048-22 Wyo. Code R. § 22-18
The health information and management system shall be maintained in accordance with accepted professional principles for every patient evaluated or treated in the rehabilitation hospital.
(a) There shall be qualified personnel adequate to supervise, maintain, and conduct the health information and management system function. Preferably, a Registered Health Information Administrator (RHIA) or Medical Records/Health Information Technician (MRHIT) will be in charge. If such a professional is not in charge, a qualified RHIA or MRHIT on a consultant or part-time basis shall organize the function, train the personnel, and make periodic on-site visits to evaluate the medical records function.
(b) All medical records and health information shall be maintained in accordance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996, 42 CFR Part 2, and any other relevant state or federal laws relating to the maintenance of protected health information.
(c) Records of public rehabilitation hospitals shall be preserved, either in the original form or by other permanent means, for a period of time determined by the rehabilitation hospital administrator, based upon the legally approved retention schedules for publically-funded rehabilitation hospitals established by the Wyoming State Archives and the State Records Committee.
(d) A system of identification and filing to ensure the prompt location of a patient's medical records shall be maintained.
(e) Indexing shall be current within three (3) months following discharge of the patient.
(f) Medical records shall contain sufficient information to justify the diagnosis and warrant the treatment and end results.
(g) In rehabilitation hospitals with house staff, the attending physician countersigns at least the history, physical examination, and summary written by the house staff.
048-22 Wyo. Code R. § 22-18