Purpose of Ambulatory and Emergency Department Patient Data Reporting, Schedule for Submission of Ambulatory and Emergency Department Patient Data and Extensions, Reporting Instructions, Certification, Audits, and Resubmission Procedures, Penalties ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Cost Management and Control

RULE NOS.:RULE TITLES:

59B-9.030Purpose of Ambulatory and Emergency Department Patient Data Reporting

59B-9.033Schedule for Submission of Ambulatory and Emergency Department Patient Data and Extensions

59B-9.034Reporting Instructions

59B-9.035Certification, Audits, and Resubmission Procedures

59B-9.036Penalties for Ambulatory Patient Data Reporting and Deficiencies

59B-9.037Header Record

59B-9.038Ambulatory Data Elements, Codes and Standards

59B-9.039Public Records

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 43 No. 141, July 21, 2017 issue of the Florida Administrative Register.

 

59B-9.030 Purpose of Ambulatory and Emergency Department Patient Data Reporting.

No Change.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Formerly 59B-9.010, Amended 01-1-18.

 

59B-9.033 Schedule for Submission of Ambulatory and Emergency Department Patient Data.

No Change.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.08(1)(2),408.15(11) FS. History–New 1-1-10, Formerly 59B-9.014, Amended 01-1-18.

 

59B-9.034 Reporting Instructions.

(1) through (5)(a ) No change.

(b) Data reported for visits occurring before first fourth quarter 2018 2017 to the Internet address shall be electronically transmitted with the zipped ambulatory data in a XML file using the Ambulatory Patient Data XML Schema available at: http://ahca.myflorida.com/xmlschemas/AS10-2.xsd. The Ambulatory Inpatient Data XML Schema (effective 10/01/2015) is incorporated by reference and available at: http://www.flrules.org/Gateway/reference.asp?No=Ref-XXXX.

(c) ) Beginning with first fourth quarter 2018 2017 data reporting period as defined in 59B-9.033(1)(c), Ambulatory  patient data must be submitted using Ambulatory Patient Data XML Schema AS10-3, available at: http://ahca.myflorida.com/xmlschemas/AS10-3.xsd, The Ambulatory patient Data XML Schema (effective 01/01/2018 10/1/2017) is incorporated by reference at http://www.flrules.org/Gateway/reference.asp?No=Ref-XXXX. The data in the XML file shall contain the data elements, codes and standards required in Rules 59B-9.037 and 59B-9.038, F.A.C.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Formerly 59B-9.015, Amended 12-5-10, 10-1-15, Amended 01-1-18.

 

59B-9.035 Certification, Audits, and Resubmission Procedures.

(1) Data submissions for ambulatory centers must be in compliance with Rules 59B-9.030 through 59B-9.039, F.A.C., The executive officer, or administrator, or authorized designee shall certify the data quarterly as  accurate, complete and verifiable by completing and signing Certification Form for Ambulatory Patient Data AHCA Form 4200-0007, July 2017, incorporated by reference and available at: http://www.flrules.org/Gateway/reference.asp?No=Ref-XXXX. The completed certification form attests the ambulatory patient data report has been examined and, to the best of their knowledge and belief, the information contained in this report is true, accurate, and complete, and has been prepared from the books and records of this ambulatory center, except as noted. The completed certification form must be either mailed to the Agency for Health Care Administration, 2727 Mahan Drive, MS #16, Tallahassee, Florida 32308. Attention: Florida Center for Health Information and Transparency; submitted by facsimile to the Agency’s office; or a scanned certification submitted by electronic mail by the certification due date. The Agency will send a certification package to the reporting entity once their data file is complete for certification. Upon receipt of a facility’s signed certification form the facility is considered “certified” for the reporting quarter.

(2) Facilities not certified within five (5) calendar months following the last day of the reporting quarter shall be subject to penalties pursuant to Rule 59B-9.036, F.A.C. A facility will not be penalized for delays caused by AHCA which is documented by the reporting facility to include on-line reporting system downtime or delays in receipt of reports from AHCA.

(3) Changes or corrections to certified data may be accepted from facilities for a period of twelve (12) months following the initial submission due date. The Agency may grant approval if it determines that resubmission will significantly impact data quality. The executive officer, or administrator, or authorized designee must provide a signed written request to the Agency to request resubmission. The request must specify the reason for the corrections or changes, explain the cause contributing to the inaccurate reporting, describe a corrective action plan to prevent future errors, the total number of records affected by quarters and years, the data type and the date that the replacement file will be submitted to the Agency. Any changes to a facility’s data after this twelve month period shall be subject to penalties pursuant to Rule 59B-9.036, F.A.C. Resubmission of previously certified data must be certified within thirty (30) days following receipt of the data file from the facility.

(4) No Change.

Rulemaking Authority 408.08(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.08, 408.15(11) FS. History–New 1-1-10, Formerly 59B-9.017, Amended.01-1-18.

 

59B-9.036 Penalties for Ambulatory Patient Data Reporting and Deficiencies.

No Change.

Rulemaking Authority 408.15(8), 408.813 FS. Law Implemented 408.08, 408.061,408.813 FS. History–New 1-1-10, Formerly 59B-9.022, 59B-9.016, Amended 01-1-18.

 

59B-9.037 Header Record.

No change.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Formerly 59B-9.018, Amended 10-1-15, Amended 01-1-18.

 

59B-9.036 Penalties for Ambulatory Patient Data Reporting and Deficiencies.

No Change.

Rulemaking Authority 408.15(8), 408.813 FS. Law Implemented 408.08, 408.061,408.813 FS. History–New 1-1-10, Formerly 59B-9.022, 59B-9.016, Amended 01-1-18.

 

59B-9.037 Header Record.

No change.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Formerly 59B-9.018, Amended 10-1-15, Amended 01-1-18.

 

59B-9.038 Ambulatory Data Elements, Codes and Standards.

No Change.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Amended 12-5-10, Formerly 59B-9.018, Amended 10-1-15, Amended 01-1-18.

 

59B-9.039 Patient Data Release.

No change.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061 FS. History–New 1-1-10, Formerly 59B-9.023, Amended 01-1-18.