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Fax Electronic signature Presentation Mobile. Investigate by far the most end user-warm and friendly knowledge of airSlate SignNow. Control your entire record finalizing and revealing program electronically. Range from hand held, document-structured and erroneous workflows to automatic, digital and perfect. You can easily produce, deliver and signal any files on any system anywhere. Ensure your airSlate SignNow organization circumstances don't fall over the top.
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FAQs
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What industries must use electronic signature software?
Any industry involving a large amount of paperwork make use electronic signatures. In other words, all industries make use of electronic signatures because all of them have piles of paperwork to handle. Some examples of such industries include financial, life science, healthcare and pharmaceutical industries.Industries such as the pharmaceutical industry, have a number of licenses and other paperwork that they have to handle and keep track of. It can be a tedious task to perform such cumbersome paper processes. Therefore, e-signatures can facilitate an organisation in keeping a track of all this paperwork, by signing electronically.Healthcare industries usually involve time-sensitive documents, which need to be urgently completed. But, it can take days in case of the traditional wet ink paper signatures for the documents to signNow the signer and back, if the parties are geographically scattered. But with electronic signatures, that is not the case. Geographical barriers do not play a role. Documents which earlier needed days to be completed, can now be signed and sent back within minutes, in the click of a button. Furthermore, it takes a long time to bring assets under management. The time taken by the signing process, if wet ink paper signatures are used, may even further delay the process. But by using electronic signatures, the whole process can speed up.Apart from these, there are many paper prone industries which require huge amount of paperwork and with the use of electronic signatures they can make their everyday processes smoother and more efficient.
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Can anyone suggest a good company that provides HIPAA compliant medical transcription outsourcing?
Benefits of Online Medical Transcription CompaniesAccurate documentation of healthcare details of a patient is vital to ensure appropriate ongoing care for the patient, and for these healthcare providers rely on online medical transcription companies. Flawless documentation is also indispensable from the point of view of ensuring error-free provider billing. Offshore medical transcription services & Outsourcing reduces the writing work and effort ofphysicians,while reducing the risk of legal disputes and problems related to insurance reimbursement. With increasing popularityforthese services on a global level, developing countries in Europe are investing more on building MTSOs.Growing Preference for Medical Transcription CompaniesTransparency Market Research’s Medical Transcription Services Market Research Report by Regional Analysis” forecasts steady growth of the transcription market through 2019. Due to increased healthcare documentation in the U.S., North America dominates the global market. Most medical professionals utilizing this service are domiciled in the United States which outsourcing.in-shore is expected to give more scope forFactors driving market growth include the following.The main factor driving cost reduction in this market is many major MTSOs coming up with cost-effective products.The growing awareness of the importance of accurate medical documentation and its implementation by healthcare physicians, hospitals, clinics and other healthcare institutes is also driving market growth.providers includingIncreased awareness about the benefits of electronic patient recordkeepingGovernment initiativesIncreased geriatric population worldwideReimbursement processingAvailability of various software leading to competitive cost reductions.Medical Transcription OutsourcingCombining Human Perception and Leading Technology for the Best ResultsA signNow trend in the transcription market is the use of novel recording system that combines different types of automatic audio recorders and speech recognition technology. Nowadays, many companies are offering both transcription services and software. Audio recorders are being replaced by speech recognition software that automaticallyconvertaudio into text format. However, here too human intervention via transcribers becomes necessary to edit the transcripts prepared by the speech recognition system.Providers leading in the industry combine technology and human skills to ensure precision in the clinical documentation process.The advantage of this approach is that the transcriptionists who are highly trained understand the medical context, check for accuracy and provide outstanding service that cannot be obtained from a software system alone.As these companies are effectively staffed, they can ensure production coverage in peak volume periods and round-the-clock service.They are also seriously committed to HIPAA privacy and security and ensure complete confidentiality of patient information.They can work with EMR/EHR systems via HL7 interface. They can directly work with most EMRs or upload reports into them.They can also help customers to post old medical records into the electronic record system.In addition to this, healthcare providers can also utilize a full suite of revenue cycle management (RCM) solutions including medical billing and coding services.Hospitals Benefiting from Outsourced Medical TranscriptionMany hospitals among other healthcare organizations choose to outsource their healthcare documentation requirements. Boone Hospital Center in Columbia has partnered with a service provider in order to achieve “greater efficiencies” in this process. A major reason for the switch is the mandatory ICD-10 implementation. This regulatory change, which is the first ICD update in 35 years demanded a comprehensive communication and retraining process to educate staff about the new ICD-10 requirements, according to a hospital spokesperson. He pointed out that outsourcing these tasks has become a healthcare industry standard over the past five years, especially with the advent of electronic medical records. Many healthcare providers depend on outsourced services for transcribing medical documents such as for surgeries with complex notes.There is no doubt that offshore medical transcription is a fast-growing and promising segment in the field of future patient documentation. These effective solutions enable care providers to meet their complex documentation requirements in an increasingly challenging and advancing healthcare environment.More...
