Florida Administrative Code
59 - AGENCY FOR HEALTH CARE ADMINISTRATION
59B - Cost Management and Control
Chapter 59B-9 - PATIENT DATA COLLECTION, AMBULATORY SURGERY AND EMERGENCY DEPARTMENT
Section 59B-9.032 - Ambulatory and Emergency Department Data Reporting and Audit Procedures

(1) The following entities shall submit patient data to the Agency for Health Care Administration (AHCA or Agency):

(2) Each facility in subsection (1) above shall submit a separate report for each location per Section 408.061(3), F.S.

(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 Rule 59B-9.033, F.A.C., 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 Rule 59B-9.033, F.A.C., 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.