90-590 C.M.R. ch. 270, § 5 - Standards for Data; Notification; Response

A. Standards. The MHDO or its designee shall evaluate each file submission in accordance with the following standards:

1. When more than one licensed health care facility is operated by the reporting organization, the information required by this Chapter must be reported for each health care facility separately. When a provider of health care operates in more than one location, the MHDO may require that information be reported separately for each location.

2. Coding values indicating "data not available", "data unknown", or the equivalent will not be accepted.However, thosehealth care facilities that do not have relevant patient populations for any section of metrics may submit a letter to the MHDO stating there are no appropriate data available and therefore they will not be submitting data for that section of metrics. This will be an annual requirement for those health care facilities not submitting data.

B. Notification. Upon completion of this evaluation, the MHDO will notify eachhealth carefacility whose data submissions do not satisfy the standards for any filing period within 90 days of the quarterly submission deadline.This notification will identify the specific file and the data elements within them that do not satisfy the standards.

C. Resubmission.Each health carefacility notified under subsection 5. B. will resubmit the data within 30 days of the notification by making the necessary changes to satisfy the standards.

D. Replacement of Data Files.Nohealth care facility may amend its data submission more than one year after the end of the quarter in which the discharge or service occurred unless it can be established by the health care facility that exceptional circumstances occurred. Any resubmission of data after the elapse of the one year period must be approved by the MHDO Board.

Notes

90-590 C.M.R. ch. 270, § 5