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 421.63 - Schedule for Filing Event Files
Universal Citation: 25 TX Admin Code ยง 421.63
Current through Reg. 49, No. 38; September 20, 2024
(a) For patient events occurring on or after January 1, 2009, as specified by DSHS, facilities shall file event files according to the following schedule as shown in paragraphs (1) - (4) of this subsection:
(1) Each event claim covering patient events
occurring between January 1 and March 31, inclusive, shall be submitted no
later than June 1 of the calendar year in which the discharge
occurred.
(2) Each event file
covering patient events occurring between April 1 and June 30, inclusive, shall
be submitted no later than September 1 of the calendar year in which the
discharge occurred.
(3) Each event
file covering patient events occurring between July 1 and September 30,
inclusive, shall be submitted no later than December 1 of the calendar year in
which the discharge occurred.
(4)
Each event file covering patient events occurring between October 1 and
December 31, inclusive, shall be submitted no later than March 1 of the year
following the year in which the discharge occurred.
(b) Extensions to processing due dates may be granted by DSHS in response to a written request signed by the facility's chief executive officer. Requests must be in writing, must be received at least 5 working days prior to the due date and must be accompanied by adequate justification for the delay. A timely written request shall constitute a stay (delay) of the due date until a decision is issued by DSHS.
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