Hospitals must report patient discharge billing data.
Each hospital in this State (NRS449.485)
Each months data is to be submitted within 45 days of the end of each month. For example, January data must be submitted by March 15th.
Each hospital in this State shall provide the information required in an electronic form specified by the Department of Health and Human Services. The Division of Health Care Financing and Policy has contracted Comagine to provide the reporting portal.
03-20-24 - Comagine has a new website for submitting information under NRS 449.4465.
The project to replace the Nevada Compare Care website, led by Comagine Health, has moved into the next phase of the implementation. This phase requires ASCs to submit UB-04 files through the new website. Comagine Health has previously sent communications about the requirements for the project, including:
The old submission process has been disabled as of Feb. 29, 2024, and the only means of submitting the state-required UB-04 files will be through the new website after you have completed the BAA.
Additional information on the process is online at dpbh.nv.gov/surgerycenters.
Contact
CHIA provides facility billing and utilization data of health facilities operating within the state of Nevada. This data is only available for valid research, and does not include personal private patient identifiers. Data usage validity will be determined during the "Limited Data Set Use" approval process, which starts after completing the first of the following steps. More information can be found here: https://chiaunlv.com/HealthFacilityData/AcquiringData_Services.php
NRS 449.485 Hospital required to use discharge form prescribed by Director; electronic monthly reporting; exception to electronic reporting; use of information by Department.
1. Each hospital in this State shall use for all patients discharged a form prescribed by the Director and shall include in the form all information required by the Department. Any form prescribed by the Director must be a form that is commonly used nationwide by hospitals, if applicable, and comply with federal laws and regulations.
2. Each hospital in this State shall, on a monthly basis, report to the Department the information required to be included in the form for each patient. The information reported must be complete, accurate and timely.
3. Each insurance company or other payer shall accept the form as the bill for services provided by hospitals in this State.
4. Except as otherwise provided in subsection 5, each hospital in this State shall provide the information required pursuant to subsection 2 in an electronic form specified by the Department.
5. The Director may exempt a hospital from the requirements of subsection 4 if requiring the hospital to comply with the requirements would cause the hospital financial hardship.
6. The Department shall use the information submitted pursuant to this section for the program established pursuant to NRS 439A.220 to increase public awareness of health care information concerning the hospitals in this State.
(Added to NRS by 1987, 875; A 2005, 1736; 2007, 661, 2355)
Nevada Compare Care is where you will now submit you UB-04 data files. The old site/submission portal was disabled as of 2/29/24. Once you have registered for an account on the site and completed the BAA signing process, you will be able to submit your data files.
