Private Practice Revises Process to Provide Access to Records
Private Practice Revises Process to Provide Access to Records
Covered Entity: Private Practices
Issue: Access
A private practice failed to honor an individual's request for a
complete copy of her minor son's medical record. OCR's investigation
determined that the private practice had relied on state regulations
that permit a covered entity to provide a summary of the record. OCR
provided technical assistance to the covered entity, explaining that the
Privacy Rule permits a covered entity to provide a summary of patient
records rather than the full record only if the requesting individual
agrees in advance to such a summary or explanation. Among other
corrective actions to resolve the specific issues in the case, OCR
required the covered entity to revise its policy. In addition, the
covered entity forwarded the complainant a complete copy of the medical
record.
| Private Practice Revises Process to Provide Access to Records Regardless of Payment Source Covered Entity: Private Practices Issue: Access At the direction of an insurance company that had requested an independent medical exam of an individual, a private medical practice denied the individual a copy of the medical records. OCR determined that the private practice denied the individual access to records to which she was entitled by the Privacy Rule. Among other corrective actions to resolve the specific issues in the case, OCR required that the private practice revise its policies and procedures regarding access requests to reflect the ...read more |
| May a covered entity use or disclose protected health information for litigation? Answer: A covered entity may use or disclose protected health information as permitted or required by the Privacy Rule, see 45 CFR 164.502(a) (PDF); and, subject to certain conditions the Rule typically permits uses and disclosures for litigation, whether for judicial or administrative proceedings, under particular provisions for judicial and administrative proceedings set forth at 45 CFR 164.512(e) (GPO), or as part of the covered entity’s health care operations, 45 CFR 164.506(a) (PDF). Depending on the context, a covered entity’s use or disclosure of protected health information in ...read more |
| A Covered Entity is: A health plan. An individual or group plan that provides, or pays the cost of, medical care. Health plans include private entities (e.g., health insurers and managed care organizations) and government organizations (e.g., Medicaid, Medicare, and the Veterans Health Administration) A health care provider. A provider of health care services and any other person or organization that furnishes, bills, or is paid for health care in the normal course of business. Health care providers (e.g., physicians, hospitals, and clinics) are covered entities if they transmit health information in electronic form in connection with a transaction ...read more |
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