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16 -2 1 -6 pter 6 . H ospital Finan cial D isclosure Law 16-21 -6-0.1 ract ual al l ow anc es d ef i ne d 0. 1. As used in this chapter, "con tractual a llowan ces" m eans e di ff er en ce b able fro m third party pay ors u nder contractu al ag reem ents. adde d b y P .L. 94-19 94, SE C. 12. 16-21 -6-0.2 cat i on rel at ed cos t s de f i ne d 0. 2. As used in this ch apter, "educatio n relate d co sts" m eans nreim bursed cos t to a ho spital o f p r ovidin g , fu nding , o r ise finan cially sup porting educa tional benefits, serv ices, and ogr a ms, in c l ud i ng: ucation of phy sicians, nu rses, technician s, and other edical professio nals a nd health care p rov iders; ) pr ov is io n of s ch ol ar sh ip s an d fun di ng to m ed ic al s ch oo ls d ot he r po st se co nd ar y e du ca ti on al in st it ut io ns f or h ea lt h ns e ducatio n; ) ed uc at io n of p at ie nt s co nc er ni ng d is ea se s an d ho m e ca re in se to com m unity nee ds; an d 4) com m unity hea lth ed ucation throu g h info rm ational og ra m s, p ub li ca ti on s, a nd o ut re ac h ac ti v it ie s in r es pon se to m unity nee ds. adde d b y P .L .94-1994 , S EC .13 . A men ded by P .L. 2-200 7, .18 9. 1 6- 21 -6 -1 ros s pat i en t re ven ue d ef i ne d c . 1. A s use d in this ch apter, "g ross p atient rev enue" m eans and outpatien t rev enue from serv ices to patien ts, in cluding m ents re ceiv ed fro m or on behalf of ind iv idual patients. adde d b y P .L. 2-199 3, SEC .4. 1 6- 21 -6 -2 2. As used in this chapter, rev enue less d eductio ns fo r con tractual adj ustm ents, bad bt s , a nd ch a r i t y. adde d b y P .L. 2-199 3, SEC .4. 1 6- 21 -6 -3 sc al re por t s; re qu i red d ocu m en t at i on ec . 3 . ( a) E ac h ho sp it al s ha ll f il e w it h th e st at e dep ar tm en t a for the prec eding fiscal y ear within one hund red tw enty (12 0) s after the end of the hosp ital' s fiscal y ear. The state d epartm ent g rant an extensio n of the tim e to file the report if the ho s pi t al s g ood cause for the e xt e ns ion. The report m ust co ntain the ol l ow i ng: cop y of the h ospital' g the hosp ital' s total ) A c op y o f th e ho sp it al ' s in co m e st at em en t. statem ent o f cha ng es in financial position . (4) A statem ent o f cha ng es in fund balance . ) A cc ou nt an t n ot es p er ta in in g to th e re po rt . ) A cop y of th e ho sp it al ' s re po rt r eq ui re d to b e fi le d an nu al ly r 42 U .S. C. 13 95g , a nd other appro priate u tilization a nd nan ci al repo rt s re qui re d to be fi le d unde r fe der al s ta tut ory law. 8) A st a t e men t in c l ud i ng: Medicare g ross re v enue; (B) Medicaid g ross re v enue; (C) other rev enue from state prog ram s; (D) rev enue from local g ov ernm ent p rog ram s; ) lo ca l t ax s up po rt ; aritable c ontribu tions; (G) other third p arty pay m ents; (H) g ross in patient rev enue; (I ) g ross o utpatient rev enue; (J ) con tractual a llowan ce; (K) any othe r ded uctions from rev enue; (L) c harity care prov ided; (M) item iz ation of b ad d ebt ex pense ; and an e stim ation of the un reim bursed cos t of subsid iz ed serv ices. (9) A statem ent item iz ing do nations . statem ent d escribing the total co st of r e i mbur sed and bursed researc h. statem ent d escr i bi ng the to tal cos t of reim bursed and bursed ed uc a t i on se pa r a t e d i nt o t he fo l l ow i ng c ateg ories: Edu cation of p hy sicians, nurses, technician s, and other m edical professio nals a nd health care p rov iders. Scho larships and fundin g to m edical