1. Are policies and procedures for record requests properly defined?
2. Are the requirements consistent with legal statutes and other standards, such as, federal, state or The Joint Commission?
3. Are record-retention requirements any different from those applying to the balance of patients?
4. Are the notification requirements reasonable?
5. Are reasonable reimbursement provisions included for duplicating and transmitting records?
6. Are any provisions included that indemnify the provider from liability for complying with a payor’s record request?
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4 Managed Care Contract Questions Regarding Benefit Plan Incentives
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