| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | 86R806 MM-D | |
| 2 | 2 | By: Sheffield H.B. No. 3573 | |
| 3 | 3 | ||
| 4 | 4 | ||
| 5 | 5 | A BILL TO BE ENTITLED | |
| 6 | 6 | AN ACT | |
| 7 | 7 | relating to compliance with federal coding guidelines for certain | |
| 8 | 8 | divisions and offices within the Health and Human Services | |
| 9 | 9 | Commission. | |
| 10 | 10 | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
| 11 | 11 | SECTION 1. Section 531.1023, Government Code, is amended to | |
| 12 | 12 | read as follows: | |
| 13 | 13 | Sec. 531.1023. COMPLIANCE WITH FEDERAL CODING GUIDELINES. | |
| 14 | 14 | (a) The commission's office of inspector general, including office | |
| 15 | 15 | staff and any third party with which the office contracts to perform | |
| 16 | 16 | coding services, and the commission's medical and utilization | |
| 17 | 17 | review appeals unit shall comply with federal coding guidelines, | |
| 18 | 18 | including guidelines for diagnosis-related group (DRG) validation | |
| 19 | 19 | and related audits. | |
| 20 | 20 | (b) In this section, "federal coding guidelines" means the | |
| 21 | 21 | code sets and guidelines adopted by the United States Department of | |
| 22 | 22 | Health and Human Services in accordance with the Health Insurance | |
| 23 | 23 | Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d | |
| 24 | 24 | et seq.). | |
| 25 | 25 | SECTION 2. This Act takes effect September 1, 2019. |