Medical Records Requirements

30 - Medical Records Requirements (Rev. 253, Issued: 12- 14-18, Effective: 01-16-19, Implementation: 01- 16-19) The medical records maintained by an IPF must permit determination of the degree and intensity of the treatment provided to individuals who are furnished services in the institution. In addition, consistent with the hospital conditions of participation, all medical records, including progress notes and treatment plan, should be legible and complete, and should be promptly signed and dated by the person (identified by name and discipline) who is responsible for ordering, providing or evaluating the service furnished.