Mich. Admin. Code R. 325.164

Current through Vol. 24-16, September 15, 2024
Section R. 325.164 - Quality assurance

Rule 4.

(1) For the purpose of assuring the quality of submitted data, a provider shall allow the department to inspect the parts of a patient's medical records as necessary to verify the accuracy of submitted data.
(2) A health care provider who meets the standards of quality and completeness of submitted data set by the department is subject to inspection not more than once every 3 years for the purpose of assessing the quality and completeness of reporting from the provider, unless summary data for the provider indicate a significant deviation from expectation.
(3) A health care provider shall, at the request of the department, supply missing information, if known, or clarify information submitted to the department.
(4) Upon mutual agreement between a health care provider and the department, the provider may elect to submit copies of medical records instead of submitting to an inspection. The department shall use a copy of a submitted medical record or part of a record only to verify corresponding reported data, shall not recopy the record, and shall keep the record in a locked file cabinet when the record is not being used. The department shall promptly destroy a copy of a medical record submitted under this rule after verifying corresponding reported data or, if the reported data appear to be inaccurate, after clarifying or correcting the reported data.

Mich. Admin. Code R. 325.164

1997 AACS