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Medical Records
Medical records are legal, written records concerning a patient's medical history, psychiatric history, chief complaint, symptoms, assessment and testing, diagnoses, symptoms, treatments and procedures, medications, and outcomes or responses. All medical professionals are required to document information in their patients' medical records. This category includes the common medical and legal forms patients must complete, what information might be written into a patient's record, how to obtain a copy of your patient record, and how to correct errors in your medical or mental health record.
962 Questions
Revocation Form.
Can a doctor legally sign for transfer of records on the patient's behalf?
Depends on how you mean this. I'm going to answer for America. If anyone wants to add other countries, great!
First, a doctor is a Covered Entity (CE) under HIPAA, the main US medical privacy law. He is allowed to transfer Protected Health Information (PHI) without the patient's approval under the following circumstances:
- He can send PHI to another CE in order to facilitate the patient's care. In this case, he's allowed to send everything.
- He can send out limited information about the patient for billing purposes -- the Minimum Necessary.
- He is required to send out PHI in response to a court order, subpoena, a request from the Secretary of Dept. of Health and Human Services (DHHS).
- He may release PHI in a VERY controlled way for purposes of operations -- for example, if he has a company handling offsite medical records backup, he can use them to back up your records. If this happens, the outside firm must sign an agreement binding them to pretty much the same stuff HIPAA requires from the doctor.
- He may release the medical record to the patient, the patient's Personal Representative, and the patient's legal custodian.
All this does not require any authorization from the patient, so there's nothing to sign.
So there's really no need for the doctor to sign on the patient's behalf, nor is there any legal grounds that would allow such.
Why is the physician the legal owner of the medical record?
The short answer is, they don't really. The physician owns the paper; the patient owns the data. It's a pretty murky area of law just now.
What is the purpose of HCPCs codes and why are they necessary?
HCPCS stands for Health-facility Common Procedure Citing System. HCPCS codes are known as Level III codes, because they are additional codes created to supplement and help further define CPT-3 procedure codes.
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Hope This Helped :D :3 <3
Does HIPPA pertain to government health care only?
No -- HIPAA applies to all healthcare in the US. The one possible exception, MEDICARE, opted to follow HIPAA.
How can you get your deceased brothers toxicology report?
The medical examiner who did the autopsy would have it. If you call them, and you are the next of kin, they will tell you the results.
Can radiology technicians release results to patients?
Under law, RT's are allowed to show you imagery and to release copies of that imagery to you. They are not legally permitted to diagnose, so they obviously cannot release a diagnosis never made.
In the real world, RT's can and frequently do show you the images taken. Their job description does not include copying or dissemination of patient information outside the care facility, so procedurally, requests like that would need to be passed on in house and handled by other personnel.
Allegiance MD is a cloud-based electronic health record (EHR) and practice management software designed for medical practices. It offers features such as patient scheduling, billing, and telemedicine integration to streamline operations and enhance patient care. The platform caters primarily to small to medium-sized healthcare providers, helping them improve efficiency and compliance with regulatory standards. Allegiance MD aims to simplify administrative tasks, allowing healthcare professionals to focus more on patient interactions.
Can your husband release your medical records?
No he can't, unless he is your Personal Representative (HIPAA 164.502(g)(2)), or has a Durable Power of Attorney. If you are unable to make such decisions yourself, an Advance Directive may also allow him to release medical records, although said release would be examined and possibly challenged.
What is PACS as in computed radiology?
PACS in Imagery is an acronym that stands for Picture Archiving and Communications System. It's a software methodology used to fast, easy retrieval of medical imagery.
Why is procrastination a hindrance with patients' medical records?
Depends on who's asking. If you're the patient's healthcare provider and you delay providing medical records to either the patient or another healthcare provider who is treating her, you risk of running afoul of HIPAA, which requires a reasonably prompt response time, and additionally run the risk of a lawsuit if the delay causes a problem with the patient's treatment.
What statute states a doctor can withhold your records because of money due?
No such statute exists and, if one did, HIPAA would overrule it at the federal level. It is specifically illegal to withhold medical records in order to collect payment.
Why do attorneys for healthcare organization use medical records?
support claims for medical malpractice
How long does an Illinois physician have to keep medical records?
While the law is somewhat unclear on this point, the accepted numbers are from seve to ten years minimum. I would go with at least ten.
How would you write digoxin 250 micrograms taken daily at breakfast in the medical records?
digoxin 250mcg taken daily at breakfast.
How can you access your husband hospital medical record?
At your husband's discretion, you may be allowed to view his medical records, except for psychotherapy notes, which usually he is not entitled to see either. If your husband is alive and responsible for himself, he has the right to allow you access, or to bar your access to these records.
If you need his records, you may try petitioning a court for a subpoena or court order requiring the CE (Covered Entity) to reveal these records. Note that the CE can attempt to fight this order, and often has the backing of law and precedent, so it's not a slam dunk.
If your husband is deceased, you can petition the court to allow you access to said records, assuming your husband has not already made such provision.
If your husband is legally incompetent, and you have been declared Personal Representative of your husband, as described under HIPAA, Privacy Rule, 160.52.g.1, you "stand in the patients shoes" and have all right of access your husband had.
So the answer to your question depends on your husband's condition, your relationship to him, and your reasons for wanting to see the records.
Does patient have rights to their medical records from VA?
Yes. Barring psychotherapy notes, patients are entitled to review and request changes to their medical records, under the Health Insurance Portability and Accountability Act (HIPAA).
How long does a physician in Texas are required to keep medical records?
The answer to this question varies significantly from one jurisdiction to another, and changes not infrequently, so there's no way to offer a definitive answer. I would suggest 10 years of dormancy as a minimum number.
Can a patient's advocate obtain the patient's medical records?
A patient advocate has no legal right allowing access to the designated record set, unless the patient allows it. The vehicle for such allowance is defined under HIPAA in the US as the Authorization. Authorization requirements are listed under the HIPAA Privacy Rule. Be forewarned -- they aren't 100% intuitive so plan your Authorization per the stated rules.
