20 Miss. Code. R. 2-II

Current through December 10, 2024

Section 20-2-II - COPIES OF RECORDS

A.Outpatient Records.

The payer may request additional records or reports from the provider concerning service or treatment provided to a patient. These additional records and reports will be reimbursed as follows:

$20.00 for first 20 pages;

$1.00 per page for pages

21-100; and $0.50 per page for everything thereafter

This applies to copies of microfiche and other electronic media or storage systems.

As provided by MCA § 11-1-52(1) (Supp. 2006), as amended, the provider may add ten percent (10%) of the total charge to cover the cost of postage and handling, and may charge an additional fifteen dollars ($15.00) for retrieving records stored off the premises where the provider's facility or office is located.

B.Inpatient Records. The payer may request additional records or reports from a facility concerning inpatient service or treatment provided to a patient. Such reports or records requested by the payer will be reimbursed as follows:

$20.00 for first 20 pages

$1.00 per page for pages

21-100 $0.50 per page for everything thereafter

This applies to copies of microfiche and other electronic media or storage systems. There is a maximum reimbursement allowance of one hundred dollars ($100.00) for a particular inpatient medical record, exclusive of postage, handling and retrieval charges as set forth below. This is per admission.

As provided by MCA § 11-1-52(1) (Supp. 2006), as amended, the provider may add ten percent (10%) of the total charge to cover the cost of postage and handling, and may charge an additional fifteen dollars ($15.00) for retrieving records stored off the premises where the provider's facility or office is located.

C. Copies of records requested by the patient and/or the patient's attorney or legal representative will be reimbursed by the requesting party according to the provisions of this section on additional reports and records.

D. Documentation submitted by the provider which has not been specifically requested will not be subject to reimbursement.

E. Health care providers may charge up to ten dollars ($10.00) per image for copying x-rays or for providing copies of x-rays via electronic or other magnetic media. (Copies of film do not have to be returned to the provider.)

F. Payers, their representatives, and other parties requesting records and reports must be specific in their requests so as not to place undue demands on provider time for copying records.

G. Providers should respond promptly (within fourteen (14) working days) to requests for additional records and reports.

H. Records requested by the MWCC will be furnished by the provider without charge to the MWCC.

I. Any additional reimbursement, including copy service vendors, other than specifically set forth above, is not required, and providers or their vendors will not be paid any additional amounts.

20 Miss. Code. R. 2-II

Amended 6/14/2017

Amended 6/15/2019