Inpatient Data Reporting Instructions, Definitions, Inpatient Data Reporting and Audit Procedures., Schedule for Submission of Inpatient Data and Extensions., Certification, Audits and Resubmission Procedures., Penalties for Hospital Inpatient ...
AGENCY FOR HEALTH CARE ADMINISTRATION
Hospital and Nursing Home Reporting Systems and Other Provisions Relating to Hospitals
RULE NOS.:RULE TITLES:
59E-7.012Inpatient Data Reporting Instructions
59E-7.021Definitions
59E-7.022Inpatient Data Reporting and Audit Procedures.
59E-7.023Schedule for Submission of Inpatient Data and Extensions.
59E-7.025Certification, Audits and Resubmission Procedures.
59E-7.026Penalties for Hospital Inpatient Discharge Data Reporting Discrepancies.
59E-7.027Header Record.
59E-7.028Inpatient Data Elements, Codes and Standards.
59E-7.029Public Records.
59E-7.030General Provisions.
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.
59E-7.012 Inpatient Data Reporting Instructions.
All hospitals reporting their inpatient discharge data shall submit a zipped inpatient discharge data file by Internet according to the specifications in subsections (1) through (3).
(1) No change
(2) Data reported for visits occurring before first fourth quarter 2018 2017 to the Internet address shall be electronically transmitted with the zipped inpatient data in a XML file using the Inpatient Data XML Schema available at: http://ahca.myflorida.com/xmlschemas/PD10-3.xsd. The Inpatient Data XML Schema (effective 10/01/2015) is incorporated by reference at http://www.flrules.org/Gateway/reference.asp?No=Ref-05412.
(3) Beginning with first fourth quarter 2018 2017 data reporting period as defined in 59E-7.023(1)(c), Inpatient patient Data must be submitted using the Inpatient Data XML Schema available at: http://ahca.myflorida.com/xmlschemas/PD10-4.xsd. The Inpatient Data XML Schema (effective 01/01/2018 10/01/2017) is incorporated by reference at http://www.flrules.org/Gateway/reference.asp?No=Ref-XXXX.
(3) Renumber. No change
Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 12-15-96, Amended 1-4-00, 7-11-01, 7-12-05, 5-22-07, 1-1-10, 10-1-15, Amended 01-1-18.
59E-7.021 Definitions.
No change.
Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061 FS. History–New 1-1-10, Amended 12-5-10, Formerly 59E-7.011, Amended 10-1-15, Amended 01-1-18.
59E-7.022 Inpatient Data Reporting and Audit Procedures.
No Change..
Rulemaking Authority 408.08(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063, 408.05, 408.08(1) FS. History–New 1-1-10, Formerly 59E-7.012, Amended 01-1-18.
59E-7.023 Schedule for Submission of Inpatient Data.
No Change
Rulemaking Authority 408.08(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063, 408.05, 408.07(2), 408.15(11) FS. History–New 1-1-10, Formerly 59E-7.012, Amended 01-1-18.
59E-7.025 Certification, Audits and Resubmission Procedures.
(1) Data submissions for all hospitals centers must be in compliance with Rules 59E-7.012 and 59E-7.021 through 59E-7.030, 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 Inpatient Patient Data, AHCA Form 4200-002, July 2017, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-XXXX. The completed certification form attests the inpatient 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 facility, 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; or 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) 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. 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 hospital data may be accepted from hospitals 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 written 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 hospital’s data after this twelve month period shall be subject to penalties pursuant to Rule 59E-7.026, 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, 408.062, 408.063, 408.08(1), (2), 408.15(11), 408.08(1)(2) FS. History–New 1-1-10, Formerly 59E-7.012, Amended 01-1-18.
59E-7.026 Penalties for Hospital Inpatient Discharge Data Reporting Discrepancies.
No change.
Rulemaking Authority 408.061(1)(e), 408.15(8), 408.813, FS. Law Implemented 408.08(2),(3),(5), 408.813 FS.. History–New 1-1-10, Amended 12-5-10, Formerly 59E-7.014, Amended 10-1-15, Amended 01-1-18.
59E-7.027 Header Record.
No change.
Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Formerly 59E-7.014, Amended 10-1-15, Amended 01-1-18..
59E-7.028 Inpatient Data Elements, Codes and Standards.
No Change.
Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Amended 12-5-10, Formerly 59E-7.014, Amended 10-1-15, Amended 01-1-18.
59E-7.029 Patient Data Release.
No change.
Rulemaking Authority 408.15(8) FS. Law Implemented 408.061 FS. History–New 1-1-10, Formerly 59E-7.015, Amended 01-1-18.
59E-7.030 General Provisions.
No change.
Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063 FS. History–New 1-1-10, Formerly 59E-7.016, Amended 01-1-18.
