Mich. Admin. Code R. 325.9073

Current through Vol. 24-10, June 15, 2024
Section R. 325.9073 - Quality assurance

Rule 3.

(1) For the purposes of assuring the quality of submitted data, each reporting entity shall allow the department or an authorized agent of the department, with not less than 5 working days' notice and during reasonable working hours, to inspect the parts of a patient's medical records as necessary to verify the accuracy of the submitted data.
(2) A reporting entity shall, upon the request of the department, supply missing information, if known, or clarify information submitted to the department.
(3) Upon mutual agreement between a reporting entity and the department, the reporting entity may elect to submit copies of medical records instead of on-site inspection of the records by the department. Each copy of a medical record or part thereof that is submitted to the department under this rule shall be used only for verification of corresponding reported data, shall not be recopied by the department, and shall be kept in a locked file cabinet when not being used. The copies shall be promptly destroyed following verification of the corresponding reported data or, if the reported data appears to be inaccurate, following clarification or correction of the reported data.
(4) Both of the following provisions shall be complied with to preserve the confidentiality of each patient's medical records:
(a) Each reporting entity, when requested, shall provide the department with, for inspection only, all of the following records and reports:
(i) Reports of diagnoses of birth defects and notations of the reasons for such diagnoses, including the primary clinician's reports and consultation reports.
(ii) Those parts of medical records that contain the specific information required to be reported.
(b) A reporting entity shall not be required by this rule to allow the inspection of any part of any patient's record other than those parts specified in subrule (1) of this rule. A reporting entity may allow the inspection of medical records from which parts, other than those specified, have been deleted, masked, crossed out, or otherwise rendered illegible.

Mich. Admin. Code R. 325.9073

1991 AACS; 2011 AACS