TX HHS Form 3241. Ambulatory Surgical Center Annual Report

The TX HHS Form 3241, Ambulatory Surgical Center Annual Report, is a crucial document that helps ambulatory surgical centers (ASCs) comply with Texas Administrative Code Title 26 Section 508.26(b). This form must be submitted annually by ASCs to report their facility information, procedure types and numbers, and average patient stay length.

The form requires ASCs to provide specific details about their facilities, including the name, license number, and expiration month. Additionally, it asks for contact person information and email address. Section 2 of the form focuses on the type and number of procedures performed during the reporting period, while Section 3 requests the average length of patient stay.

To submit the report, ASCs must follow specific guidelines: the date of submission is based on the facility's license expiration month, and the report should be emailed to [email protected]. It is essential to note that this form should not be submitted with the ASC license renewal form. By completing and submitting this annual report, ASCs demonstrate their commitment to transparency and regulatory compliance.

• The form must be submitted annually by ambulatory surgical centers (ASCs) per Texas Administrative Code Title 26 Section 508.26(b).
• The date of submission is based on the facility's license expiration month.
• The report should not be submitted with the ASC license renewal form.