Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 421 - HEALTH CARE INFORMATION › Subchapter D - COLLECTION AND RELEASE OF OUTPATIENT SURGICAL AND RADIOLOGICAL PROCEDURES AT HOSPITALS AND AMBULATORY SURGICAL CENTERS › Section 421.65 - Acceptance of Event Files and Correction of Data Content Errors

Current through Reg. 49, No. 28; July 12, 2024
(a) Upon receipt of an event file, DSHS shall
											  establish a process to determine if it satisfies minimum criteria for processing. If it does not, DSHS shall
											  establish a process to provide a report to be returned to the submitter regarding the invalid event file in a
											  format and media that is approved for that provider and states the deficiencies. The facility shall submit a
											  corrected event file within 10 calendar days of notification by DSHS or DSHS' agent. An event file does not
											  meet minimum standards for processing if the file structure does not conform to the specifications in §
										421.67 of this title
											  (relating to Event Files--Records, Data Fields and Codes).
(b)
											  Correction of Data Content Errors.
(1) DSHS shall establish an audit
											  process for all event files accepted for processing. DSHS shall notify the facility identified from the event
											  file in detail of all errors detected in an event file which was received in an acceptable format as provided
											  in §
											421.67 of this
											  title.
(2) Within 30 calendar days of receiving initial notice of
											  errors in an event file, the facility shall correct all event claims containing errors, add any event claims
											  determined to be missing from the initial event file and resubmit the corrected and/or previously missing
											  event claims. If the facility disagrees with any identified error, the facility may indicate that the event
											  claim is as accurate as it can be or cannot be corrected. Each facility shall submit such modified and/or
											  additional event claims as may be required to allow the chief executive officer or the chief executive
											  officer's designated agent to certify the quarterly event file as required by §
											421.66 of this title
											  (relating to Certification of Compiled Event Data). Corrections to an event file shall be submitted on
											  approved media and formats as specified in §
											421.64 of this title
											  (relating to Instructions for Filing Event Files) and §
											421.67 of this title
											  unless DSHS approves another medium or format.
(3) Within 10
											  calendar days of receiving corrections to an event file from a facility, DSHS shall notify the facility of
											  any remaining errors. The facility shall have 10 calendar days from receipt of this notice to correct the
											  errors noted or indicate why the data should be deemed acceptable and complete. This process may be repeated
											  until the data is substantially accurate and the facility is able to certify the event file as required by
											  §
											421.66 of this title or
											  the deadline for submitting corrections prior to certification is reached. Corrected data is required to be
											  submitted on or before the following dates for the respective quarter's discharges: Quarter 1 - August 1;
											  Quarter 2 - November 1; Quarter 3 - February 1; Quarter 4 - May 1. DSHS may grant an extension to all
											  facilities when deemed necessary.
(4) Event claims that have not
											  been previously submitted shall be submitted prior to the deadline for the following quarter's data.
											  Correction and certification of these previously missing or additional event claims for the prior calendar
											  quarter shall be made according to the deadlines established for following quarter in which the data that is
											  scheduled to be processed as specified in §
											421.63(a) of
											  this title (relating to the Schedule for Filing Event Files), paragraph (3) of this subsection concerning the
											  acceptance of event files and correction of data content errors), and §
											421.66(b) and
											  (d) of this title. Corrections to event claims previously submitted or that
											  have a statement date prior to calendar quarter immediately before the calendar quarter being processed
											  scheduled will not be processed.