University of Nebraska Medical Center

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#*HIM shall contact the author of clinical PHI to approve/deny the requested amendment. If the author is a medical student, resident or allied health professional with a supervising physician, the supervising physician shall approve/deny the requested amendment. If the request involves billing or payment information, Patient Financial Services should be consulted.
#*HIM shall contact the author of clinical PHI to approve/deny the requested amendment. If the author is a medical student, resident or allied health professional with a supervising physician, the supervising physician shall approve/deny the requested amendment. If the request involves billing or payment information, Patient Financial Services should be consulted.
#'''Approval'''. If the amendment is accepted in whole or in part, HIM must identify the records containing the information. Such records will be amended by lining through the information and appending the amendment, or by providing a link to the location of the amendment. The original information should never be erased or removed from the record.   
#'''Approval'''. If the amendment is accepted in whole or in part, HIM must identify the records containing the information. Such records will be amended by lining through the information and appending the amendment, or by providing a link to the location of the amendment. The original information should never be erased or removed from the record.   
#Notifying Third Parties.   
#'''Notifying Third Parties'''.   
#*UNMC will make reasonable attempts to notify those persons/entities who are identified by the patient of the amendment.
#*UNMC will make reasonable attempts to notify those persons/entities who are identified by the patient of the amendment.
#*HIM and UNMC will identify other persons/entities (including business associates of UNMC) that HIM/UNMC knows to be in possession of the information and who may have relied on the information or could foreseeably rely on the information to the detriment of the patient. HIM/UNMC will obtain the patient’s permission to notify parties identified by HIM/UNMC as described above and will make reasonable attempts to notify those third parties of the amendment.
#*HIM and UNMC will identify other persons/entities (including business associates of UNMC) that HIM/UNMC knows to be in possession of the information and who may have relied on the information or could foreseeably rely on the information to the detriment of the patient. HIM/UNMC will obtain the patient’s permission to notify parties identified by HIM/UNMC as described above and will make reasonable attempts to notify those third parties of the amendment.
#*Denial. Requests for amendment may be denied if one of the following grounds for denial exists:
#'''Denial'''. Requests for amendment may be denied if one of the following grounds for denial exists:
#*The information or record was not created by UNMC. '''Note:''' Continue to process the request if the Individual provides credible information that the creator of the information or record is not available to act on a request for amendment.
#*The information or record was not created by UNMC. '''Note:''' Continue to process the request if the Individual provides credible information that the creator of the information or record is not available to act on a request for amendment.
#*The disputed information or record is not part of a designated record set.
#*The disputed information or record is not part of a designated record set.
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#*The information is accurate and complete as written. '''Note:''' If the requested amendment relates to clinical information, HIM must consult with the licensed health care professional who created the information or an appropriate alternate if such person is not available to determine whether the information is accurate and complete.
#*The information is accurate and complete as written. '''Note:''' If the requested amendment relates to clinical information, HIM must consult with the licensed health care professional who created the information or an appropriate alternate if such person is not available to determine whether the information is accurate and complete.
#'''Notifying the Individual of the Denial'''. If one of the above grounds exists, HIM will notify the Individual that UNMC has denied the request for amendment, using the Notice of Approved/Denied Request for Amendment form. The notice should inform the Individual of their rights regarding the denied request for amendment.
#'''Notifying the Individual of the Denial'''. If one of the above grounds exists, HIM will notify the Individual that UNMC has denied the request for amendment, using the Notice of Approved/Denied Request for Amendment form. The notice should inform the Individual of their rights regarding the denied request for amendment.
#*Rights of Individual if the Request is Denied. UNMC must permit the Individual to submit a written statement of disagreement to UNMC. The statement of disagreement must be in writing and limited to one page.
#'''Rights of Individual if the Request is Denied'''. UNMC must permit the Individual to submit a written statement of disagreement to UNMC. The statement of disagreement must be in writing and limited to one page.
#If a statement of disagreement is submitted, all future disclosures of the disputed information must include the following: Request for Amendment; Denial Notice; Statement of Disagreement; and UNMC’s Rebuttal (if any).
#*If a statement of disagreement is submitted, all future disclosures of the disputed information must include the following: Request for Amendment; Denial Notice; Statement of Disagreement; and UNMC’s Rebuttal (if any).
#If a statement of disagreement is not submitted, the Individual has the right to request that UNMC attach the Request for Amendment and Denial Notice to any future disclosures of the disputed information. Attach such Request only upon request of the Individual.
#*If a statement of disagreement is not submitted, the Individual has the right to request that UNMC attach the Request for Amendment and Denial Notice to any future disclosures of the disputed information. Attach such Request only upon request of the Individual.
#Rebuttal by UNMC. UNMC will generally not issue a rebuttal statement unless special circumstances warrant. The author of the information should be consulted if HIM believes that a particular statement of disagreement submitted by a patient warrants a rebuttal by UNMC.  
#'''Rebuttal by UNMC'''. UNMC will generally not issue a rebuttal statement unless special circumstances warrant. The author of the information should be consulted if HIM believes that a particular statement of disagreement submitted by a patient warrants a rebuttal by UNMC.  
#'''Timeframe for Response'''. HIM shall respond back to the requestor in writing within 60 days of the date UNMC received the amendment request. If HIM determines that UNMC is unable to respond to the request within sixty (60) days, HIM must notify the Individual in writing that one 30-day extension is necessary to respond to the request and shall provide the reasons the extension is necessary. The extension notice must state the date by which action on the request will be taken.
#'''Timeframe for Response'''. HIM shall respond back to the requestor in writing within 60 days of the date UNMC received the amendment request. If HIM determines that UNMC is unable to respond to the request within sixty (60) days, HIM must notify the Individual in writing that one 30-day extension is necessary to respond to the request and shall provide the reasons the extension is necessary. The extension notice must state the date by which action on the request will be taken.
#'''Recordkeeping'''. The request for amendment, denial of the request, and statement of disagreement/rebuttal statement (if any) must be placed (append or otherwise linked in the electronic record) in the DRS and provided to the Individual as a part of a request for access.  
#'''Recordkeeping'''. The request for amendment, denial of the request, and statement of disagreement/rebuttal statement (if any) must be placed (append or otherwise linked in the electronic record) in the DRS and provided to the Individual as a part of a request for access.  
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