schoo ls, a nd other onda ry edu cational institutions f o r h e a l t h p r ofession s educa tion. ) E du ca ti on o f pa ti en ts c on ce rn in g di se as es an d ho m e ca re onse to co m m unity nee ds. Com m unity hea lth ed uca tion th roug h info rm ational ram s, publica tions, and ou treach activ ities in respon se m m unity nee ds. nal serv ices resulting in educatio n relate d costs. form ation in the report filed u nder subsec tion (a ) m ust rov ided from repo rts or audits certified b y an indepe nden t ublic accou ntant or b y the state b oard of ac coun ts. adde d by P.L. 2-199 3, SEC .4. Am ended by P.L .94 -1994 , S EC .14 ; .2-2 007, SE C. 190. 1 6- 21 -6 -4 ed aled by P .L. 1-201 0, SEC .15 6.) 1 6- 21 -6 -5 sc al re por t s; f ur t he r ve ri f yi ng i nf orm at i on 5. I f further f iscal info rm ation is nec essary to v erify the u r a c y o f a n y i n f o r m a t i o n c o n t a i n e d i n t h e r e p o r t s f i l e d u nder ct io n 3 of th is c ha pt er , the sta te dep ar tm en t m ay r eq ui re th e fa ci li ty duce the rec ords necessa ry to v erify that inform ation. adde d b y P .L. 2-199 3, SEC .4. 1 6- 21 -6 -6 tient infor m a tion r ep o rts ec . 6 . I n ad di ti on to th e re po rt f il ed unde r se ct io n 3 of th is each hospital shall, not m ore than one hundred tw enty (12 0) y s af te r th e en d of e ac h ca le nd ar q ua rt er , f il e w it h th e st at e ent, or the state departm ent' s desig nated contracto r, in patient outpatien t disch arg e inform ation at the patient lev el, in a form at e s c r i be d b y th e st a t e he a l t h c ommis s i on e r , i nc l ud i ng t he fo l l ow i ng: atient' s: A) le ngt h o f st a y; noses and surg ical pro cedure s pe rform ed d uring the t i e nt ' s st a y; ) da te o f: ission; (ii) disch arg e; and (iii) birth; (D) ty pe o f adm ission; (E) a dm ission source; ) g en de r; race; (H) discharg e disp osition; and I ) pa yor , i nc l ud i ng: (ii) Medicaid; i i i ) a l o c a l go ve r n me n t p r o gr a m; ) com m ercial ins urance ; (v ) self- pay ; and (v i) charity care. 2) T he to t a l ch a r ge f or th e pa t i e nt ' s st a y. I P c ode of the patien t' s resid ence. eg inning O ctober 1, 2013 , all diag nosed external causes o f ury cod es. adde d by P.L. 2-199 3, SEC .4. Am ended by P.L .94 -1994 , S EC .15 ; .44 -2002 , S EC .3; P.L .15 6-201 1, SEC .17 . 1 6- 21 -6 -7 sc al an d pat i en t i nf orm at i on rep ort s; p ers onal i de nt i f i cat i on of i en t s; p ub l i c i ns pe ct i on; cop i es ec . 7 . ( a) Th e re po rt s fi le d un de r se ct io n 3 of th is c ha pt er : ay no t con tain info rm ation that p ersonally iden tifies a or a consu m er of health serv ices; an d (2) m ust b e op en to pu blic ins pection . te departm ent shall prov ide copies of the repo rts filed de r se ct io n 3 of th is c ha pt er to th e pu bl ic u po n re qu es t, a t t he s ta te pa rt m en t' s ac tu al c os t. wing app ly to inform ation that is filed u nder section of th is c ha pt er : nform ation filed w ith the st a t e departm ent' s de sig nated nt ra ct or : is con fidential; a nd ) m us t b e tr an sf er re d by th e co nt ra ct or to th e st at e pa rt m en t i n a fo rm at d ) I nf or m at io n fi le d w it h th e st at e de pa rt m en t o r tr an sf er re d to state departm ent by the state departm ent' s de s ig nated nt ra ct or is n ot c on fi de nt ia l, e xc ep t t ha t i nf or m at io n th at : person ally iden tifies; or B) m a y be us e d t o p e r s on a l l y id e nt i f y; tient or consu m er m ay not be disclosed to a third party othe