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U.S. Code as of:
01/19/04
Section 1320a. Uniform reporting systems for health services facilities and organizations
(a) Establishment; criteria for regulations; requirements for
hospitals
For the purposes of reporting the cost of services provided by,
of planning, and of measuring and comparing the efficiency of and
effective use of services in, hospitals, skilled nursing
facilities, intermediate care facilities, home health agencies,
health maintenance organizations, and other types of health
services facilities and organizations to which payment may be made
under this chapter, the Secretary shall establish by regulation,
for each such type of health services facility or organization, a
uniform system for the reporting by a facility or organization of
that type of the following information:
(1) The aggregate cost of operation and the aggregate volume of
services.
(2) The costs and volume of services for various functional
accounts and subaccounts.
(3) Rates, by category of patient and class of purchaser.
(4) Capital assets, as defined by the Secretary, including (as
appropriate) capital funds, debt service, lease agreements used
in lieu of capital funds, and the value of land, facilities, and
equipment.
(5) Discharge and bill data.
The uniform reporting system for a type of health services facility
or organization shall provide for appropriate variation in the
application of the system to different classes of facilities or
organizations within that type and shall be established, to the
extent practicable, consistent with the cooperative system for
producing comparable and uniform health information and statistics
described in section 242k(e)(1) of this title. In reporting under
such a system, hospitals shall employ such chart of accounts,
definitions, principles, and statistics as the Secretary may
prescribe in order to reach a uniform reconciliation of financial
and statistical data for specified uniform reports to be provided
to the Secretary.
(b) Monitoring, etc., of systems by Secretary
The Secretary shall -
(1) monitor the operation of the systems established under
subsection (a) of this section;
(2) assist with and support demonstrations and evaluations of
the effectiveness and cost of the operation of such systems and
encourage State adoption of such systems; and
(3) periodically revise such systems to improve their
effectiveness and diminish their cost.
(c) Availability of information to appropriate agencies and
organizations
The Secretary shall provide information obtained through use of
the uniform reporting systems described in subsection (a) of this
section in a useful manner and format to appropriate agencies and
organizations, including health systems agencies (designated under
section 300l-4 (!1) of this title) and State health planning and
development agencies (designated under section 300m (!1) of this
title), as may be necessary to carry out such agencies' and
organizations' functions.
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