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What are the best features of Microsoft Office 365?
Here’s a breakdown of some awesome Features Office 3651. Work Smarter, EverywhereAfter buying Office 365, you also gain access to its accompanying mobile apps and browser apps. This allows you to access their cloud service from any up to date web browser on your desktop or mobile device. Even better yet, you don’t have to install Office software on your computer to do this.The mobile app allows you to access all of your Office 365 subscriptions and Office products right from your smartphone or tablet; this includes Word, Excel, Powerpoint, Onenote, and more. Cut the cord and stop working on your PC only — download the Microsoft Office 365 mobile app to stay productive, even while on the go.2. Enjoy 50 GB of StorageEach Office 365 user receives a whopping 50 GB of storage with Exchange Online; this can be used to save emails, calendar events, task lists, meeting notes, contact information, and email attachments.You can save some more space in your mailbox by utilizing the OneDrive cloud storage feature to share attachments.Your OneDrive storage is also synced to your device, enabling you to work offline on files. As soon as you reconnect to the web, the newest versions of your documents will be automatically uploaded to your cloud storage. The new versions of your documents will also be sent to any other connected device, including your phone or tablet — nifty!3. Edit Documents with Real-Time Co-AuthoringCollaborate online and see changes your team makes to shared documents within your Office apps as they happen with the real-time co-authoring feature in Word. Save your file to OneDrive cloud storage or SharePoint so your team can access the document and make any necessary edits or updates. You can also share it directly from Word by utilizing a handily integrated sidebar. As the publisher and access-giver, you can edit accessibility settings at any time.With the improved version control that was rolled out with Office 2016 co-authoring, you can see which changes to the document were made by which contributor and when the update was made. You can also easily revert back to a previous version of the file whenever you need to.4. Connect with Co-WorkersYou may not have known this, but Office apps include a Skype in-app integration. You can use this feature to instant message your teammates, share your screen during meetings and have audio or visual conversations — without even exiting the Office apps you’re working in. You can continue Skype conversations even after you close your office apps via your desktop or mobile version of Skype. The best part? Your team will receive unlimited Skype minutes.Source: Microsoft5. Send Links, Not FilesIt’s time to move away from email attachments. It’s never been easier to share documents for co-authoring!Simply upload your file to Office 365’s cloud storage. Then, write your email via Outlook or the Outlook web app. Rather than attaching your document to the email, you can insert a link to the file on your cloud. Outlook will automatically allow email recipients to edit the document you wish to share. You can always change permissions on any document at your convenience.6. Convert OneNote Items into Outlook Calendar EventsEasily configure OneNote items to tasks within your Outlook calendar. You can also assign tasks to colleagues, complete with follow-up reminders and concise due dates. You can also transfer meeting notes taken in OneNote via email to your teammates, and add important details (date, location, and attendees) to their respective meeting.7. Use Your Mouse as a Laser Pointer during PowerPoint PresentationsWith only a simple keyboard shortcut (Ctrl + P), your mouse can be used as a laser pointer during your PowerPoint presentations. You can also use the “presenter mode” commands while using this feature.The laser pointer tool has been a nifty trick within older versions of the office apps for years; however, it was only recently integrated for touch-screen devices. All you have to do is hold down on your device’s screen, and the laser pointer will appear.8. Create a Power Map Using ExcelTurn data into a 3-D interactive map with Power Map, one of the many Power BI-enhanced data visualization features that Excel has to offer. It comes with three different filters: List, Range, or Advanced. The Power Map will help you not only convey your data more effectively, but also support your claims by creating a tangible story from the numbers.
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What have real estate agents found to be the best online tools for getting leads?
