Tenn. Comp. R. & Regs. 0800-02-17-.24 - PROVIDER AND FACILITY FEES FOR COPIES OF MEDICAL RECORDS

(1) Health care providers and facilities are entitled to recover an amount in accordance with Tenn. Code Ann. § 50-6-204 to cover the cost of copying documents requested by the employer, employee, attorneys, etc. State-specific code Z0710 shall be used when billing for copies. Documentation which is submitted by the provider and/or facility, but was not specifically requested by the employer, shall not be allowed a copy charge. The cost set forth in this subsection shall also apply to paper records transmitted on a disc or by other electronic means based upon the number of pages reproduced on the disc or other media.

(2) Health care providers and facilities shall furnish an injured employee or the employee's attorney and employer or their legal representatives copies of records and reports as set forth in Tenn. Code Ann. § 50-6-204, as amended.

(3) Health care providers and facilities shall be reimbursed up to the usual and customary amount, as defined in these Rules at 0800-02-.03, for copying x-rays, microfilm or other non-paper records. State-specific code Z0710 shall be used when billing for copies.

(4) The copying charge shall be paid by the party who requests the records.

(5) An itemized invoice shall accompany the copy. Payment of all charges shall be made within thirty (30) calendar days.

(6) There shall be no fee paid should a requested search not produce identified records.

Notes

Tenn. Comp. R. & Regs. 0800-02-17-.24

Public necessity rule filed June 5, 2005; effective through November 27, 2005. Public necessity rule filed November 16, 2005; effective through April 30, 2006. Original rule filed February 3, 2006; effective April 19, 2006. Amendments filed March 12, 2012; to have been effective June 10, 2012. The Government Operations Committee filed a stay on May 7, 2012; new effective date August 9, 2012. Repeal and new rules filed November 27, 2017; effective February 25, 2018. Administrative changes made to this chapter on September 10, 2019; "Tennessee Workers' Compensation Act" or "Act" references were changed to "Tennessee Workers' Compensation Law" or "Law." Amendments filed June 27, 2023; effective 9/25/2023.

Authority: T.C.A. §§ 50-6-204, 50-6-205, and 50-6-233 (Repl. 2005).