Question

Describe the purpose of the cancer registry.

Specify a minimum of ten data elements collected, excluding the patient name, address and date of birth.

If there is central depository for any portion of the information collected, identify the agency/organization and include if this central depository is voluntary or required by law (Include the law citation).

Articulate a state required data elements

Articulate a state required submission time frames

Answer 1

A cancer registry is a particular type of disease registry.This registry collects information about the occurrence of cancer, the types of cancers that occur and their locations within the body, the extent of cancer at the time of diagnosis,and the kinds of treatment that patients receive.The major purposes are:

*To establish and maintain a cancer incidence reporting system.

*To provide information to assist public health officials and agencies in the planning and evaluation of cancer prevention and cancer control programs.

* To collect and classify information of all cancer cases in order to produce statics on the occurence of cancer in a defined population and to provide a framework for assessing and controling the impact of cancer on the community.

DATA ELEMENTS

The person:

Identification

1. Index number

2.Personal identification number

3. Names

Demographic and cultural items:

4.Sex

5.Date of birth

6. Address

7. Place of birth

8.Marital status

9.. Age at incidence date

10.Nationality

11.Ethnic group

12 .Religion

13. Occupation and industry

14. Year of immigration

15.Country of birth of father and/or mother

The tumour and its investigations

16. Incidence date

17.Most valid basis of diagnosis of cancer

18. Certainty of diagnosis

19. Method of first detection

20 (18) Site of primary: topography (ICD-0)

21 (19) Histological type : morphology (ICD-0)

22. Behaviour

23.Clinical extent of disease before treatment

24. Surgical-cum-pathological extent of disease before treatment

26.Sites of distant metastases

27.Multiple primaries

28.Laterality

Treatment

29 Initial treatment

Outcome

30 .Date of last contact

31. Status at last contact

32.Date of death

33. Cause of death

34.Place of death

Sources of information

35 Type of source:

a.whether death certificate, physician, laboratory, hospital or other

b.Actual source: name of laboratory, hospital, physician, etc.

c. Date

STATE REQUIRED SUBMISSION TIME FRAMES

SECTION 3901.381 OF THE REVISED CODE..establishes various time frames for the processing and payment of claims. The time frames vary depending upon the circumstances.

1. A third-party payer has fifteen (15) days from receipt to notify a provider when a materially deficient claim is received. Examples of materially deficient claims include claims with an incorrect patient name or benefit contracts number, a patient that cannot be identified, a claim without as or treatment code or a claim without a provider's identifying number. The fifteen (15) day time period and the time spent correcting the deficiencies do not count toward the calculation of time in which a claim must be processed.
2. A third-party payer has thirty (30) days to process a claim if no supporting documentation is needed.
3. A third-party payer has forty-five (45) days to process a claim if the third-party payer requests additional supporting documentation. However, third-party payers must request supporting documentation within thirty (30) days of the initial receipt of the claim. The time period of forty-five (45) days is suspended until the third-party payer receives the last piece of information requested in the initial thirty (30) day period.
   1. The time period is not suspended if a third-party payer requests additional supporting documentation after receiving initially requested information.
   2. A request for additional supporting documentation that is made outside the thirty (30) day time period and that is based on information received in the initial request regarding a previously unknown pre-existing condition may suspend the forty-five (45) day processing time.
4. A third-party payer may refuse to process a claim submitted by a provider if the provider submits the claim later than forty-five (45) days after receiving notice from a different third-party payer or a state or federal program that that payer or program is not responsible for the cost of the health care services, or if the provider does not submit the notice of denial from the different third-party payer or program with the claim.
5. A third-party payer that has a timely filing requirement must process an untimely claim if all the following apply:
   1. The claim was initially submitted to a different third-party payer or state or federal program;
   2. The provider submits the claim to the second payer within forty-five (45) days of receiving notice that the first payer denied the claim; and
   3. The provider submits the notice of denial along with the claim.
6. When a claim is submitted later than one year after the last date of service for which reimbursement is sought, a third-party payer shall pay or deny the claim not later than ninety (90) days after receipt of the claim or, alternatively, pursuant to the requirements of sections 3901.381 to 3901.388 of the Revised Code.