Section R9-11-301. Definitions

In this Article, unless otherwise specified:

1.        “Adolescent” means an individual the hospital designates as an adolescent based on the hospital’s criteria.

2.        “Adult” means the same as in A.A.C. R9-10-201.

3.        “Behavioral health service” means the same as in A.A.C. R9-20-101.

4.        “Blood bank cross match” means a laboratory analysis, performed by a facility that stores and preserves donated blood, to test the compatibility of a quantity of blood donated by one individual with another individual who is the intended recipient of the blood.

5.        “Complete blood count with differential” means enumer- ating the number of red blood cells, platelets, and white blood cells in a sample of an individual’s blood, and including in the enumeration of white blood cells the number of each type of white blood cell.

6.        “Contrast medium” means a substance opaque to x-rays, radio waves, or electromagnetic radiation that enhances an image of internal body structures.

7.        “CT” means Computed Tomography, a diagnostic proce- dure in which x-ray measurements from many angles are used to provide images of internal body structures.

8.        “Current rates and charges information” means the most recent rates and charges schedule for a health care institu- tion on file with the Department, and all documents changing the most recent rates and charges schedule.

9.        “Drug” means the same as in A.R.S. § 32-1901.

10.     “EEG” means electroencephalogram, a diagnostic proce- dure used to measure the electrical activity of the brain.

11.     “EKG” means electrocardiogram, a diagnostic procedure used to measure the electrical activity of the heart.

12.     “Facility” means a building and associated personnel and equipment that perform a particular service or activity.

13.     “Formulary” means a list of drugs that are available to a patient through a hospital.

14.     “Home health agency” means the same as in A.R.S. § 36- 151.

15.     “Home health agency administrator” means the chief administrative officer for a home health agency.

16.     “Hospital department” means a subdivision of a hospital providing administrative oversight for one or more charge sources.

17.     “Implementation date” means the month, day, and year a health care institution intends to begin using specific rates and charges when billing a patient or resident.

18.     “Intensive care bed” means an available bed used to pro- vide intensive care services, as defined in A.A.C. R9-10- 201, to a patient.

19.     “IVP” means intravenous pyelography, a diagnostic pro- cedure that uses an injection of a contrast medium into a vein and x-rays to provide images of the kidneys, ureters, bladder, and urethra.

20.     “Labor and delivery” means services provided to a woman related to childbirth.

21.     “Lithotripsy” means a procedure that uses sound waves to break up hardened deposits of mineral salts inside the human body.

22.     “Mark-up” means the difference between the dollar amount a hospital pays for a drug, commodity, or service and the charge billed to a patient.

23.     “MRI” means Magnetic Resonance Imaging, a diagnostic procedure that uses a magnetic field and radio waves to provide images of internal body structures.

24.     “Neonate” means the same as in A.A.C. R9-10-201.

25.     “Nursery bed” means an available bed used to provide hospital services to a neonate.

26.     “Outpatient  treatment  center”  means  the  same  as  in

A.A.C. R9-10-101.

27.     “Outpatient treatment center administrator” means the chief administrative officer for an outpatient treatment center.

28.     “Overview form” means a document:

a.        Submitted by a hospital to the Department as part of a rates and charges schedule or a change to the hos- pital’s current rates and charges information, and

b.        That contains the information required in R9-11- 302(B)(2) for the hospital.

29.     “Pediatric” means the same as in A.A.C. R9-10-201.

30.     “Pediatric bed” means an available bed used to provide hospital services to a pediatric patient.

31.     “Physical therapy” means the same as in A.R.S. § 32- 2001.

32.     “Post-hospital extended care services” means the services that are described in and meet the requirements of 42 CFR 409.31.

33.     “Private room” means a room that contains one available bed.

34.     “Rate” means a specific dollar amount per unit of service set by a health care institution.

35.     “Rates and charges schedule” means a document that meets the requirements of A.R.S. Title 36, Chapter 4, Article 3 and contains the information required in R9-11- 302(B) for hospitals, R9-11-303(A)(2) for nursing care institutions, R9-11-304(A)(2) for home health agencies, or R9-11-305(A)(2) for outpatient treatment centers.

36.     “Rehabilitation bed” means a type of bed used to provide services to a patient to restore or to optimize the patient’s functional capability.

37.     “Review” means an analysis of a document to ensure that the document is in compliance with the requirements of this Article.

38.     “Semi-private room” means a room that contains two available beds.

39.     “Skilled nursing bed” means an available bed used for a patient requiring skilled nursing services.

40.     “Skilled nursing services” means nursing services pro- vided by an individual licensed under A.R.S. Title 32, Chapter 15.

41.     “Small volume nebulizer” means a device that:

a.        Holds liquid medicine that is turned into a mist by an air compressor, and

b.        Is used for treatments lasting less than 20 minutes.

42.     “Swing bed” means an available bed for which a hospital has been granted an approval from the Centers for Medi- care and Medicaid Services to provide post-hospital extended care services and be reimbursed as a swing-bed hospital.

43.     “Swing-bed hospital” means the same as in 42 CFR 413.114.

44.     “Trauma team activation” means a notification by a health care institution:

a.        That alerts individuals designated by the health care institution to respond to a particular type of emer- gency;

b.        That is based on a patient’s triage information; and

c.        For which the health care institution uses Revenue Category 068X of the National Uniform Billing Committee, UB-04 Data Specifications Manual to bill charges.

45.     “Ultrasound” means a diagnostic procedure that uses high-frequency sound waves to provide images of inter- nal body structures.

Historical Note

Adopted effective May 22, 1989 (Supp. 89-2). Repealed effective June 25, 1993, through an exemption from

A.R.S. Title 41, Chapter 6 pursuant to Laws 1992, Ch. 197, § 2; received in the Office of the Secretary of State June 10, 1993 (Supp. 93-2). New Section adopted effec-

tive February 22, 1995, through an exemption from

A.R.S. Title 41, Chapter 6 pursuant to Laws 1994, Ch. 115, § 9 (Supp. 95-1). Former R9-11-301 recodified to

R9-11-401; new R9-11-301 recodified from R9-11-103 at 10 A.A.R. 3835, effective August 24, 2004 (Supp. 04-3). Section repealed; new Section made by final rulemaking at 13 A.A.R. 3648, effective December 1, 2007 (Supp.

07-4).