{"data":{"id":"us-ky/krs-216.2925","jurisdiction":"us-ky","citation":"KRS 216.2925","heading":"Administrative regulations -- Reports, lists, forms, and formats required.","body":"(1) The Cabinet for Health and Family Services shall establish by promulgation of\nadministrative regulations pursuant to KRS Chapter 13A those data elements\nrequired to be submitted to the cabinet by all hospitals and ambulatory facilities,\nincluding a timetable for submission and acceptable data forms. Each hospital and\nambulatory facility shall be required to report on a quarterly basis information\nregarding the charge for and quality of the procedures and health -care services\nperformed therein, and as stipulated by administrative regulations promulgated\npursuant to KRS Chapter 13A. The cabinet shall accept data that, at the option of\nthe provider, is submitted th rough a third party, including but not limited to\norganizations involved in the processing of claims for payment, so long as the data\nelements conform to the requirements established by the cabinet. The cabinet may\nconduct statistical surveys of a sample o f hospitals, ambulatory facilities, or other\nproviders in lieu of requiring the submission of information by all hospitals,\nambulatory facilities, or providers. On at least a biennial basis, the cabinet shall\nconduct a statistical survey that addresses the  status of women's health, specifically\nincluding data on patient age, ethnicity, geographic region, and payor sources. The\ncabinet shall rely on data from readily available reports and statistics whenever\npossible.\n(2) The cabinet shall require for submis sion to the cabinet by any group of providers,\nexcept for physicians providing services or dispensaries, first aid stations, or clinics\nlocated within business or industrial establishments maintained solely for the use of\ntheir employees, including those c ategories within the definition of provider\ncontained in KRS 216.2920 and any further categories determined by the cabinet, at\nthe beginning of each fiscal year after January 1, 1995, and within the limits of the\nstate, federal, and other funds made availa ble to the cabinet for that year, and as\nprovided by cabinet promulgation of administrative regulations pursuant to KRS\nChapter 13A, the following:\n(a) A list of medical conditions, health services, and procedures for which data on\ncharge, quality, and outcome shall be collected and published;\n(b) A timetable for filing information provided for under paragraph (a) of this\nsubsection on a quarterly basis;\n(c) A list of data elements that are necessary to enable the cabinet to analyze and\ndisseminate risk-adjusted charge, quality, and outcome information, including\nmortality and morbidity data;\n(d) An acceptable format for data submission that shall include use of the\nuniform:\n1. Health claim form pursuant to KRS 304.14 -135 or any other universal\nhealth claim form to be determined by the cabinet if in the form of hard\ncopy; or\n2. Electronic submission formats as required under the federal Health\nInsurance Portability and Accountability Act of 1996, 42 U.S.C. sec.\n300gg et seq., in the form of magnetic computer tape, computer\ndiskettes, or other electronic media through an electronic network;\n(e) Procedures to allow health care providers at least thirty (30) days to review\ninformation generated from any data required to be submitted by them, with\nany reports generated by the cabinet to reflect valid corrections by the\nprovider before the information is released to the public; and\n(f) Procedures pertaining to the confidentiality of data collected.\n(3) The cabinet shall coordinate but not duplicate its data-gathering activities with other\ndata-collection activities conducted by the Department of Insur ance, as well as\nother state and national agencies that collect health -related service, utilization,\nquality, outcome, financial, and health -care personnel data, and shall review all\nadministrative regulations promulgated pursuant to KRS 216.2920 to 216.29 29 to\nprevent duplicate filing requirements. The cabinet shall periodically review the use\nof all data collected under KRS 216.2920 to 216.2929 to assure its use is consistent\nwith legislative intent.\n(4) The cabinet shall conduct outcome analyses and effe ctiveness studies and prepare\nother reports pertaining to issues involving health-care charges and quality.\n(5) The cabinet may independently audit any data required to be submitted by providers\nas needed to corroborate the accuracy of the submitted data. Any audit may be at\nthe expense of the cabinet and shall, to the extent practicable, be coordinated with\nother audits performed by state agencies.\n(6) The cabinet may initiate activities set forth in subsection (1) or (2) of this section at\nany time after July 15, 1996.\n(7) The Cabinet for Health and Family Services shall collect all data elements under\nthis section using only the uniform health insurance claim form pursuant to KRS\n304.14-135, the Professional 837 (ASC X12N 837) format, the Institutional 83 7\n(ASC X12N 837) format, or its successor as adopted by the Centers for Medicare\nand Medicaid Services.","path":["KRS Chapter 216"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=56434","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:52:20Z","sha256":"2249625fb57b738ea892ccbd3bc40c01d8f6c5fa18afe0186a13419a585a26e0","source_id":"us-ky","stale":false,"prev":"us-ky/krs-216.2923","next":"us-ky/krs-216.2927"},"notice":"GroundRules: Original legal text. Not legal advice."}