Hospital and Ambulatory Surgical Facility Rules

The proposed amendments and adoptions of rules in Chapters 10A NCAC 13B Licensing of Hospitals and 10A NCAC 13C Licensing of Ambulatory Surgical Facilities are in response to enactment of Session Law 2013-382, Part X. Transparency in Health Care Costs and Part XII. Fair Health Care Facility Billing and Collections Practices, which became effective on October 1, 2013, revised August 7, 2014. This act requires the N.C. Medical Care Commission (MCC) to adopt rules to ensure the provisions of this act are properly implemented and the required cost data is submitted quarterly to the Department of Health and Human Services (DHHS) in a uniform manner for the 100 most frequently reported DRGs for hospital inpatients, 20 most common ambulatory surgical procedures and 20 most common imaging procedures for hospital outpatient settings and ambulatory surgery facilities. In response, temporary rules in Chapters 10A NCAC 13B and 10A NCAC 13C were adopted by the MCC, and became effective December 31, 2014.

This proposed rule action is part of the process of making these permanent rules replace the temporary rules prior to the expiration 270 days from publication in the NC Register on 12/15/2014. These rules reflect a revision of the temporary rules by requiring the submission of annual data quarterly, as a means to improve cost comparison for the citizens of N.C.