New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 27 - HEALTH INFORMATION SYSTEM REPORTING REQUIREMENTS FOR HEALTHCARE FACILITIES AND ACCESS TO DATA AND REPORTS › Section 7.1.27.9 - DATA REPORTING BY LICENSED NON-FEDERAL GENERAL AND SPECIALTY INPATIENT HEALTH CARE FACILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Schedule for reporting:
Beginning with the first quarter of 2013
				(January 1-March 31), all licensed non-federal general and specialty inpatient
				health care facilities in New Mexico shall submit the reporting period
				discharges to the division on a quarterly basis the data required by this rule,
				in accordance with the following schedule:
Reporting period
Report due to the
d
ivision (95%
							 discharges)
Division returns integrity and validation
							 errors
Final corrected report due to the
d
ivision (100% discharges)
January 1-March 31
May 31
June 15
June 30
April 1-June 30
August 30
September 15
September 30
July 1-September 30
November 30
December 15
December 31
October 1-December 31
February 28 of the following year
March 15 of the following year
March 31 of the following year
B.
Pursuant to the electronic reporting requirements in 7.1.27.10 NMAC,
				submit the data as a fixed-width ASCII text (flat) file. Follow the record
				layout specifications, provided by the
d
ivision, for field
				placement and lengths (field lengths are maximum values and shall contain blank
				spaces as fillers for values less than the maximum length).
C.
Data required to be reported:
All licensed non-federal general and specialty inpatient health care facilities
				in New Mexico shall report to the division the following data elements, in the
				record layout provided by the division. Required data items:
(1) New Mexico state license number, left
				justified;
(2) medicare provider
				number, left justified;
(3)
				provider zip code (five or nine digits), left justified;
(4) admission hour (military time);
(5) patient's admission date
				(mmddyyyy);
(6) point of origin (1
				to 9, a, d, e, and f);
(7) type of
				admission (1 to 4, 9);
(8)
				patient's ems ambulance run number, left justified;
(9) traffic crash report number, left
				justified;
(10) accident state
				(two-digit code), left justified;
(11) patient's medical record number, left
				justified;
(12) patient's medicaid
				id number;
(13) patient's control
				number, left justified;
(14) birth
				weight (grams);
(15) attending
				physician NPI (assigned by medicare);
(16) operating physician NPI (assigned by
				medicare);
(17) discharge hour
				(military time);
(18) patient's
				discharge date (mmddyyyy);
(19)
				patient's status (01 to 99);
(20)
				primary payer category (1 to 10, 88), right justified;
(21) primary payer identification name, left
				justified;
(22) primary payer type
				(1 to 3, 88), right justified;
(23)
				secondary payer category (1 to 10, 88), right justified;
(24) secondary payer identification name,
				left justified;
(25) secondary
				payer type (1 to 3, 88), right justified;
(26) tertiary payer category (1 to 10, 88),
				right justified;
(27) tertiary
				payer identification name, left justified;
(28) tertiary payer type (1 to 3, 88), right
				justified;
(29) 1st condition code,
				left justified;
(30) 2nd condition
				code, left justified;
(31) 3rd
				condition code, left justified;
(32) 4th condition code, left
				justified;
(33) 5th condition code,
				left justified;
(34) 6th condition
				code, left justified;
(35) 7th
				condition code, left justified;
(36) 8th condition code, left
				justified;
(37) 9th condition code,
				left justified;
(38) 10th condition
				code, left justified;
(39) 11th
				condition code, left justified;
(40) 1st revenue code, left
				justified;
(41) 1st revenue code
				description, left justified;
(42)
				1st revenue code service date (mmddyyyy), left justified;
(43) 1st revenue code service units, right
				justified;
(44) 1st revenue code
				line item charges, right justified;
(45) 1st revenue code non-covered charges,
				right justified;
(46) 2nd revenue
				code, left justified;
(47) 2nd
				revenue code description, left justified;
(48) 2nd revenue code service date
				(mmddyyyy), left justified;
(49)
				2nd revenue code service units, right justified;
(50) 2nd revenue code line item charges,
				right justified;
(51) 2nd revenue
				code non-covered charges, right justified;
