| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to compliance with federal coding guidelines for certain |
|
|
divisions and offices within the Health and Human Services |
|
|
Commission. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 531.1023, Government Code, is amended to |
|
|
read as follows: |
|
|
Sec. 531.1023. COMPLIANCE WITH FEDERAL CODING GUIDELINES. |
|
|
(a) The commission's office of inspector general, including office |
|
|
staff and any third party with which the office contracts to perform |
|
|
coding services, and the commission's medical and utilization |
|
|
review appeals unit shall comply with federal coding guidelines, |
|
|
including guidelines for diagnosis-related group (DRG) validation |
|
|
and related audits. |
|
|
(b) In this section, "federal coding guidelines" means the |
|
|
code sets and guidelines adopted by the United States Department of |
|
|
Health and Human Services in accordance with the Health Insurance |
|
|
Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d |
|
|
et seq.). |
|
|
SECTION 2. This Act takes effect September 1, 2019. |