W. Va. Code R. § 114-53-9

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 114-53-9 - Medical Records

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.

W. Va. Code R. § 114-53-9