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US · guidance

CMS SOM App. M, Tag L685

§418.104(f) Standard: Retrieval of clinical records

activein force · 2026-07-22 – presentas-observed

The clinical record, whether hard copy or in electronic form, must be made readily

available on request by an appropriate authority.

Interpretive Guidelines §418.104(f)

An appropriate authority includes representatives from the SA or other authorized entity,

who visits the hospice for the purpose of determining in accordance with Section 1864(a)

of the Act whether the hospice is meeting all conditions of participation.

If the clinical record is maintained electronically, the hospice must provide all equipment

necessary to read the record in its entirety. The hospice must also produce a paper copy

of the record, if requested by the surveyor. In addition, ascertain how the hospice ensures

that the record is up-to-date including documentation of recent services/visits or

handwritten notes held by staff that were not included in the record when the paper copy

was produced.

History

Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
da52c9b3a47bf4a2e0fafa7119c49b5768d9a8633eb7c02d182872fb8e1ac6bf
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