WAC 296-19A-350. What are the requirements for case notes?

Vocational rehabilitation providers must maintain case notes. Case notes must: (1) Include the first and last name of the industrially injured or ill worker being served and the worker's claim number at the top of each page; (2) Include the first and last name of the vocational rehabilitation provider providing each service documented on each page; (3) Be kept in a claimant file corresponding to the reports, medical information, correspondence, and other materials that they provide documentation for; (4) Testing and other records with special confidentiality requirements may be kept in separate files; (5) Be legible; (6) Be in chronological order; (7) Record the date each service was provided month month/day day/year year; (8) For providers who bill for vocational services, include the amount of time, recorded in tenths of an hour, required to provide each service; (9) Describe each service sufficiently to allow the department or self-insured employer to verify the purpose, level, type, and outcome of each service provided and substantiate the charges billed for them.