25 Tex. Admin. Code § 421.62
Collection of Ambulatory Surgical Care and Emergency Department Data
Effective Aug 29, 200429 TexReg 8123Source Note: The provisions of this §421.62 adopted to be effective August 29, 2004, 29 TexReg 8123; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842.Texas Secretary of State
- (a) Reporting hospitals in operation for all or any of the reporting periods described in §1301.63 of this title (relating to Schedule for Filing Event Files) may submit event claims as specified in §1301.68 of this title (relating to Event Files--Records, Data Fields and Codes) on all patient events to DSHS. If a hospital chooses to participate in reporting under this subchapter, the hospital shall comply with the requirements in this subchapter. To the extent the medical screening examination, triage, observation, diagnosis or treatment is made by a health professional, other than a physician, data elements specified in §1301.68(d)(31)-(36) of this title shall be filled accordingly or data elements §1301.68(d)(33) or (36) shall be marked with one of DSHS approved temporary "Physician" or "Other health professional" code numbers and data elements §1301.68(d)(31)(A-C) or (34)(A-C) may be left blank.
- (b) All patient events shall be reported by the reporting hospitals, for which the reporting hospital prepares one or more bills for patient services, the reporting hospital shall submit an event claim corresponding to each bill containing the data elements required by §1301.68 of this title (relating to Event Files - Records, Data Fields and Codes). For all patients for which the hospital does not prepare a bill for patient services, the hospital shall submit an event claim containing the required minimum data set.
- (c) All reporting hospitals shall submit event files by electronic filing unless the hospital receives an exemption letter from DSHS.
- (d) All reporting hospitals shall submit event claims and event files in the format specified in §1301.68 of this title (relating to Event Files--Records, Data Fields and Codes).
- (e) All reporting hospitals shall submit event files, data certifications and other required information to DSHS or its agents at physical or telephonic addresses specified by DSHS. DSHS shall notify all reporting hospitals and submitters in writing and by publication in the Texas Register at least 30 calendar days before any change in the addresses.
- (f) Reporting hospitals may submit event files themselves, or may designate an agent to submit the event files. If a hospital designates an agent, it shall inform DSHS of the designation in writing at least 30 calendar days prior to the agent's submission of any discharge report. The reporting hospital shall inform DSHS in writing at least 30 calendar days prior to changing agents or making the submissions itself.
Source Note:The provisions of this §421.62 adopted to be effective August 29, 2004, 29 TexReg 8123; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842.