The Agency proposes to revise the rule related to Florida Hospital Uniform Reporting System and the rule requiring the submission of a Medicare cost report.

AGENCY FOR HEALTH CARE ADMINISTRATION
Hospital and Nursing Home Reporting Systems and Other Provisions Relating to Hospitals

RULE NO: RULE TITLE
59E-5.102: Florida Hospital Uniform Reporting System
59E-5.201: Prior Year Report Requirements
PURPOSE AND EFFECT: The Agency proposes to revise the rule related to Florida Hospital Uniform Reporting System and the rule requiring the submission of a Medicare cost report.
SUMMARY: The proposed change to the Florida Hospital Uniform Reporting System would eliminate Schedules B-3, B-4a, C-7, D-1, D-2, E-1a, E-1b, X-2, X-3, X-7 and X-7a. The proposed change to the prior year reporting requirements would eliminate the submission of a copy of the Medicare cost report.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: The proposed revisions would reduce the information that is required in the report and would result in a reduction of the time and costs related to preparation of the report.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 408.061(2), 408.15(8) FS.
LAW IMPLEMENTED: 408.061, 408.08, 408.061(2), 408.07(18), 408.15(8) FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: December 9, 2009, 1:30 p.m.
PLACE: Agency for Health Care Administration, Building 3, Conference Room B, 2727 Mahan Drive, Tallahassee, FL 32308
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Ryan Fitch, CON Financial Analysis, 2727 Mahan Drive, MS #28, Tallahassee, FL 32308, [phone], or at [e-mail]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Ryan Fitch, CON Financial Analysis, 2727 Mahan Drive, MS #28, Tallahassee, FL 32308, [phone]

THE FULL TEXT OF THE PROPOSED RULE IS:

59E-5.102 Florida Hospital Uniform Reporting System.

(1) The Agency for Health Care Administration (Agency) hereby adopts and establishes a uniform system for hospital reporting by adopting and incorporating by reference the Florida Hospital Uniform Reporting System (FHURS) Manual, Version 2005-1, July 2005, and FHURS Manual, Version 2010-1, January 2010, which are incorporated herein by reference and available at the Agency’s website at http://ahca.myflorida.com/MCHQ/CON_FA/fa_data/index.shtml. These manuals, which include reporting forms, have This manual, which includes reporting forms, has the force and effect of the Agency for Health Care Administration’s rules.

(2) A copy of the current FHURS Manual may also be obtained, upon payment of the cost of reproduction, by writing to: The Agency for Health Care Administration, Supervisor of Financial Analysis, Bureau of Health Facility Regulation, 2727 Mahan Drive, MS #28, Tallahassee, Florida 32308-5403, or by downloading it free of charge from the Agency’s website at http://ahca.myflorida.com/MCHQ/CON_FA/fa_data/index.shtml.

(2) All hospitals reporting fiscal year reporting periods that end on or before December 31, 2009 shall use FHURS Manual Version 2005-1, July 2005; all hospitals reporting fiscal year reporting periods that end after December 31, 2009 shall use FHURS Manual Version 2010-1 January 2010.

Rulemaking Specific Authority 408.061(2), 408.15(8) FS. Law Implemented 408.061(2), 408.07(19) (18), 408.15(8) FS. History– New 6-11-92, Formerly 10N-5.102, Amended 2-24-94, 3-16-03, 6-8-03, 9-12-05,_______.

 

59E-5.201 Prior Year Report Requirements.

(1) Each hospital shall submit to the Agency, not more than 120 days subsequent to the end of its fiscal year, its prior year report for the fiscal year then ended.

(2) The prior year report shall consist of the following:

(a) For hospital financial accounting periods ending on or after April 30, 2005 and with corresponding due dates beginning on or after August 29, 2005, the prior year actual report shall be submitted to the Agency using the computer software known as COMPASS. COMPASS has been developed by the Agency for the purpose of electronically filing the prior year actual report. COMPASS is a modified Microsoft Excel workbook that reproduces the FHURS worksheets pursuant to Rules 59E-5.102 and 59E-5.103, F.A.C., of this chapter. COMPASS also exports the worksheet data into a specifically defined comma separated text file for transmission to the Agency. Hospitals shall use COMPASS to keypunch the required data into the FHURS worksheet formats in accordance with Rule 59E-5.206, F.A.C. COMPASS will be provided to hospitals prior to the due date of the 2005 report in a timely manner free of charge. Hospitals shall not use an alternative version of COMPASS until such software is approved for use by the Agency. Hospitals shall not request approval for use of alternative software within 120 days prior to the report being due. The COMPASS comma separated text file shall be returned to the Agency by electronic mail (E-mail) using normal electronic protocols for E-mail services. The COMPASS comma separated text file shall be attached to the E-mail message.

(b) The E-mail message shall be sent to the Agency on or before the due date of the report and shall contain the following information:

1. “Hospital FHURS Report”.

2. Hospital Name.

3. Hospital Number (8 digit format).

4. Reporting period.

5. “Submission Number” which is the COMPASS generated submission number listed on each worksheet at the time the report is exported.

6. Name of contact person including area code and telephone number.

(c) FHURS “Worksheet A” on paper that contains the appropriate signatures by the Chief Executive Officer and Chief Financial Officer of the hospital;

(d) A signed copy Two paper copies of the audited financial statements; and

(e) One paper copy of the Medicare cost report.

(3) The actual report shall be prepared for each hospital from the audited financial statements. Whenever an actual report is not in agreement with the corresponding audited financial statements, the hospital shall provide a reconciliation of the amounts presented in the audited financial statements to amounts reported in the actual report.

(4) In the event a hospital’s audited actual data is restated in accordance with generally accepted accounting principles, the hospital shall report the restatement to the Agency within 30 days of the issuance of the restatement.

Rulemaking Specific Authority 408.061(2), 408.15(8) FS. Law Implemented 408.061, 408.08 FS. History–New 6-11-92, Formerly 10N-5.201, Amended 3-28-99, 9-12-05,_________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Ryan Fitch
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Thomas Arnold
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: October 30, 2009
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: September 25, 2009