission Data Dictionary
Ambulatory Surgical Center (ASC) Submission Data Dictionary
Data Submission Sample Files
Ambulatory Surgical Center (ASC) Data Sample File
NEVADA HEALTHCARE QUARTERLY REPORT (NHQR) COMPLIANCE
Health Care Provider Reporting Manual
Nevada Health Care Quarterly Report (NHQR) Manual
Health Care Provider Field Definitions
Hospital Financial Field Definitions
Hospital Utilization Field Definitions
Hospice Facility Field Definitions
Intermediate Care Facility (ICF) Field Definitions
Skilled Nursing Facility (SNF) Field Definitions
CONTACT US
To request limited data sets, please contact data@dhhs.nv.gov.
For questions regarding HIPAA, please contact the Nevada HIPAA State Officer, Megan Sloan at msloan@dhcfp.nv.gov.
REGULATIONS
According to Nevada regulations NRS 449.450 to 449.530, all hospitals and ambulatory surgical centers (ASC) licensed to operate in the State of Nevada, are required to submit their patient billing discharge (UB-04) data to the Department of Health and Human Services, Division of Healthcare Financing and Policy (DHCFP).
Statutory regulations also require all hospitals within the State of Nevada to submit quarterly financial and utilization reports to the DHCFP. ASCs, skilled nursing facilities (SNFs), intermediate care facilities (ICFs), and hospices are required to submit quarterly utilization reports.
DHCFP has contracted the services of Comagine Health in the collection, and analysis of patient billings claims data and financial and utilization data from Nevada hospitals, ASCs, SNFs, and ICFs pursuant to NRS 449.485 and NAC 449.951-449.969, Final Revision of 449.485, R151-8. DHCFP and Comagine Health are public agencies within the meaning of NRS 277.100. NRS 277.180 authorizes any one or more public agencies to contract with any one or more other public agencies to perform any governmental service, activity or undertaking which any of the public agencies entering the contract is authorized by law to perform.
Comagine Health will maintain and safeguard all information received, developed, or reported in compliance with state and federal laws and HIPAA regulations.
Find a full description of Nevada regulations at the State of Nevada’s Register of Administrative Regulations.