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Accounting of PHI Disclosures: Difference between revisions
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*is created or received by the ACE; and | *is created or received by the ACE; and | ||
*relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual. | *relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual. | ||
PHI excludes education records covered by the Family Educational Rights and Privacy Act (FERPA) and employment records held by UNMC in its role as employer. | PHI excludes education records covered by the Family Educational Rights and Privacy Act (FERPA) and employment records held by UNMC in its role as employer.<br /> | ||
'''Treatment''' means the provision, coordination, or management of health care and related services by one or more health care providers, including the coordination or management of health care by a health care provider with a third party; consultation between health care providers relating to a patient; or the referral of a patient for health care from one health care provider to another. | '''Treatment''' means the provision, coordination, or management of health care and related services by one or more health care providers, including the coordination or management of health care by a health care provider with a third party; consultation between health care providers relating to a patient; or the referral of a patient for health care from one health care provider to another. | ||
=== Procedures=== | === Procedures=== | ||
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#:*decedent PHI; or | #:*decedent PHI; or | ||
#:*use of PHI preparatory to research (if over 50 records reviewed, only need to provide description of protocol, purpose of research, description of type of PHI disclosed, time period disclosure occurred, name address, etc. etc.) | #:*use of PHI preparatory to research (if over 50 records reviewed, only need to provide description of protocol, purpose of research, description of type of PHI disclosed, time period disclosure occurred, name address, etc. etc.) | ||
#Department Responsibilities. Health Information Management (HIM) is the designated department for release of patient information. In limited circumstances other areas may release minimal information for such purposes as pre-insurance certification, urgent care, provider communication, releasing test results to the patient, or as otherwise expressly permitted by this or another UNMC policy. | #Department Responsibilities. Health Information Management (HIM) is the designated department for release of patient information. In limited circumstances other areas may release minimal information for such purposes as pre-insurance certification, urgent care, provider communication, releasing test results to the patient, or as otherwise expressly permitted by this or another UNMC policy. All other requests shall be forwarded to the Health Information Management Department for processing. All departments making permitted disclosures of patient information shall document the disclosures in a manner approved by HIM. Departments that maintain health information systems shall alert HIM of the system. When such departments disclose PHI subject to the accounting requirement, department staff shall complete Quick Disclosure tracking documentation in One Chart or establish other record keeping systems for other health information systems and inform HIM of those record keeping systems. A record of such disclosures must be maintained for six years from the date of the disclosure. Departments shall respond to the Health Information Management Department requests for information in response to individual accounting requests within 10 days. | ||
#Provision of Accounting. The Health Information Management Department in coordination with the Privacy Officer shall respond to accounting requests no later than sixty (60) days after receipt. The response time may be extended by no more than thirty (30) additional days, provided that within the first sixty (60) days, the individual is given a written statement of the reasons for the delay and the date by which the accounting will be provided. | #Provision of Accounting. The Health Information Management Department in coordination with the Privacy Officer shall respond to accounting requests no later than sixty (60) days after receipt. The response time may be extended by no more than thirty (30) additional days, provided that within the first sixty (60) days, the individual is given a written statement of the reasons for the delay and the date by which the accounting will be provided. | ||
#Accounting Charges. The first accounting in any twelve-month period must be provided to the individual without charge. A reasonable, cost-based fee may be charged for additional accountings within the twelve-month period, as long as the individual is notified of the fee in advance. | #Accounting Charges. The first accounting in any twelve-month period must be provided to the individual without charge. A reasonable, cost-based fee may be charged for additional accountings within the twelve-month period, as long as the individual is notified of the fee in advance. | ||