(a) In this section, “federal coding guidelines” means the code sets and guidelines the United States Department of Health and Human Services adopts in accordance with the Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. § 1320d et seq.).
(b) The 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.

Text of section effective on April 01, 2025