Services - Data Collection


Data Reporting Manuals

Data Collection Forms

Cardiac Surgery Supplemental Data Forms

Other Information

Data Collected by PHC4

PHC4’s Information Services department processes approximately 1.8 million inpatient and 3.1 million ambulatory/outpatient billing claim records per year. The data is processed using a sophisticated series of validation rules before it is finalized and made available for further analysis and public release.

Notice Regarding ICD-10 Data Reporting (Effective 2015 Q4)

ICD-9 codes will only be accepted for claims prior to October 1, 2015. For claims beginning on October 1, 2015, only ICD-10 codes will be accepted. Dual coded claims (i.e. claims including both ICD-9 and ICD-10 codes) will not be accepted.

Please refer to the data reporting manuals for detailed reporting information.

Discharges for which Laboratory Data is to be Submitted

Hospitals are required to submit laboratory data for particular discharges as identified by a list of 35 Diseases, Procedures and Medical Conditions. Updates to the definitions of these categories are sometimes necessary since the U.S. Department of Health and Human Services (i.e., CMS and NCHS/CDC) redefines MS-DRGs and ICD-10-CM/PCS codes periodically. It is recognized that laboratory data might not be available for all discharges on this list.

View the most current list, as of October 1, 2017, of the 35 diseases, procedures, and medical conditions for which laboratory data is to be submitted.

Laboratory Data Reporting (Effective 2011 Q1)

At its March 4, 2010 meeting, the Pennsylvania Health Care Cost Containment Council voted to continue the collection of laboratory data from PA hospitals to be used as part of the Council’s risk-adjustment methodology. On March 20, 2010 the Council entered into a 30-day public comment period to solicit input on potential implementation approaches as they relate to the continued collection of the lab data. The public comment period ended on April 20, 2010. A summary of the comments and copies of the comment letters received in response to the public comment notice are available.

On May 12, 2010, a letter was sent from PHC4’s Executive Director to hospital CEOs to notify hospitals of PHC4’s decisions related to laboratory data collection.

On September 1, 2010, the Laboratory Data Reporting Manual was released.

On September 13, 2010, PHC4 re-opened the Request for Information for Third-party Vendor Qualifications for the Submission of Laboratory Data. On September 14, 2010, a letter was sent from PHC4’s Executive Director to hospital CEOs to notify hospitals.

On December 3, 2010, a letter was sent from PHC4’s Executive Director to hospital CEOs to provide updates about the laboratory data collection.

On May 16, 2011, a letter was sent from PHC4’s Executive Director to hospital CEOs to provide updates about the laboratory data collection.