West Virginia Code 16-29B-24 – Reports required to be filed; and legislative rulemaking regarding uniform bill database
(a) A covered facility, within 120 days after the end of its fiscal year, unless granted an extension by the authority, shall file with the authority its annual financial report prepared by an accountant or auditor.
Terms Used In West Virginia Code 16-29B-24
- Authority: means the Health Care Authority created pursuant to the provisions of this article. See West Virginia Code 16-29B-3
- Charges: means the economic value established for accounting purposes of the goods and services a hospital provides for all classes of purchasers. See West Virginia Code 16-29B-3
- Covered facility: means a hospital, behavioral health facility, kidney disease treatment center, including a free-standing hemodialysis unit. See West Virginia Code 16-29B-3
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
- Rates: means all value given or money payable to health care providers for health care services, including fees, charges and cost reimbursements. See West Virginia Code 16-29B-3
- Related organization: means an organization, whether publicly owned, nonprofit, tax-exempt or for profit, related to a health care provider through common membership, governing bodies, trustees, officers, stock ownership, family members, partners or limited partners including, but not limited to, subsidiaries, foundations, related corporations and joint ventures. See West Virginia Code 16-29B-3
- Secretary: means the Secretary of the Department of Health and Human Resources. See West Virginia Code 16-29B-3
(b) A covered facility, if applicable by legislative rule, shall submit, upon request of the authority, but at least annually:
(1) A statement of charges for all services rendered, except a behavioral health facility shall submit its gross rates for its top 30 services by utilization;
(2) The Health Care Authority financial report, through the uniform reporting system;
(3) The current Uniform Bill form in effect for inpatients. This data is not subject to the provisions of §16-29B-25(f) of this code: Provided, That the authority, in cooperation with the secretary, shall propose rules for legislative approval in accordance with the provisions of § 29A-3-1 et seq. of this code within the applicable time limit to be considered by the Legislature during the regular session of the Legislature, 2023. The legislative rule shall include the following:
(A) Procedures for the collection, retention, use, and disclosure of data from the uniform bill database, including provisions and safeguards to protect the privacy, integrity, confidentiality, and availability of any data;
(B) Procedures for the collection of required data elements, required data format, code tables, edit specifications, thresholds required for a submission to be deemed complete, methods for submitting data, and submission schedules;
(C) Fees not to exceed $50 per custom data request payable by users of the data, if any; and
(D) Repeal of all other existing policies, manuals, and guidelines regarding the submission of uniform bill data promulgated by the authority, as of the effective date of the legislative rule or July 1, 2024, whichever comes first.
(c) The authority may request from a covered facility, except hospitals, the information from §16-29B-24(a) and §16-29B-24(b) of this code from its related organization.
(d) A home health agency shall annually submit a utilization survey.
(e) A covered facility failing to submit a report to the authority shall be notified by the authority and, if the failure continues for 10 days after receipt of the notice, the delinquent facility or organization is subject to a penalty of $1,000 for each day thereafter the failure continues.