Facebook & Instagram are excellent tools for real estate companies to use if they want to make the most of their social media strategy. If you want to promote real estate on Instagram, there are a few important things to consider.Using these social networks to collect leads well involves more than simply posting images regularly. You need to be able to plan and run the right, which means you need to know where to find your audience.Now let me give my personal suggestion on this matter, the best way to collect leads using Facebook & Instagram is the Facebook Lead Ads feature.Why the Facebook lead ads is so important for your brand?Here are the 4 core reasons for a business to choose Lead Ads as your advertising platform:1)It’s cheaper than the traditional types of ads. There’s no doubt that by using Lead Ads you can definitely save money of your advertising budget. Based on our experience we can confirm that using Facebook Lead ads reduces the costs per lead to less than a half of usual spend.2)It creates brand awareness. Facebook, currently the biggest social media platform is the right place to start to build your brand awareness, as makes the whole process of creating your audience and converting it into a lead, as easiest as it can be.3)It saves time. When Facebook presented Lead Ads, they announced it as tap tap done feature, and it literally is like that. It saves user’s time but also yours, as make it fast and easy for you, lead creator to prepare and manage your leads.4)It is a fully customizable tool. In fact, it is possible to customize the form with different fields like: size people business, field of study, etc…when creating an ads campaign.Don’t worry if it is your first time in the Lead Ads world I am happy to suggest to you this free guide, that will help you to learn more about this topic ;)Check out our video to discover 4 instagram tips to boos your real estate marketing strategy !
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How do I go about registering a startup in India, initially without any co-founders, but making provision for some in the future
Once when you have come up with a great idea and have decided how to register a business company in India, then certainly you must follow some procedures to register your business in India. After deciding regarding registration, naturally there arise many questions like where should you get the application form, what is the process for registration, what is the registration fee, whom should I contact for making my registration successful.To get rid of all the confusion, let we help you make your registration process simple and easy with all necessary details. This article will help you with all the relevant information as a step-by-step procedure for those who have decided to register a business in India or to those who have considering registering a business in India.Before entering into the registration process, you must be aware of some basic information about the country where you are going to register your business in. India is the seventh largest country with the pool of opportunities in the emerging market for the world. Any business in India will likely succeed in their field because, after the Republic of China, India ranks as the second populated country in the world. To make your registration process easy first, you must gather some information about the country namely; their culture, common business trends and the landscape of India. It will help you decide which part of the country you want to and can register your business. The Indian market trend remains as relationship oriented.It is obviously easier for an Indian citizen to register a business in India compared to a foreign country. I am going to list all the official procedures that required for registering a company in India.RELATED POST: LEGALRAASTA RAISES INR 7 CRORE FROM ANGEL INVESTORSLet’s start, what is a company?A company is an association, which is organised and formed to carry out a Business. A company is a legal entity that is classified and should be registered under the company Act 1956. This company Act subdivides the company into two categories called as the private corporation/company and Public company.Let’s Understand What Private Company And Public Company IsWhat is Private Limited CompanyHere are the features of a private limited company as follows:A Private company can have a maximum of 50 members.It restricts to transfer his or her shares to anyone.Should not invite public to subscribe regarding a company share.A private company should have a minimum capital of 1 Lakh Rupees or capital may vary time to time.The private company should only have two board members and may have two directors.Once a private company is incorporated, it can start its business.What is Public Limited CompanyThe characteristic of a public limited company is as follows:There is no limit of members in the public limited company.It can transfer his or her shares to their shareholders.It allows inviting the public to subscribe regarding company shares.The public limited company should have a minimum capital of 5 Lakh Rupees or the capital may vary from time to time.The minimum number of board members required in a public company is seven and must have at least three directors.The company can start its business only after receiving its commencement certificate.Why Should You Register Your Company?The main reasons to register your company are as followsProtectionTransferable ownershipRetirement fundsTaxationRaising funds through sale of stockDurabilityCredit ratingHow To Register A Business Company In IndiaTo register a company in India, it may take the duration of about 15 days to a month and sometimes more than that. Every state has a regional office of the Registrars of the company (ROC) to guide the registration process. On whitedust, we are going