r h a n t o a h o s p i t a l t h a t h a s f i l e d i n p a t i e n t a n d o u t p a t ient e info rm ation. n an aly sis com at is f il ed u nd er s ec ti on 6 o f th is c ha pt er : ay no t con tai n i nform ation that p ersonally iden tifies or ay be used to pe rsonally iden tify a patient or co ns ume r of serv ices, unless the in form ation t a t e de pa r t men t to be ne c e s s a r y fo r a p ub l i c he a l t h a c t i vit y; ust b e op en to pu blic ins pection ; and ust b e pro v ided to the pu blic b y the state d epartm ent u pon qu es t a t t he s ta te d ep ar tm en t' s ac tu al c os t. adde d b y P .L. 2-199 3, SEC .4. Am ended by P. L.4 4-200 2, SEC .4; .78 -2004 , S EC .22 . 1 6- 21 -6 -8 pl i anc e; i nj un ct i ve r el i ef ec . 8 . Th e st at e de pa rt m en t m ay , th ro ug h th e at to rn ey g en er al , e e k to co mpe l co mpl i a nc e wi t h t hi s ch a pt e r t hr ou gh i nj un c t i ve li ef . adde d b y P .L. 2-199 3, SEC .4. 1 6- 21 -6 -9 es ; u ni f orm re por t i ng sys t em e c . 9 . ( a ) T h e s t a t e d e p a r t me n t s h a l l a d o p t r u l e s u n d e r I C 4 -22 -2 ce ss ar y to c ar ry o ut th is c ha pt er . he rules ad opted unde r this section m ust in clude rules th at a un iform sy stem for com ct io ns 3 a nd 6 o f th is c ha pt er . s ad opted unde r this sec tion m ust p rov ide th at, to the re at es t e xt en t p os si bl e, c op ie s of r ep orts r eq ui re d to b e fi le d w it h de ra l, s ta te , a nd lo ca l a g en ci es m ay b e us ed by f ac il it ie s in m pl adde d b y P .L. 2-199 3, SEC .4. 16-21 -6-10 at e heal t h com m i ss i one r; f i nd i ngs an d rec om m en dat i ons ; re por t 1 0. Each y ear the state health com m issioner or the m m is si on er ' s de si g ne e sh al l m ak e a co m pi la ti on o f the d at a ne d fr om th e re po rt s re qu ir ed u nd er s ec ti on s 3 an d 6 of th is and report in an electro nic fo rm at un der I C 5- 14 - 6 the s an d rec om m endatio ns to the g eneral assem bly not later th an m ber 1 of the y ear the reports are filed. How ev er , the m issioner is no t required to incorpo rate a report that is required filed by a hospi t a l with the state d epartm ent les s than on e nd re d tw en ty ( 12 0) d ay s be fo re De ce m be r 1, bu t s ha ll in co rp or at e e re po rt d at a in th e re po rt to b e m ad e th e fo ll ow in g y ea r. adde d b y P .L. 2-199 3, SEC .4. Am ended by P.L .28 -2004 , S EC .13 6. 16-21 -6-11 o n su m e r g u ide to In d ia n a ho sp ita ls 11 . (a ) The state departm ent sh a l l ann ually pu blish a ns um er g ui de to I nd ia na h os pi ta ls . Th e st ate de pa rt m en t s ha ll co m pi le th e da ta f or th e co nsum er g ui de f ro m th e re le v an t d at a to be filed un der sections 3 and 6 of this chapter and publish ata in an u nderstan dable form at that assists th e co nsum ing in m ak ing bo th fina ncial a nd utiliz ation com parison s be tween hosp itals. te dep artm ent sh all, u pon request, pro v ide to the at th e state departm ent' s actu al cos t, copies of the co nsum er ui de to I nd ia na h os pi ta ls p ub li sh ed u nd er s ub se ct io n (a ). adde d b y P .L. 2-199 3, SEC .4. 16-21 -6-12 i olati ons 12 . A ny perso n w ho is a custod ian of con fidential data a t the t a t e de pa r t men t an d wh o kn ow i ngl y or in t e nt i on a l l y: closes, dist r i butes, or sells co nfidential data o btained r this chapter; or ) id en ti fi es a sp ec if ic pa ti en t in v io la ti on of se ct io n 7 of th is ap te r; m m it s a C la ss B m is de m ea no r. adde d b y P .L. 94-19 94, SE C. 16.