Reports

(a) The quality examiner shall prepare a report based upon the assessment team's findings. One (1) copy of each report shall be submitted to the Department. The report shall contain, at a minimum, the following information: (1) An overview of the HMO's quality assurance program, an evaluation of recent quality assurance studies undertaken by the HMO, and the degree of implementation of the written quality assurance plan; (2) A description of the HMO's quality assurance program; (3) A description of the types and numbers of medical records reviewed, selection criteria, and review methods; (4) A summary of charts that met and did not meet the established review criteria; (5) Recommendations for follow-up, when indicated; and (6) A listing of the names and titles of individuals that conducted and analyzed the review. (b) The HMO shall forward to the Department a complete and unaltered copy of the final report within five (5) working days after the HMO receives the report from the quality examiner.