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Section of Cost Reporting and Discharge Data Review
Hospital Discharge Data Reporting Requirements
 
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HOSPITAL DISCHARGE DATA SUBMISSION SPECIFICATIONS

2008 CY Data Reporting Manual for Hospital Inpatient and Emergency Department Discharge Records of Patients Discharged during Calendar Year 2008 [PDF 1955K]


 
INFORMATION


Reporting Performance [PDF 26K]

Top Submitters [PDF 242K]

Reporting Calendar [PDF 16K]

ISO 3166 Country Code List for 2008 [XLS 31K]

Arizona Hospital Facility ID List [PDF 16K]

2008 Discharge Data Reporting Summary Layout [XLS 66K]

2008 Discharge Data Reporting\UB04 Crosswalk [XLS 22K]


REQUIRED SUBMISSION FORMS

Contact Information Form [PDF 12K] 

Contact Information Form Read-Only Version in MS Word [Word 29K]  

Attestation Form [PDF 68K]

Attestation Form Read-Only Version in MS Word [Word 28K]



  

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