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Tenn. Code Ann. §68-1-119 - Requirements for Claims Data Discharge Reports by Ambulatory Surgical Treatment Centers

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Each licensed ambulatory surgical center and licensed outpatient diagnostic center must report all claims data for each discharge to the Commissioner of Health.  The ambulatory surgical centers and outpatient diagnostic centers must go use an approved third party entity for processing and submitting the data to the Department of Health.  Such reports must be made quarterly.  No information may be made public that could potentially identify the patient.  Additionally, the claims data reported to the Commissioner must remain confidential and not be made publicly available until the data is verified by the Commissioner.  The law makes clear that no person may be held civilly liable for disclosures made pursuant to the law unless the person knows the information is false. 

A licensed ambulatory surgical center may be required to pay the Commissioner a penalty of 5 cents for each day the claims data discharge report is delayed by (report must be received 60 days after the end of the quarter).  The maximum penalty an ambulatory surgical center may be required to pay is $10 for each delinquent discharge report. 

Claims data that is collected and reported in the normal billing process is the claims data that is required to be collected and reported, unless the Commissioner deems other data essential to ambulatory surgical center discharge data reporting.  Data submitted to the Commissioner that has been verified must be made publicly available. 


Current as of June 2015