Florida Regulations 59E-7.026: Penalties for Hospital Inpatient Discharge Data Reporting Discrepancies.
Current as of: 2024 | Check for updates
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(1) For purposes of this rule chapter, a report or other information is “”incomplete”” when it does not contain all data required by the Agency in this rule and in forms incorporated by reference or when it contains inaccurate data. The Agency shall to the extent practical, apply the same audit standards and use the same audit procedures for all hospitals or audit a random sample of hospitals. The Agency will notify each hospital of any possible errors discovered by audit and request that the hospital either correct the data or verify that the data is complete and correct. A report or other information is “”false”” if done or made with the knowledge of the preparer or an administrator that it contains information or data which is not true or accurate.
(2) A hospital which refuses to file, fails to timely file, or files false or incomplete reports or other information required to be filed under the provisions of Florida Statutes § 408.08(2), other Florida Law, or a rule adopted thereunder, shall be subject to administrative fines pursuant to Florida Statutes § 408.813 Failure to comply with reporting requirements will also result in the referral of a hospital to the Agency’s Bureau of Health Facility Regulation.
(3) Notifications will be sent to reporting facilities who do not submit their data file by the initial due date as specified in Fl. Admin. Code R. 59E-7.023
(4) The penalty period will begin on the first calendar day following the certification due date for purposes of penalty assessments.
(5) Any hospital which is delinquent for a certification deadline as specified in Fl. Admin. Code R. 59E-7.023, shall be subject to a fine of $100.00 per day of violation for the first violation, $350.00 per day of violation for the second violation, and $1,000.00 per day of violation for the third and all subsequent violations. Following four consecutive non-delinquent quarters, the fine violation matrix will reset to the first violation rate. Violations will be considered those activities which necessitate the issuance of an administrative complaint by the Agency unless the administrative complaint is withdrawn or final order dismissing the administrative complaint is entered. Any hospital which files false information to the Agency shall be subject to a fine not exceeding $1,000.00 per day per violation, in addition to any other fine imposed hereunder.
Rulemaking Authority 408.061(1)(e), 408.15(8), 408.813 FS. Law Implemented 408.08(2), (3), (5), 408.813 FS. History-New 1-10-10, Formerly 59E-7.013, Amended 1-1-18.
Terms Used In Florida Regulations 59E-7.026
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
(3) Notifications will be sent to reporting facilities who do not submit their data file by the initial due date as specified in Fl. Admin. Code R. 59E-7.023
(4) The penalty period will begin on the first calendar day following the certification due date for purposes of penalty assessments.
(5) Any hospital which is delinquent for a certification deadline as specified in Fl. Admin. Code R. 59E-7.023, shall be subject to a fine of $100.00 per day of violation for the first violation, $350.00 per day of violation for the second violation, and $1,000.00 per day of violation for the third and all subsequent violations. Following four consecutive non-delinquent quarters, the fine violation matrix will reset to the first violation rate. Violations will be considered those activities which necessitate the issuance of an administrative complaint by the Agency unless the administrative complaint is withdrawn or final order dismissing the administrative complaint is entered. Any hospital which files false information to the Agency shall be subject to a fine not exceeding $1,000.00 per day per violation, in addition to any other fine imposed hereunder.
Rulemaking Authority 408.061(1)(e), 408.15(8), 408.813 FS. Law Implemented 408.08(2), (3), (5), 408.813 FS. History-New 1-10-10, Formerly 59E-7.013, Amended 1-1-18.