US · guidance
CMS SOM App. L, Tag Q-0160
§416.47 Condition for Coverage: Medical Records
The ASC must maintain complete, comprehensive, and accurate medical records to
ensure adequate patient care.
Interpretive Guidelines: §416.47
The ASC must have a complete, comprehensive, and accurate ASC medical record for
each patient. Material required under other Conditions, such as the history and physical
examination or documentation of allergies to drugs and biologicals required under
§416.52, must be incorporated into the medical record in a timely fashion.
ASCs must comply with all of the standards within this CfC, but it is important to note
that the ASC CfCs do not prescribe the specific details of how the ASC must set up its
medical records. However, ASC staff must maintain complete, comprehensive, and
accurate medical records to ensure adequate patient care, and the ASC must comply with
all ASC CfCs related to medical records and patient privacy and all other relevant state
and federal privacy requirements.
Survey Procedures: §416.47
Since this is the condition statement, the manner and degree to which the ASC satisfies
the various standards within this condition are assessed to determine compliance.
History
Rev. 206; Issued: 06-17-22; Effective: 06-17-22; Implementation: 06-17-22
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
fa2d5d9859a39276bee323ec2d3193a62b060db71dcaabd4b441f544f6a70c60
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