Notice of Proposed Rule

AGENCY FOR HEALTH CARE ADMINISTRATION
Cost Management and Control
RULE NO: RULE TITLE
59B-9.030: Purpose of Ambulatory and Emergency Department Patient Data Reporting
59B-9.031: Definitions
59B-9.032: Ambulatory and Emergency Department Data Reporting and Audit Procedures
59B-9.033: Schedule for Submission of Ambulatory and Emergency Department Patient Data and Extensions
59B-9.034: Reporting Instructions
59B-9.035: Certification, Audits, and Resubmission Procedures
59B-9.036: Penalties for Ambulatory Patient Data Reporting and Deficiencies
59B-9.037: Header Record
59B-9.038: Ambulatory Data Elements, Codes and Standards
59B-9.039: Public Records
PURPOSE AND EFFECT: The purpose of amending Chapter 59B-9 is to standardize this rule with Chapter 59E-7 requirements and align current data elements collected to the uniform bill for institutional facilities (UB-04), as approved by the National uniform Billing Committee (NUBC) effective October 1, 2007. Additional clarification is necessary to refine ambulatory services, inclusion of report deadlines, define resubmission requirements, patient data release, and coincide terminology to national standards.
SUMMARY: Amendment to Chapter 59B-9 will enable standardization between both data sets for requirements that were omitted and/or conflicting with 59E-7. It will facilitate direct data elements correlation from the UB-04 source document and therefore decrease potential errors introduced by having to re-map elements from the UB-04 to the expired UB-92 source document format. The rule contains report deadlines based on an outdated collection system where facility reports were submitted on mailed diskettes. Current electronic data submission applications expedite the collection process time negating the need for extended time frames. Shortened deadlines will afford quicker data availability to meet the growing demand by researchers and consumers who desire current data access on the consumer website and available for purchase.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
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: 408.15(8), 408.061, 408.08 FS.
LAW IMPLEMENTED: 408.061, 408.062, 408.063, 408.07, 408.08(1)(5)(14), 408.15(11), 119.07, 120.53(2)(a) FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN FAW.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Parick Kennedy at 922-922-5531

THE FULL TEXT OF THE PROPOSED RULE IS:


NAME OF PERSON ORIGINATING PROPOSED RULE: Patrick Kennedy
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Holly Benson, AHCA Secretary
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: 03/13/09
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: March 6, 2009