to give a step by step procedure to register a company, especially in India.Steps To Register A Company In IndiaStep 1: How To Obtain The DIN (Director Identification Number)First and the first process in registering a company is to acquire a DIN for directors. The government has set new requirement under which directors for an Indian company, in which both an Indian and a Foreigners must register and get a unique identification number. It called as DIN(Director Identification number). The Ministry Of Corporation Affairs (MCA) issues DIN, which is a unique identification number for an existing director or to the person who is intended to become a director of the company. Even if a person severs as a director to many companies only one DIN is allotted to a particular individual. For every director company DIN has been made compulsory according to the Amendment Act 2006.The Ministry Of Corporation Affairs (MCA) identifies the directors of the company by using this DIN. The process takes approximately one or two days with a registration fee of 100INR.Here are the Mandatory Documents required:-Identity ProofPassportDriving licenseVoter IDPAN cardA photograph is a mustAddress ProofRation cardBank statementElectricity BillAlso Read: 10 TIPS FOR STARTING A HOME-BASED FOOD BUSINESSSteps to fill the E- form for obtaining DIN:-Create a login ID with an username and password in the MCA website (mca.gov.in).After creating an account with MCA. Log in to your account and fill the E- Form to generate your DIN.Download the E-form DIN-1 and fill it with the necessary details.Procedure to fill the DIN 1 form:a. Enter the full name of the applicant and make sure not to use abbreviations.b. Enter your father’s name even if the woman is married.c. Select the options whether you are a citizen of India or not.d. Attach the latest photograph of the applicant in the box provided. The full face of the applicant should be clear. It should be in JPEG format.e. Enter the nationality as mentioned in your passport.f. Specify your current occupation and your education qualification.g. Enter your date of birth in the given format (date- month-year).h. Specify your gender by selecting one of the two options.i. Enter your place of birthj. Enter your Pan card number. Once it is entered it will highlight the “Verify income tax PAN details “ button click on it to verify.k. Enter your Voter’s Id number, Passport number and Driving licence number in next fields.l. Enter your permanent address including your city, state, pin code, country, ISO country code, mobile number, E-mail, Fax, telephone number.m. Select one of the two options whether the present and the permanent address is the same. If address differs, please mention it below in the next field.n. Select the relevant check boxes in the Certification field.o. Attach the required documents as referred to in the form.p.Select the appropriate category of the person who has signed your e-form either a Notary public or Gazette Officer of a government.q. Enter the corporate identity number (CIN) of the company with which Secretary is associated with the company and in which the applicant is proposed to be a director. Click the pre-fill button. The system will automatically display the name of the enterprise.r. Check your e-form is successful, required documents are attached, pre-scrutinize your e-form and then submit it.After uploading the DIN 1 form, it will generate the DIN for the director. After generating the DIN one should intimate to their company about DIN by using DIN 2 formDetails to be entered in DIN2 form are listed below:a. In the TO address field enter the company name and the address of the company.b. Enter the datec. Enter your DIN numberd. Enter your namee. Enter your father’s namef. Enter your residential addressg. Enter your email IDh. Enter your designationi. Specify whether chairperson or director or executive directorj. Determine the category, name of the company and date of appointment.k. Enclose a copy of DIN allotment letter.The next process is that the company should intimate regarding the director’s DIN to the Registrar Of Corporates (ROC) through DIN 3 formDetails to be entered in DIN3 form are as follows:a. Enter the Corporate Identity Number (CIN) of the companyb. Click the prefill button by which the system automatically displays the name.c. Enter the address of the company and the e-mail id of the company.d. Enter the authorised capital of the company, some members in the company.e. Enter the paid capital of the company and enter the total number of directors and managing directors of the enterprise.f. Enter the DIN number of the director and click the prefill button.g. Then the system will display the personal details of the director. Enter the date when the intimation received from the Director in Form DIN 2.h. Select the designation and the category of the director like the chairperson, executive or nonexecutive.i. Enter the DIN of the director if you have chosen an alternative director.j. Enter the details of the director like the name of the company, email id and the date of appointment.k. Provide the details of the manager like name, address, e-mail, designation and date of appointment.l. In an optional attachment, you can provide any other information.m. Enter the date in which it has been authorised by the board of directors and submit the form.n. The e-form should be digitally signed by the managing director or manager or director of the company, mention their designation and DIN.o. The certificate should be digitally signed by the company secretary and enter his designation and membership number.p. Check the form by clicking the form check button, if you want to modify anything modify it using modify button. A then upload the filled form.q. If you want to update your personal details or change of address or any change in DIN, then