Amend CSSB 207 (senate committee report) as follows:
(1) In SECTION 7 of the bill, in the recital (page 6, line 57), strike "Section 531.1203" and substitute "Sections 531.1023, 531.1024, and 531.1203".
(2) In SECTION 7 of the bill, immediately following the recital (page 6, between lines 57 and 58), insert the following:
Sec. 531.1023. COMPLIANCE WITH FEDERAL CODING GUIDELINES. The commission's office of inspector general, including office staff and any third party with which the office contracts to perform coding services, shall comply with federal coding guidelines, including guidelines for diagnosis-related group (DRG) validation and related audits.
Sec. 531.1024. HOSPITAL UTILIZATION REVIEWS AND AUDITS: PROVIDER EDUCATION PROCESS. The executive commissioner shall by rule develop a process for the commission's office of inspector general, including office staff and any third party with which the office contracts to perform coding services, to communicate with and educate providers about the diagnosis-related group (DRG) validation criteria that the office uses in conducting hospital utilization reviews and audits.
(3) Add the following appropriately numbered SECTION to the bill:
SECTION ____. As soon as practicable after the effective date of this Act, the executive commissioner of the Health and Human Services Commission shall adopt the rules establishing the process for communicating with and educating providers about diagnosis-related group (DRG) validation criteria under Section 531.1024, Government Code, as added by this Act.
(4) Renumber the SECTIONS of the bill appropriately.