Certification, Audits and Resubmission Procedures., Penalties for Hospital Inpatient Discharge Data Reporting Discrepancies., Inpatient Data Elements, Codes and Standards., Public Records.

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

RULE NO: RULE TITLE
59E-7.025: Certification, Audits and Resubmission Procedures.
59E-7.026: Penalties for Hospital Inpatient Discharge Data Reporting Discrepancies.
59E-7.028: Inpatient Data Elements, Codes and Standards.
59E-7.029: Public 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. 35 No. 12, March 27, 2009 issue of the Florida Administrative Weekly.

59E-7.025 Certification, Audits and Resubmission Procedures.

(1) All hospitals submitting data in compliance with Rules 59E-7.012 and 59E-7.021 through 59E-7.030, F.A.C., shall certify that the data submitted for each quarter is accurate, complete and verifiable using Certification Form for Inpatient Patient Discharge Data, AHCA Form 4200-002, dated 10/93, revised 04/27/2009, and incorporated by reference. The Agency will send a final certification packet to to the reporting entity containing their summary reports generated by the Agency, the Certification of Inpatient Patient Data certification form and Agency contact information and instructions. The facility must complete and sign the certification form thereby “certifying” that they have examined the inpatient patient data report 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 facility, except as noted. The signed completed certification form must be either mailed shall be submitted to the Agency for Health Care Administration, 2727 Mahan Drive, MS #16, Tallahassee, Florida 32308. Attention: Florida Center for Health Information and Policy Analysis; or by facsimile to the Agency’s office; or a scanned certification submitted by electronic mail by the certification due date. Upon receipt of a facilities signed certification form by the Agency, the facility is considered “certified” for the reporting quarter.

(2) Beginning with the inpatient data reporting for the 1st quarter of the year 2010, hospitals whose data is not certified within five (5) calendar months following the last day of the reporting quarter shall be subject to penalties pursuant to Rule 59E-7.026, F.A.C. Extensions to this five (5) month period will may be granted by the Agency Administrator, Office of Data Collection and Quality Assurance Unit or the Agency designee for a maximum of 30 days following the certification due date in response to a written request signed by the hospital’s chief executive officer, chief financial officer, or authorized executive officer designee.

(3) Changes or corrections to certified hospital data will be accepted from hospitals to improve their data quality for a period of eighteen (18) months following the initial submission due date. The Administrator, Office of Data Collection and Quality Assurance, or Agency designee, will may grant approval for resubmitting previously certified data in response to a written request signed by the hospital’s chief executive officer or chief financial officer, or authorized executive officer designee.

59E-7.026 Penalties for Hospital Inpatient Discharge Data Reporting Discrepancies.

(5) Any hospital which is delinquent for a certification deadline as specified in Rule 59E-7.023, F.A.C., shall be subject to a fine of $100 per day of violation for the first violation, $350 per day of violation for the second violation, and $1,000 per day of violation for the third and all subsequent violations. Violations will be considered those activities which necessitate the issuance of an administrative complaint by the Agency unless the administrative complaint is withdrawn or final order dismissing the administrative complaint is entered. All fines are to be fixed, imposed, and collected by the Agency. Any hospital which files false information to the Agency shall be subject to a fine not exceeding of $1000 per day per violation, in addition to any other fine imposed hereunder. The fine shall be fixed, imposed and collected by the Agency.

59E-7.028 Inpatient Data Elements, Codes and Standards.

Beginning with the inpatient data reporting for the 1st quarter of the year 2010, all hospitals submitting data in compliance with Rules 59E-7.012 and 59E-7.021 through 59E-7.030, F.A.C., shall report the required data elements and data element codes listed below as stipulated by the Agency and described in the National Uniform Billing Committee Official UB-04 Data Specifications Manual.

59E-7.029 Public Records.

(4) Requests for inpatient data shall be submitted by users sufficiently in advance of the desired delivery date to permit the Agency staff to respond without disruption of their duties.