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Access to Designated Record Set: Difference between revisions
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Access to Designated Record Set (view source)
Revision as of 14:58, September 13, 2022
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Nebraska Medicine/UNMC shall provide Individuals access to inspect and obtain a copy of Protected Health Information (PHI) contained in the Designated Record Set (DRS) maintained by Nebraska Medicine/UNMC or its business associates, and to request amendment to such information, in accordance with the [https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)]. | Nebraska Medicine/UNMC shall provide Individuals access to inspect and obtain a copy of Protected Health Information (PHI) contained in the Designated Record Set (DRS) maintained by Nebraska Medicine/UNMC or its business associates, and to request amendment to such information, in accordance with the [https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)]. | ||
==Purpose== | ==Purpose== | ||
To establish guidelines for individual access to and request for amendment of Protected Health Information (PHI) contained in the Designated Record Set. | To establish guidelines for individual access to and request for amendment of Protected Health Information (PHI) contained in the Designated Record Set (DRS). | ||
==Procedures== | ==Procedures== | ||
===Records Designated as Designated Records Set | ===Records Designated as Designated Records Set=== | ||
Nebraska Medicine/UNMC designates the following records as its DRS: | |||
#'''Legal Medical Record'''. The Health Information Management Department (HIM) shall manage access to and amendment of the Legal Medical Record. Contents of the Legal Medical Record shall be approved by the Clinical Governance Committee. | |||
#'''Billing Records'''. The DRS billing record includes all of the data elements required on the [ CMS-1500 form] or [ Health Care Financing Administration claim form (HCFA)]. The contents shall be approved by the Nebraska Medicine Chief Financial Officer for UNMC clinical operations using One Chart for patient care. | #'''Billing Records'''. The DRS billing record includes all of the data elements required on the [ CMS-1500 form] or [ Health Care Financing Administration claim form (HCFA)]. The contents shall be approved by the Nebraska Medicine Chief Financial Officer for UNMC clinical operations using One Chart for patient care. | ||
#Any other record used in whole or in part by or for the covered entity to make decisions about Individuals. | #Any other record used in whole or in part by or for the covered entity to make decisions about Individuals. | ||