Florida Regulations 59B-9.032: Ambulatory and Emergency Department Data Reporting and Audit Procedures
Current as of: 2024 | Check for updates
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(1) The following entities shall submit patient data to the Agency for Health Care Administration (AHCA or Agency):
(a) All licensed short-term acute care hospitals licensed under Florida Statutes Chapter 395;
(b) All licensed ambulatory surgical centers as defined in Florida Statutes § 395.002(3);
(c) All emergency departments licensed under Florida Statutes Chapter 395;
(d) All cardiac catheterization laboratories defined in Florida Statutes § 408.07
(2) Each facility in subsection (1) above shall submit a separate report for each location per Florida Statutes § 408.061(3)
(3) All ambulatory centers performing the services set forth in Rules 59B-9.030 through 59B-9.039, F.A.C., shall submit ambulatory patient data as set forth in Rules 59B-9.037 and 59B-9.038, F.A.C., unless the reporting entity meets the criteria listed in subsection 59B-9.032(5), F.A.C., below.
(4) Any Ambulatory Surgical Center (ASC) or cardiac catheterization laboratory receiving 200 or more patient visits during any reporting quarter periods outlined in Fl. Admin. Code R. 59B-9.033, is required to report data as specified in Rules 59B-9.037 and 59B-9.038, F.A.C.
(5) Any Ambulatory Surgical Centers (ASC) or cardiac catheterization laboratory receiving fewer than 200 patient visits during any reporting quarter outlined in Fl. Admin. Code R. 59B-9.033, may request an exemption from that quarter’s reporting requirement. A facility must request an exemption in FDDC and electronically certify that it is accurate, complete, and verifiable. Exemption requests may be submitted for each quarter with fewer than 200 visits.
(6) Upon notification by the Agency staff, all facilities shall provide access to all required information from the medical records and billing documents underlying and documenting the ambulatory patient data submitted, as well as other patient related documentation deemed necessary by the Agency to conduct complete ambulatory patient data audits subject to the limitations as set forth in Section 408.061(1)(d), F.S. No patient records that support patient data are exempt from disclosure to AHCA for audit purposes.
Rulemaking Authority Florida Statutes § 408.15(8). Law Implemented 408.061, 408.062, 408.063, 408.07, 408.08, 408.15(11) FS. History-New 1-1-10, Amended 7-1-11, 10-5-11, Formerly 59B-9.011, Amended 2-16-23.
(a) All licensed short-term acute care hospitals licensed under Florida Statutes Chapter 395;
(b) All licensed ambulatory surgical centers as defined in Florida Statutes § 395.002(3);
(c) All emergency departments licensed under Florida Statutes Chapter 395;
(d) All cardiac catheterization laboratories defined in Florida Statutes § 408.07
(2) Each facility in subsection (1) above shall submit a separate report for each location per Florida Statutes § 408.061(3)
(3) All ambulatory centers performing the services set forth in Rules 59B-9.030 through 59B-9.039, F.A.C., shall submit ambulatory patient data as set forth in Rules 59B-9.037 and 59B-9.038, F.A.C., unless the reporting entity meets the criteria listed in subsection 59B-9.032(5), F.A.C., below.
(4) Any Ambulatory Surgical Center (ASC) or cardiac catheterization laboratory receiving 200 or more patient visits during any reporting quarter periods outlined in Fl. Admin. Code R. 59B-9.033, is required to report data as specified in Rules 59B-9.037 and 59B-9.038, F.A.C.
(5) Any Ambulatory Surgical Centers (ASC) or cardiac catheterization laboratory receiving fewer than 200 patient visits during any reporting quarter outlined in Fl. Admin. Code R. 59B-9.033, may request an exemption from that quarter’s reporting requirement. A facility must request an exemption in FDDC and electronically certify that it is accurate, complete, and verifiable. Exemption requests may be submitted for each quarter with fewer than 200 visits.
(6) Upon notification by the Agency staff, all facilities shall provide access to all required information from the medical records and billing documents underlying and documenting the ambulatory patient data submitted, as well as other patient related documentation deemed necessary by the Agency to conduct complete ambulatory patient data audits subject to the limitations as set forth in Section 408.061(1)(d), F.S. No patient records that support patient data are exempt from disclosure to AHCA for audit purposes.
Rulemaking Authority Florida Statutes § 408.15(8). Law Implemented 408.061, 408.062, 408.063, 408.07, 408.08, 408.15(11) FS. History-New 1-1-10, Amended 7-1-11, 10-5-11, Formerly 59B-9.011, Amended 2-16-23.