Clinical Records Clause Samples
The Clinical Records clause establishes the requirements and responsibilities for maintaining, storing, and accessing patient medical records within a clinical setting. It typically outlines who is responsible for creating and updating records, the standards for record-keeping, and the procedures for granting access to authorized personnel or patients. By clearly defining these processes, the clause ensures the integrity, confidentiality, and accessibility of clinical records, thereby supporting compliance with legal and regulatory obligations and safeguarding patient information.
Clinical Records. Except with respect to any longer periods that may be required under applicable laws, rules and regulations, Contractor shall maintain, and require each Participating Provider and subcontractor to maintain, a medical record documentation system adequate to fully disclose and document the medical condition of each Enrollee and the extent of Covered Services provided to Enrollees. Clinical records shall be retained for at least seven (7) years following the year of the final Claims payment. Except as otherwise required by State and Federal laws, rules, and regulations, if an audit, litigation, research, evaluation, claim, or other action involving the records has not been concluded before the end of the seven (7) year minimum retention period, the clinical records must be retained until all issues arising out of the action have been resolved. If responsibility for maintenance of medical records is delegated by Contractor to a Participating Provider or subcontractor, Contractor shall require such Participating Provider or other subcontractor to comply with the document retention requirements set forth in this Agreement and as otherwise required by applicable laws, rules and regulations.
Clinical Records a. CONTRACTOR shall maintain adequate records. Patient records must comply with all appropriate state and federal requirements. Individual records shall contain intake information, interviews and progress notes. Program records shall contain details adequate for the evaluation of the service.
b. CONTRACTOR shall provide COUNTY with required records for billing purposes, utilization review, and other purposes as may be required under terms of this Agreement in a timely manner.
Clinical Records. Any patient and/or medical records generated for care and treatment in the course of your University employment are the property of the University or affiliated hospital or physician practice, pursuant to Florida law.
Clinical Records. The Primary Contractor or its BH-MCO must have written policies and procedures to maintain the confidentiality of and provide Member and oth- er requesting entities access to the record, consistent with applicable state and federal confidentiality requirements. The Commonwealth, including the Office of Attorney General Medicaid Fraud Control Section, must be afforded prompt access to all Members' clinical records whether electronic or paper. The Primary Contractor or its BH-MCO must have written policies and procedures for the maintenance of clinical records so that those records are documented accurately and in a timely manner, are readily accessible, and permit prompt and systematic retrieval of information. The Department considers the clinical record as an important component of good patient care, for use in evaluating the quality of care rendered to Members. Therefore, the Primary Contractor or its BH-MCO must have written standards for clinical record documentation which reflect legibility, accuracy, completeness, and that chronologically reflect the evaluation, appropriateness of treatment, and Medical Necessity within the plan of care for the Member. A complete list of standards to follow is contained in 55 Pa. Code, Chapter 1101. Clinical records must be legible, signed, dated, preserved, and maintained for a minimum of five years from expiration of the Agreement. Clinical records must be maintained in the original form before conversion to any other form and records in all forms must be readily available for review. The Department and the Office of Attorney General Medicaid Fraud Control Section are not required to obtain written approval from a Member before requesting the Member's clinical record from the Primary Contractor or its BH-MCO or any Provider, consistent with state and fed- eral confidentiality requirements.
Clinical Records. The medical practitioner shall keep adequate clinical records and shall in relation to such records observe article 5 of the Health Services Regulations, 1971 (S.I. 105 of 1971) as if they were records kept in accordance with those regulations.
Clinical Records. Network Provider Medical Records: MCO shall require network providers to maintain clinical records that meet the requirements in the NC DHHS documents captioned Records Management and Documentation Manual for Providers (APSM 45-2) and Rules for MH/DD/SAS Facilities and Services (APSM 30-1) and in the Basic Medicaid Billing Guide. Medical Records shall be maintained at the Provider level; therefore Enrollees may have more than one record if they receive services from more than one Provider. The MCO shall monitor Medical Record documentation to ensure that the standards are met. The MCO shall have the right to inspect Provider records without prior notice. The MCO’s Network Provider contracts shall require Providers to transfer original Medical Records to the MCO in the event that the Provider closes its North Carolina business operations, whether the closure is due to retirement, bankruptcy, relocation to another state, or any other reason.
Clinical Records. For the purposes of this contract, “
Clinical Records. You should be aware that, under the Health Insurance Portability and Accountability Act (HIPAA), your ▇▇▇▇ Center therapist is required to keep Protected Health Information (PHI) about you in a Clinical Record for up to ten (10) years. The “Patient Rights” section of the HIPAA Notice explains how you may request a copy of your PHI and the limitations and exceptions involved. * The terms “patient” and “client” may be used interchangeably.
Clinical Records. 5.3.1 Provider will maintain with respect to each Enrollee receiving Covered Services, a single standard medical record, including but not limited to, information indicating (i) the existence of a stable relationship between the Enrollee and Provider, (ii) that Provider is addressing the Enrollee’s needs in a holistic fashion, (iii) that appropriate acute transitional care is provided when needed, (iv) that the Enrollee receives adequate assistance from and has adequate access to appropriate Participating Providers or other providers of medical services, and (v) that Provider has, consistent with each Enrollee’s health care needs (including physical, oral and behavioral health), participated in Care Coordination and fully documented the same in the Enrollee’s medical records. Medical records will be preserved for no less than 10 years from the date the Enrollee last received Covered Services from Provider, or the Enrollee’s death. If an audit, litigation, or other action involving the records is started before the end of the 10-year period, the records must be retained until all issues arising out of the action are resolved or until the end of the 10-year period, whichever is later.
5.3.2 Subject to Applicable Laws, Provider hereby authorizes WVP and any Payer whose Enrollees Provider treats, to release information, records, summaries of records, and statistical reports (including, but not limited to, utilization profiles pertinent to the provision of Covered Services, Provider’s professional qualifications, and credentialing information) to state and federal agencies without first receiving prior written consent.
5.3.3 Provider shall maintain Enrollee clinical records in compliance with Applicable Law regarding the confidentiality of patient records. However, Provider shall (i) comply with record sharing requirements set forth in the Rules and Standards, and (ii) participate in any system established by WVP or a Payer, which will facilitate, to the extent feasible, the maximum sharing of patient records and information developed or received by Provider in providing Covered Services to Enrollees.
Clinical Records. Physician shall assure that appropriate clinical records are prepared with regard to all professional services provided by Physician under this Agreement. All such records shall be prepared and maintained according to prudent record keeping procedures and as required by law. All clinical records prepared and maintained with regard to services rendered under this Agreement shall be and remain the property of Group, notwithstanding any termination of this Agreement.