Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 421 - HEALTH CARE INFORMATION › Subchapter E - COLLECTION AND RELEASE OF EMERGENCY VISIT DATA › Section 421.72 - Collection of Emergency Visit Data

Current through Reg. 49, No. 28; July 12, 2024
(a) Each facility in operation for all or any of the reporting periods
											  described in §
										421.73 of this title (relating
											  to Schedule for Filing Event Files) shall submit to DSHS emergency visit claims as specified in §
										421.77 of this
											  title (relating to Event Files--Records, Data Fields and Codes) on all emergency visit patients. All
											  facilities that are exempt under Texas Health and Safety Code, Chapter 108, which choose to participate in
											  reporting under this subchapter, 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 §421.77(d)(25) - (30) of this title shall be filed
											  accordingly or data elements in §
										421.77(d)(26) or
											  (29) of this title in the modified ANSI 837 Institutional Guide shall be
											  marked with one of DSHS approved temporary "Physician" or "Other health professional" code numbers and data
											  elements in §421.77(d)(28)(A) - (C) of this title in the ANSI 837 Institutional Guide format may be left
											  blank.
(b) All emergency visit events shall be reported by the
											  facility that prepares one or more bills for patient services. The facility shall submit an event claim
											  corresponding to each bill containing the data elements required by §
										421.77 of this
											  title. For all patients who received one or more emergency services for which the facility does not prepare a
											  bill for patient services, the facility shall submit an event claim containing the required minimum data
											  set.
(c) Each facility shall submit event files by electronic
											  filing unless the facility receives an exemption letter from DSHS.
(d) Each facility shall submit event claims and event files in the format
											  specified in §
										421.77 of this
											  title.
(e) Each facility shall submit event files, data
											  certifications and other required information to DSHS or its agents at physical, universal resource locator
											  (URL) addresses or telephonic addresses specified by DSHS. DSHS shall notify all facilities and submitters in
											  writing and by publication in the Texas Register at least 30 calendar days before any change in the
											  addresses.
(f) Each facility may submit event files, or may
											  designate an agent to submit the event files. If a facility 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
											  facility shall inform DSHS in writing at least 30 calendar days prior to changing agents or making the
											  submissions itself.