Mich. Admin. Code 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.
Notes
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