Tex.
Human Resources Code Section 32.0312
Reimbursement for Services Associated with Preventable Adverse Events
(1)
shall ensure that the commission imposes the same reimbursement denials or reductions for preventable adverse events as the Medicare program imposes for the same types of health care-associated adverse conditions and the same types of health care providers and facilities under a policy adopted by the federal Centers for Medicare and Medicaid Services;(2)
shall consult an advisory committee on health care quality, if established by the executive commissioner, to obtain the advice of that committee regarding denial or reduction of reimbursement claims for any other preventable adverse events that cause patient death or serious disability in health care settings, including events on the list of adverse events identified by the National Quality Forum; and(3)
may allow the commission to impose reimbursement denials or reductions for preventable adverse events described by Subdivision (2).(b)
The commission shall coordinate with physicians, hospitals, managed care organizations, and the commission’s billing contractor for the medical assistance program to develop a process for collecting information regarding the number of induced deliveries and cesarean sections described by Subsection (a) that occur during prescribed periods.
Source:
Section 32.0312 — Reimbursement for Services Associated with Preventable Adverse Events, https://statutes.capitol.texas.gov/Docs/HR/htm/HR.32.htm#32.0312 (accessed Jun. 5, 2024).
