Section 418.101402. Access to workers' compensation case records.

(1) The workers' compensation agency shall have access to necessary workers' compensation health care records, medical bills, and other information concerning health care or  health    service     from workers' compensation carriers or providers.

(2)    The agency may review the  records   and  medical  bills  of   any provider determined by a carrier to not be in compliance with the rules or to be requiring unjustified treatment,   hospitalization,  or   office visits.  If  a carrier requests the agency to perform an on- site  review   of specific  records and medical bills of a provider, then the   agency   shall arrange a mutually acceptable visit date with the provider, by telephone or in writing, at least 15 working days before the visit. The agency  shall confirm the date  of  the visit in writing not less than 10 working days in advance. The agency shall, by that time, identify  for  the provider the records, which the agency wishes to review. The records shall remain at the provider's place of business.

(3)   The workers' compensation agency shall  ensure   confidentiality  of the individual case records regarding health care services provided  to any individual.

History: 1998-2000 AACS; 2005 AACS.