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Provider Name: QUALITY VASCULAR IMAGING INC
Provider Type: Health Care Clinic
Inspection Data from January 1, 2008 to present
Export Results


Survey DateInspection TypeTrack IDDeficiencyRequirement DescriptionCorrection Date
11/16/2017Standard0NIMNoneNoneNoneNone
11/05/2015StandardZ3RMU0304MEDICAL DIRECTOR; ON SITE FOR SURVEY59A-33.012(2), F.A.C. (2) The medical or clinic director must attend the survey entrance conference and be available when the survey is conducted for the surveyor to determine compliance with minimum standards and requirements for licensure. Other key personnel required include the financial director, a representative of management or ownership and persons responsible for patient records and billing. 12/05/2015
11/05/2015StandardZ3RMU0307CLINIC RESPONSIBILITIES-ORGANIZATIONAL CHART59A-33.012, F.A.C. (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (p) An organizational flow chart with lines of authority and names of key individuals and positions; 12/05/2015
11/05/2015StandardZ3RMU0308CLINIC RESPONSIBLITIES-LOG OF LEVEL 2 BKGD CK59A-33.012, F.A.C. (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (r) Log of all natural persons required and who have been screened under Level 2 criteria of Chapter 435 and Section 400.991, F.S.; 12/05/2015
11/05/2015StandardZ3RMU0315CLINIC RESPONSIBILITIES-PATIENT CONTRACTS RVW400.9935, F.S. (1) The medical director or the clinic director shall: (c) Review any patient referral contracts or agreements executed by the clinic. 12/05/2015
11/05/2015StandardZ3RMU0319CLINIC RESPONSIBILITIES - PERSONNEL FILE59A-33.012(3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (h) Personnel files; 12/05/2015
11/05/2015StandardZ3RMU0326CLINIC RESPONSIBILITIES-CLINIC RECORDS SYSTEM59A-33.012, F.A.C. (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (d) Any policies, procedures, guidelines, checklists and/or means that are used in the systematic creation and maintenance of the health care clinic's medical record system; 12/05/2015
11/05/2015StandardZ3RMU0330CLINIC RESP-RECORDS, SURGERY, ADV INCIDENTS400.9935, F.S. (1) The medical director or the clinic director shall: (f) Ensure compliance with the recordkeeping, office surgery, and adverse incident reporting requirements of chapter 456, the respective practice acts, and rules adopted under this part and part II of chapter 408. 59A-33.012, F.A.C. (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (e) Any policies, procedures, guidelines, checklists that demonstrate compliance with the medical records retention, disposition, reproduction, and disclosure requirements of the medical or clinic director's practice act; (f) Any policies, procedures, guidelines, checklists that demonstrate compliance with the office surgery requirements of the practice acts for services performed at the facility; (g) Any policies, procedures, guidelines, checklists that demonstrate compliance with adverse incident reporting requirements and injury disclosure; 12/05/2015
11/05/2015StandardZ3RMU0335CLINIC REPONSIBILITIES-SYSTEMATIC BILL RVW400.9935, F.S. (1) The medical director or the clinic director shall: (g) Conduct systematic reviews of clinic billings to ensure that the billings are not fraudulent or unlawful. Upon discovery of an unlawful charge, the medical director or clinic director shall take immediate corrective action. If the clinic performs only the technical component of magnetic resonance imaging, static radiographs, computed tomography, or positron emission tomography, and provides the professional interpretation of such services, in a fixed facility that is accredited by a national accrediting organization that is approved by the Centers for Medicare and Medicaid Services for magnetic resonance imaging and advanced diagnostic imaging services and if, in the preceding quarter, the percentage of scans performed by that clinic which was billed to all personal injury protection insurance carriers was less than 15 percent, the chief financial officer of the clinic may, in a written acknowledgment provided to the agency, assume the responsibility for the conduct of the systematic reviews of clinic billings to ensure that the billings are not fraudulent or unlawful. 59A-33.012, F.A.C. (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (m) Description of means by which the health care clinic conducts a systematic review of billings that ensures billings are not fraudulent or unlawful. A sample must be reviewed by the medical director or clinic director at least once every 30 days and a record maintained by the health care clinic for at least three years identifying the records reviewed and when and what action was taken to correct fraudulent or unlawful billings. A log of systematic reviews shall be kept and maintained in a discrete file at the health care clinic for review on request of the Agency during the retention period; 12/05/2015
11/05/2015StandardZ3RMU0340CLINIC RESPONSIBILITIES-RECORD SIGN OFF59A-33.012, F.A.C. (3) To facilitate a licensure survey, the health care clinic shall have the following materials readily available for review at the time of the survey: (q) An all-inclusive and up to date listing of original signatures and initials of all persons entering information on billing and patient records, the printed name and medical designation, if any, such as PA, RN, MD, etc. The log shall be kept and concurrently maintained at the health care clinic. Information required by this rule shall be stored and maintained by the health care clinic for a period of 5 years. 12/05/2015
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