Sec. 10.02.01.11. Records and Reports Required  


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  • A. An individual financial record for each recipient of services or chargeable person shall be maintained, which shall contain relevant financial information including:

    (1) The ability-to-pay determination, including, when available, applicable documents appropriate to the verification of assets, income, expenses, allowances and exemptions;

    (2) The types and dates of services rendered and the approved charges, the amounts and dates of collections;

    (3) An indication of the recipient of services eligibility for any federal program providing funding for the services rendered;

    (4) A signed authorization to release medical information and assignment of third-party benefits;

    (5) Any other information as may be required by the Secretary from time to time.

    B. Financial records of fees assessed and collected shall include:

    (1) Copies of prenumbered receipts;

    (2) Cash receipts report;

    (3) Records of deposits; and

    (4) Other records necessary for proper audit trail.

    C. The Secretary may waive any of the requirements of this section where appropriate upon written requests supported by reasons and justifications.