West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-53 - Quality Assurance
Section 114-53-9 - Medical Records
Universal Citation: 114 WV Code of State Rules 114-53-9
Current through Register Vol. XLI, No. 38, September 20, 2024
9.1. A health maintenance organization shall require all of its providers to have an organized medical recordkeeping system. Medical records shall be maintained in a manner that is current, detailed, organized and permits effective patient care and quality review. Records shall also reflect all aspects of patient care including ancillary services.
a. An HMO shall set forth in writing
appropriate standards for medical records, the systematic review for conformance and
the institution of corrective action when standards are not met. Copies of all
standards and goals and any updates shall be provided to all
providers.
b. Records shall
be available to health care practitioners at each patient visit and to nationally
and state recognized reviewing bodies sanctioned by the commissioner.
Disclaimer: These regulations may not be the most recent version. West Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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