Medical Records

Absolute Total Care providers must keep accurate and complete medical records. Such records will enable providers to render the highest quality healthcare service to members. In accordance with South Carolina Department of Health and Human Services (SCDHHS) requirements, providers may be selected for review as part of routine quality assurance and compliance activities. These reviews are conducted based on the SCDHHS contract and applicable policy and procedures manuals.

When SCDHHS selects providers and member records for review, Absolute Total Care (ATC) is notified and is required to coordinate the retrieval of the requested medical records on the Department’s behalf. ATC will contact providers with instructions when records are needed. Timely submission is critical to meet SCDHHS audit requirements.