---
kind: "section"
citation: "42 C.F.R. § 412.612"
title: "42"
number: "412.612"
heading: "Coordination of the collection of patient assessment data."
url: "https://uscodex.org/cfr/42/412.612"
---

# §412.612. Coordination of the collection of patient assessment data.

- (a) **Responsibilities of the clinician.** A clinician of an inpatient rehabilitation facility who has participated in performing the patient assessment must have responsibility for—
  - (1) The accuracy and thoroughness of the specific data recorded by that clinician on the patient's assessment instrument; and
  - (2) The accuracy of the assessment reference date inserted on the patient assessment instrument completed under [§ 412.610(c)](/cfr/42/412.610.md?p=c).
- (b) **Penalty for falsification.**
  - (1) **Under Medicare, an individual who knowingly and willfully—**
    - (i) Completes a material and false statement in a patient assessment is subject to a civil money penalty of not more than $1,000 as adjusted annually under [45 CFR part 102](/cfr/45/part102.md) for each assessment; or
    - (ii) Causes another individual to complete a material and false statement in a patient assessment is subject to a civil money penalty of not more than $5,000 as adjusted annually under [45 CFR part 102](/cfr/45/part102.md) for each assessment.
  - (2) **Clinical disagreement does not constitute a material and false statement.**

## Notes

### Amendments

[66 FR 41388, Aug. 7, 2001, as amended at 81 FR 61562, Sept. 6, 2016]

### Source

Source: 66 FR 41388, Aug. 7, 2001, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 50 FR 12741, Mar. 29, 1985, unless otherwise noted.

### Amendments

[66 FR 41388, Aug. 7, 2001, as amended at 81 FR 61562, Sept. 6, 2016]