West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-56 - Quality Assurance Standards For Prepaid Limited Health Service Organizations
Section 114-56-10 - Treatment records
Universal Citation: 114 WV Code of State Rules 114-56-10
Current through Register Vol. XLI, No. 38, September 20, 2024
10.1. A prepaid limited health service organization shall require all of its providers to have an organized treatment record keeping system. Treatment 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 general medical services.
a. A PLHSO shall set
forth in writing appropriate standards for treatment 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 providers at each patient visit and to nationally and state
recognized reviewing bodies sanctioned by the commissioner.
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