(52) 3rd revenue code description, left
				justified;
(53) 3rd revenue code
				service date (mmddyyyy), left justified;
(54) 3rd revenue code service units, right
				justified;
(55) 3rd revenue code
				line item charges, right justified;
(56) 3rd revenue code non-covered charges,
				right justified;
(57) 4th revenue
				code, left justified;
(58) 4th
				revenue code description, left justified;
(59) 4th revenue code service date
				(mmddyyyy), left justified;
(60)
				4th revenue code service units, right justified;
(61) 4th revenue code line item charges,
				right justified;
(62) 4th revenue
				code non-covered charges, right justified;
(63) 5th revenue code, left
				justified;
(64) 5th revenue code
				description, left justified;
(65)
				5th revenue code service date (mmddyyyy), left justified;
(66) 5th revenue code service units, right
				justified;
(67) 5th revenue code
				line item charges, right justified;
(68) 5th revenue code non-covered charges,
				right justified;
(69) 6th revenue
				code, left justified;
(70) 6th
				revenue code description, left justified;
(71) 6th revenue code service date
				(mmddyyyy), left justified;
(72)
				6th revenue code service units, right justified;
(73) 6th revenue code line item charges,
				right justified;
(74) 6th revenue
				code non-covered charges, right justified;
(75) 7th revenue code, left
				justified;
(76) 7th revenue code
				description, left justified;
(77)
				7th revenue code service date (mmddyyyy), left justified;
(78) 7th revenue code service units, right
				justified;
(79) 7th revenue code
				line item charges, right justified;
(80) 7th revenue code non-covered charges,
				right justified;
(81) 8th revenue
				code, left justified;
(82) 8th
				revenue code description, left justified;
(83) 8th revenue code service date
				(mmddyyyy), left justified;
(84)
				8th revenue code service units, right justified;
(85) 8th revenue code line item charges,
				right justified;
(86) 8th revenue
				code non-covered charges, right justified;
(87) 9th revenue code, left
				justified;
(88) 9th revenue code
				description, left justified;
(89)
				9th revenue code service date (mmddyyyy), left justified;
(90) 9th revenue code service units, right
				justified;
(91) 9th revenue code
				line item charges, right justified;
(92) 9th revenue code non-covered charges,
				right justified;
(93) 10th revenue
				code, left justified;
(94) 10th
				revenue code description, left justified;
(95) 10th revenue code service date
				(mmddyyyy), left justified;
(96)
				10th revenue code service units, right justified;
(97) 10th revenue code line item charges,
				right justified;
(98) 10th revenue
				code non-covered charges, right justified;
(99) 11th revenue code, left
				justified;
(100) 11th revenue code
				description, left justified;
(101)
				11th revenue code service date (mmddyyyy), left justified;
(102) 11th revenue code service units, right
				justified;
(103) 11th revenue code
				line item charges, right justified;
(104) 11th revenue code non-covered charges,
				right justified;
(105) 12th revenue
				code, left justified;
(106) 12th
				revenue code description, left justified;
(107) 12th revenue code service date
				(mmddyyyy), left justified;
(108)
				12th revenue code service units, right justified;
(109) 12th revenue code line item charges,
				right justified;
(110) 12th revenue
				code non-covered charges, right justified;
(111) 13th revenue code, left
				justified;
(112) 13th revenue code
				description, left justified;
(113)
				13th revenue code service date (mmddyyyy), left justified;
(114) 13th revenue code service units, right
				justified;
(115) 13th revenue code
				line item charges, right justified;
(116) 13th revenue code non-covered charges,
				right justified;
(117) 14th revenue
				code, left justified;
(118) 14th
				revenue code description, left justified;
(119) 14th revenue code service date
				(mmddyyyy), left justified;
(120)
				14th revenue code service units, right justified;
(121) 14th revenue code line item charges,
				right justified;
(122) 14th revenue
				code non-covered charges, right justified;
(123) 15th revenue code, left
				justified;
(124) 15th revenue code
				description, left justified;
(125)
				15th revenue code service date (mmddyyyy), left justified;
(126) 15th revenue code service units, right
				justified;
(127) 15th revenue code
