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Provider Medical Records ____________________________________________________
Hometown Health requires medical records to be maintained in a manner that is current , detailed , and organized and permits effective and confidential patient care and quality review . As a contracted provider with Hometown Health , you are required to do the following :
• Maintain records for at least 10 years from the end of the final contract period or completion of audit , whichever is later , unless there is a special need to retain longer .
• Provide medical records to Hometown Health for the annual HEDIS audit and Risk Adjustment reviews / audits in a timely manner at no cost to the plan or to the member .
• Provide medical record access to deferral entities , such as the Department of Health and Human Services ( HHS ) and the Comptroller General , which is head of the Government Accountability Office ( GAO ).
• The medical record , whether electronic or paper , communicated the Member ’ s past medical treatment , past and current health status , and treatment plans for further health care .
Confidentiality of Member Medical Records
Hometown Health also considers all records to be confidential and requires that providers do the following :
• Maintain medical records in a space staffed by office personnel
• Maintain medical records in a locked office when staff is not present
• Permit review or removal of medical records only with member ’ s authorization
• Release medical and mental health records only in accordance with state and federal laws , regarding confidentiality and disclosure
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