![]() ![]() MSP is satisfied that the request is appropriate and.the third party submits a written request for the records and.MSP will release personal data and medical claims records to a third party only if the following conditions are met: Individuals may request a copy of their personal data and claims records from MSP under the Freedom of Information and Protection of Privacy Act. MSP maintains personal data and claims records for the life history of an individual. RN(C)s are advised to follow the records retention policy of their employer. Under the Medicare Protection Act, a practitioner must retain medical/clinical records for a period specified by the appropriate licensing body or, if the appropriate licensing body has not specified a period, for a period the commission specifies. ![]() Summation of the problem and plan of management.Results of any investigations carried out during the encounter and.Identification of the extent of the physical examination including pertinent positive and negative findings.The relevant results, both negative and positive, of a systematic enquiry pertinent to the patient’s problem(s).All pertinent previous history including family history.Presenting complaint(s) and presenting symptoms and signs, including their history.Identification of the patient and the attending practitioner.An adequate medical record, as outlined in the Medical Services Commission Payment Schedule Preamble (PDF, 180KB) includes: RN(C)s are required to maintain adequate clinical records according to the standards of practice set by the College of Registered Nurses of British Columbia (CRNBC).Īdditionally, clinical records must support the information submitted to MSP for all requests for diagnostic tests. Information submitted by medical and health care practitioners related to the clinical care of a MSP beneficiary is likewise collected under the authority of the Medicare Protection Act and is protected with the same degree of confidentiality and respect. It is treated with the utmost confidentiality. This information is protected and accessible under the Freedom of Information and Protection of Privacy Act. Personal information provided to the Medical Services Plan (MSP) is collected under the authority of the Medicare Protection Act and is used to determine eligibility for Ministry of Health programs available to residents of B.C. ![]()
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