Definitions, Florida Hospital Uniform Reporting System, Prior Year Report Requirements, Ownership Change and Fiscal Year End (FYE) Change, Notice of Violation or Deemed Not Filed and Response  

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Hospital and Nursing Home Reporting Systems and Other Provisions Relating to Hospitals

    RULE NOS.:RULE TITLES:

    59E-5.101Definitions

    59E-5.102Florida Hospital Uniform Reporting System

    59E-5.201Prior Year Report Requirements

    59E-5.202Ownership Change and Fiscal Year End (FYE) Change

    59E-5.205Notice of Violation or Deemed Not Filed and Response

    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. 44 No. 20, January 30, 2018 issue of the Florida Administrative Register.

    59E-5.101 Definitions.

    The definitions set forth in Section 408.032, F.S., and the following definitions shall apply to this chapter, and to the Florida Hospital Uniform Reporting System (FHURS) Manual, unless otherwise specified:

    (1) No change.

    (2) “Adjusted admission” is the sum of acute admissions and intensive care admissions divided by the ratio of inpatient revenues generated from acute, intensive, ambulatory, and ancillary patient services to gross revenues, unless the hospital reports all sub-acute admissions in which case “adjusted admission” is the sum of sub-acute admissions divided by the ratio of total inpatient revenues to gross revenues.

    (3) “Audited actual experience”, “audited actual data”, or “audited financial statements” means data contained within financial statements examined by an independent, Florida-licensed, certified public accountant in accordance with generally accepted auditing standards and including an opinion on the audited financial statements.  Certified public accountants that hold a temporary Florida License or are exempt from being required to hold a temporary Florida license under Rule 61H1-29.002, F.A.C, shall be considered Florida-Licensed for the purposes of this section.

    (4) through (14) renumbered (2) through (12) No change.

    (15) “Hospital” means a health-care institution, as defined in Section 395.002(13), F.S., and licensed pursuant to Chapter 395, F.S.

    (16) through (29) Renumbered (13) through (26) No change.

    (27)(30) “Total net patient services revenue” means gross patient service revenue minus deductions from revenue as defined in Section 408.07(17)(16), F.S.

    (28)(31) No change.

    Rulemaking Authority 408.15(8) FS. Law Implemented 408.032, 408.061(2), (3), (4)(a), (7), 408.07 FS. History–New 6-11-92, Formerly 10N-5.101, Amended 3-16-03,_________.

     

    59E-5.102 Florida Hospital Uniform Reporting System.

    (1) through (2) No change.

    Rulemaking Authority 408.061(2), 408.15(8) FS. Law Implemented 408.061(2), 408.07(18), (19), 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, 3-28-10,__________.

     

    59E-5.201 Prior Year Report Requirements.

    (1) through (2) No change.

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

    (a) FHURS Online report, the prior year actual report shall be submitted to the Agency using the web-based application known as FHURS Online, AHCA Form 3120-0001OL, March 2018, which is hereby incorporated by reference.  This form is only accepted electronically and can be accessed through the Agency’s Single Sign On Portal located at https://apps.ahca.myflorida.com/SingleSignOnPortal.  A copy of the form can also be found at http://www.flrules.org/Gateway/reference.asp?No=Ref-xxxxx.   FHURS Online has been developed by the Agency for the purpose of electronically filing the prior year actual report. FHURS Online is a web-based application that reproduces the FHURS worksheets pursuant to Rules 59E-5.102 and 59E-5.103, F.A.C., of this chapter.

    (b) No change.

    (4) through (6) No change.

    Rulemaking 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, 3-28-10,__________.

     

    59E-5.202 Prior Year Report Revisions, Ownership Change and Fiscal Year End (FYE) Change.

    No change.

     

    59E-5.205 Notice of Violation or Deemed Not Filed and Response.

    (1) Once a report has been filed in accordance with Rule 59E-5.201, F.A.C., the Agency will review the report and determine if:

    (a) It meets all applicable requirements of Chapter 59E-5, F.A.C., and Chapter 408, Florida Statutes.

    (b) The data are mathematically accurate, reasonable and verifiable.

    (2) through (5) No change.

    Rulemaking Authority 408.061(2), 408.15(8) FS. Law Implemented 408.061(2), 408.062, 408.08 FS. History–New 6-11-92, Formerly 10N-5.205, Amended 3-28-99, 3-16-03, 9-12-05, _________.