By: Johnson, Hinojosa S.B. No. 1458
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.