TDH Reporting Method Form – Due April 30th

Today, April 1, 2020, the Tennessee Department of Health (TDH) emailed all licensed Tennessee Hospitals a letter requesting information on your yearly UB-04 discharge data submissions.  A copy of the letter can be found here.  The TDH will continue to send this request annually.  They are asking each hospital to submit the PH-3925 Reporting Method form, found here, before April 30.  The TDH asks that you send your form back via email to Healthcare.Statistics@tn.gov, please do not fax.  

When filling out the Annual Reporting Method form, THA member hospitals should select “THA” under section II, Annual Submissions.  Also, under section II, select all four quarters and input 2020 for the year.  Complete sections I and III in its entirety. 

Thank you for completing this annual task by April 30th!