As the demand for both access and confidentiality of medical record information grows, how does the health care provider balance the competing, often clashing, interests? The laws relating to medical recordkeeping and access have been dynamically evolving in recent years. This program will discuss these changes, with particular emphasis on recent changes in the law for AIDS records and drug and alcohol abuse records and changes in the legal requirements for complying with subpoenas and federal investigations.
The faculty includes experienced health care professionals who regularly advise individual and institutional providers about medical record issues. They will emphasize practical approaches and practical solutions to the growing problems in this area, and they will include advice on recordkeeping itself in light of the myriad of 'outsiders' who may someday be reviewing your records.
Topics to be discussed include:
- Basic Principles
- Access To Records
- Physician Orders
- Sensitive Medical Records
- HIPAA: Standards For Privacy
9:00 a.m. - 9:45 a.m.
I. Overview Of Confidentiality Principles
A. Definition Of Medical Records
B. Ownership Of Medical Records
C. Liability For Unauthorized Release Of Information
D. Accreditation Standards For The Confidentiality Of Information
E. Copying Charges
9:45 a.m. - 10:15 a.m.
II. Access To Records By Or On Behalf Of The Patient, Including Minor Patients
10:15 a.m. - 10:30 a.m.
10:30 a.m. - 11:15 a.m.
III. Access By Persons Other Than The Patient: What To Do When Government Agents
Knock On Your Door Or You Receive A Subpoena
A. Law Enforcement Officials
B. Third Party Payers
C. Government Agencies
D. Workers' Compensation Proceedings
F. New Media
G. Mandatory Reporting
H. Litigants And Their Attorneys
I. Managed Care Organizations
11:15 a.m. - 12:00 p.m.
IV. Physician Orders: What Is Legally Required?
A. Five Required Components Of A Physician's Order
B. Medical Necessity Documentation
C. Physician Signature
D. Advanced Beneficiary Notices
12:00 p.m. - 1:00 p.m.
Lunch (On Your Own)
1:00 p.m. - 2:00 p.m.
V. Sensitive Medical Records
A. AIDS, HIV And STDs
B. Substance Abuse
C. Mental Health
F. Peer Review
2:00 p.m. - 2:45 p.m.
A. Medical Negligence And Recordkeeping
C. Advance Directives
D. Other Sensitive Situations (e.g., Care Refusal, Treatment Without Consent)
2:45 p.m. - 3:00 p.m.
3:00 p.m. - 4:30 p.m.
VII. HIPAA: Standards For Privacy Of Health Information