				line item charges, right justified;
(128) 15th revenue code non-covered charges,
				right justified;
(129) 16th revenue
				code, left justified;
(130) 16th
				revenue code description, left justified;
(131) 16th revenue code service date
				(mmddyyyy), left justified;
(132)
				16th revenue code service units, right justified;
(133) 16th revenue code line item charges,
				right justified;
(134) 16th revenue
				code non-covered charges, right justified;
(135) 17th revenue code, left
				justified;
(136) 17th revenue code
				description, left justified;
(137)
				17th revenue code service date (mmddyyyy), left justified;
(138) 17th revenue code service units, right
				justified;
(139) 17th revenue code
				line item charges, right justified;
(140) 17th revenue code non-covered charges,
				right justified;
(141) 18th revenue
				code, left justified;
(142) 18th
				revenue code description, left justified;
(143) 18th revenue code service date
				(mmddyyyy), left justified;
(144)
				18th revenue code service units, right justified;
(145) 18th revenue code line item charges,
				right justified;
(146) 18th revenue
				code non-covered charges, right justified;
(147) 19th revenue code, left
				justified;
(148) 19th revenue code
				description, left justified;
(149)
				19th revenue code service date (mmddyyyy), left justified;
(150) 19th revenue code service units, right
				justified;
(151) 19th revenue code
				line item charges, right justified;
(152) 19th revenue code non-covered charges,
				right justified;
(153) 20th revenue
				code, left justified;
(154) 20th
				revenue code description, left justified;
(155) 20th revenue code service date
				(mmddyyyy), left justified;
(156)
				20th revenue code service units, right justified;
(157) 20th revenue code line item charges,
				right justified;
(158) 20th revenue
				code non-covered charges, right justified;
(159) 21st revenue code, left
				justified;
(160) 21st revenue code
				description, left justified;
(161)
				21st revenue code service date (mmddyyyy), left justified;
(162) 21st revenue code service units, right
				justified;
(163) 21st revenue code
				line item charges, right justified;
(164) 21st revenue code non-covered charges,
				right justified;
(165) 22nd revenue
				code, left justified;
(166) 22nd
				revenue code description, left justified;
(167) 22nd revenue code service date
				(mmddyyyy), left justified;
(168)
				22nd revenue code service units, right justified;
(169) 22nd revenue code line item charges,
				right justified;
(170) 22nd revenue
				code non-covered charges, right justified;
(171) patient's last name, left
				justified;
(172) patient's middle
				initial;
(173) patient's social
				security number;
(174) patient's
				street address, left justified;
(175) patient's city, left
				justified;
(176) patient's county,
				left justified;
(177) patient's
				state, left justified;
(178)
				patient's zip code (five or nine digits), left justified;
(179) patient's date of birth
				(mmddyyyy);
(180) patient's
				race-multiple (r1 to r7. r9);
(181)
				patient's ethnicity (e1, e2, e6, e7);
(182) patient's tribal affiliation-up to five
				(t1 to t22, t100, t200, t300);
(183) sex of patient (m, f, u);
(184) patient's phone number, left
				justified;
(185) patient's
				admitting diagnosis code, left justified;
(186) patient's principal diagnosis code,
				left justified;
(187) patient's 2nd
				diagnosis code, left justified;
(188) patient's 3rd diagnosis code, left
				justified;
(189) patient's 4th
				diagnosis code, left justified;
(190) patient's 5th diagnosis code, left
				justified;
(191) patient's 6th
				diagnosis code, left justified;
(192) patient's 7th diagnosis code, left
				justified;
(193) patient's 8th
				diagnosis code, left justified;
(194) patient's 9th diagnosis code, left
				justified;
(195) patient's 10th
				diagnosis code, left justified;
(196) patient's 11th diagnosis code, left
				justified;
(197) patient's 12th
				diagnosis code, left justified;
(198) patient's 13th diagnosis code, left
				justified;
(199) patient's 14th
				diagnosis code, left justified;
(200) patient's 15th diagnosis code, left
				justified;
(201) patient's 16th
				diagnosis code, left justified;
(202) patient's 17th diagnosis code, left
				justified;
(203) patient's 18th
				diagnosis code, left justified;
(204) patient's admitting diagnosis code
				qualifier (9, 0, 1), left justified;
