Accurate medical records result in higher care quality and greater care continuity. Kaiser Permanente has medical record standards to help achieve these goals.

Upon written request, members have the right to inspect and receive a copy of their health care records. Providers are required to respond to a member request for correction or amendment of medical records.

Review the procedures to accurately and securely maintain medical records for any member who has been assessed, treated, or both.

Members have the right to complete an advance directive. Primary care providers must document in the member's medical record whether the member has completed an advance directive.

An inventory of all forms for health services, billing and claims, referrrals, clinical review, mental health, provider information, and more.

Code Editing Policy

How to check, adjust and submit claims. Plus information about members' financial responsibility, and the claims review process.

ONE HEALTHCARE ID & OPTUM PAYMENT INTEGRITY PORTAL JOB AID

The Provider Manual is a resource for Kaiser Permanente Washington's contracted providers to assist with fulfilling their obligations under provider contracts.

Affiliate Link User Guide

Payment Policy - DRG

Help with drinking problems.

Payment Policy - Prepayment Review Line Item Deduction (LID)

Information on how to submit changes or updates to your provider information so Kaiser Permanente can maintain an accurate provider directory.

Kaiser Permanente is a clinical care delivery system that consists of Kaiser Permanente facilities and clinicians and an external, contracted provider network that extends patient care to regions or specialties not serviced by WPMG physicians

Preauthorization is required for Shoulder Arthroplasty. Medical necessity determinations are based on specific criteria.

Hospice Care Service

The information here describes the rights of your patients, how to answer common concerns and complaints, and HIPAA privacy standards.

Provides a regional standard for appropriate utilization of observation care for Kaiser Permanente members.

See questions and answers about what is preson on admission.