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2022 SESSION

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HB 910 Hospitals; emergency department CPT code data reporting, quarterly reports.

Introduced by: Robert D. Orrock, Sr. | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED HOUSE:

Hospital emergency department CPT code data reporting. Requires every hospital in the Commonwealth that includes an emergency department to report quarterly to the Department of Health (the Department), for the preceding quarter, (i) the total number of visits to the hospital's emergency department, by location, and (ii) the total number of visits to the hospital's emergency department by emergency department evaluation and management (E/M) Physicians' Current Procedural Terminology (CPT) code. The bill also requires the Department to annually publish a report setting forth the average number of hospital emergency department visits by location and by emergency department E/M CPT code statewide and by region for each month.

SUMMARY AS INTRODUCED:

Hospital emergency department severity code data reporting. Requires every hospital in the Commonwealth with an emergency department to report monthly to the Department of Health (the Department) the total number of visits to the hospital's emergency department and the total number of visits to the hospital's emergency department by severity cod. The bill directs the Department to (i) determine the average number of hospital emergency department visits for each severity code statewide and by region for each month, (ii) identify hospitals that report a number of hospital emergency department visits for the highest severity code that is greater than the regional average for such severity code for each month, and (iii) work with such hospitals to determine why the hospital is reporting a number of emergency department visits coded at the highest severity code that exceed the regional average. The bill also requires the Department to develop guidelines for the use of severity codes in emergency departments to facilitate accurate coding of emergency department visits by severity.