(205) patient's principal diagnosis code
				qualifier (9, 0, 1), left justified;
(206) patient's 2nd diagnosis code qualifier
				(9, 0, 1), left justified;
(207)
				patient's 3rd diagnosis code qualifier (9, 0, 1), left justified;
(208) patient's 4th diagnosis code qualifier
				(9, 0, 1), left justified;
(209)
				patient's 5th diagnosis code qualifier (9, 0, 1), left justified;
(210) patient's 6th diagnosis code qualifier
				(9, 0, 1), left justified;
(211)
				patient's 7th diagnosis code qualifier (9, 0, 1), left justified;
(212) patient's 8th diagnosis code qualifier
				(9, 0, 1), left justified;
(213)
				patient's 9th diagnosis code qualifier (9, 0, 1), left justified;
(214) patient's 10th diagnosis code qualifier
				(9, 0, 1), left justified;
(215)
				patient's 11th diagnosis code qualifier (9, 0, 1), left justified;
(216) patient's 12th diagnosis code qualifier
				(9, 0, 1), left justified;
(217)
				patient's 13th diagnosis code qualifier (9, 0, 1), left justified;
(218) patient's 14th diagnosis code qualifier
				(9, 0, 1), left justified;
(219)
				patient's 15th diagnosis code qualifier (9, 0, 1), left justified;
(220) patient's 16th diagnosis code qualifier
				(9, 0, 1), left justified;
(221)
				patient's 17th diagnosis code qualifier (9, 0, 1), left justified;
(222) patient's 18th diagnosis code qualifier
				(9, 0, 1), left justified;
(223)
				1st e-code, left justified, (required);
(224) 2nd e-code, left justified;
(225) 3rd e-code, left justified;
(226) patient's admitting diagnosis, present
				on admission, left justified;
(227)
				patient's principal diagnosis, present on admission, left justified;
(228) patient's 2nd diagnosis, present on
				admission, left justified ;
(229)
				patient's 3rd diagnosis, present on admission, left justified ;
(230) patient's 4th diagnosis, present on
				admission, left justified ;
(231)
				patient's 5th diagnosis, present on admission, left justified ;
(232) patient's 6th diagnosis, present on
				admission, left justified ;
(233)
				patient's 7th diagnosis, present on admission, left justified ;
(234) patient's 8th diagnosis, present on
				admission, left justified ;
(235)
				patient's 9th diagnosis, present on admission, left justified ;
(236) patient's 10th diagnosis, present on
				admission, left justified ;
(237)
				patient's 11th diagnosis, present on admission, left justified ;
(238) patient's 12th diagnosis, present on
				admission, left justified ;
(239)
				patient's 13th diagnosis, present on admission, left justified ;
(240) patient's 14th diagnosis, present on
				admission, left justified ;
(241)
				patient's 15th diagnosis, present on admission, left justified ;
(242) patient's 16th diagnosis, present on
				admission, left justified ;
(243)
				patient's 17th diagnosis, present on admission, left justified ;
(244) patient's 18th diagnosis, present on
				admission, left justified ;
(245)
				patient's diagnosis related group (DRG) code ;
(246) patient's principal procedure code,
				left justified;
(247) patient's 2nd
				procedure code, left justified;
(248) patient's 3rd procedure code, left
				justified;
(249) patient's 4th
				procedure code, left justified;
(250) patient's 5th procedure code, left
				justified;
(251) patient's 6th
				procedure code, left justified;
(252) patient's 2nd procedure code, left
				justified;
(253) patient's 3rd
				procedure code, left justified;
(254) patient's 4th procedure code, left
				justified;
(255) patient's 5th
				procedure code, left justified;
(256) patient's 6th procedure code, left
				justified;
(257) patient's
				principal procedure code qualifier (9, 0, 1), left justified;
(258) patient's 2nd procedure code qualifier
				(9, 0, 1), left justified;
(259)
				patient's 3rd procedure code qualifier (9, 0, 1), left justified;
(260) patient's 4th procedure code qualifier
				(9, 0, 1), left justified;
(261)
				patient's 5th procedure code qualifier (9, 0, 1), left justified;
(262) patient's 6th procedure code qualifier
				(9, 0, 1), left justified;
(263)
				patient's 2nd procedure code qualifier (9, 0, 1), left justified;
(264) patient's 3rd procedure code qualifier
				(9, 0, 1), left justified;
(265)
				patient's 4th procedure code qualifier (9, 0, 1), left justified;
(266) patient's 5th procedure code qualifier
				(9, 0, 1), left justified;
(267)
				patient's 6th procedure code qualifier (9, 0, 1), left justified;