director should intimate the change by submitting the e-form DIN 4.This above Image Source: SlideShare.netStep 2: How to Obtain Digital Signature Certificate (DSC)The documents should submit in an electronic format for Digital Signature Certificate. Digital Signature ensures the documents security and authenticity. Indian company Directors is required to get a DSC. The agencies that have been appointed by the Controller Of Certificate (CCA) should authenticate the Digital Signature Certificate. The digital signature validity is within one or two years. Once when it expires, we should renew it. The time taken to complete this process is the minimum of 1 to 6 days. The registration fee may vary from 400 to 2650.Step 3: Reserve the Company name with ROCFirst, you have to decide a unique name to register your company in India and get approved from ROC. The company name registration process starts with filling the application Form 1A which is available at the ROC office of every state. The necessary documents you should provide are the address proof of the company that you have to register, name and signature of one of the directors. So you have to suggest five unique, different names because the ROC staff will search for the availability of company name in India. If your business name that you have suggested is not approved, then you will be given a chance for resubmission of the new panel of names against the fee paid. It may take 2 to 3 days to complete the process and the registration fee is RS 500.Here are the Steps to fill Form 1A:-Select from the two options whether the application is meant for incorporating a new company or changing the name of the existing company.Provide the details of the applicant like his DIN or PAN card number or Passport number. Click the prefill button. Then the system will automatically display the name and the address of the applicant if you have provided your DIN number. If you provide your PAN or Passport number, then you have to fill the details.From the given categories select the type of your company, state whether the company proposed is private or public.Select whether the proposed company has a share capital or not.Enter the state in which the proposed company is to be registered.Enter the name of the office of the registrar of the companies in which the proposed company is to be registered.Enter the number of promoters and details of the promoters like his category, DIN and Name.Suggest six alternative names for the company to be registered. Please give the name in the order of preference.Explain the significance of the proposed name of the company in few words.Enter the primary objects of the proposed company to be included in MOA.Enter the proposed authorised capital.Enter the particulars of 2 directors like their DIN, name, father’s name, nationality, PAN number, and address.Verify it and upload the form.Step 4: Memorandum And Articles Of Association Vetted And PrintedThe Memorandum Of Association contains the information about the company’s main objective. The document should include the information regarding what is the capital amount that you want to raise by issuing shares and the purpose for which the capital will be used on present and future.The Articles Of Association contains the information regarding the then companies daily operation. In the form INC-29 both the Memorandum Of Association and Article Of Association should be attached. With the ROC of vetting, you can file these draughted documents Online. Then print the documents and get signNowd once the ROC approves your MOA and AOA. This process has to be done within six months of the name approval. There is no registration charge.Step 5: The companies documents should be stampedThe companies documents should be stamped either at the superintendent or an authorised bank.has made mandatory to pay all the stamp duties for all the incorporated company forms and documents online via www.mca.gov.in website. The charge may differ from state to state and it may take one day to complete this process.Step 6: Documents Should be SignedEach and every document of Memorandum Of Association and Articles Of Associations should sign by at least two members of the company in their handwriting and one witness should be there for signature. It may take a day to complete the process.Step 7: To Get CertificateThe next step is to get the Certificate Of Incorporation from ROC and MCA. It may take a week or more and the cost may differ depending upon the companies authorised capital. Example: the cost is 4000 firs the company capital of Rs 1 lakh.Step 8: Ensure The LegalityMake a Seal ensure the legitimacy of the companies document. A company should stamp its document with its unique company seal. It may take a day of time to complete the paper and the cost is 350 Rs.Step 9: To Get Pan NumberThe next you should obtain the Permanent Account Number (PAN) from UTI or NSDL. It may cost around 60 to 70 and take 15-20 days to time to complete the process.Step 10: To Obtain Tax NumberObtain the Tax Account Number (TAX) from the income tax. TAN is a ten digit unique ten digit number required for the people who are responsible for deducting tax at a http://source.It may take 15 days of time to obtain TAN and its cost is around 55INR.Step 11: Registration for VATWith the Sales Tax Officer, you must register for VAT. VAT is a Value Added Tax, which requires registration by filling the Form 101. The time duration to complete this process is 12 days and the cost is around Rs.5000 plus its stamp duties of Rs.100Step 12: Registration for Professional TaxNext is to register for Professional Tax from the Profession Tax Officer of the state. Register the employees with provident fund organisation. It may take 2 to 3 days and its free of cost.Step 13: Identified With An Individual RecordEach employee of the company should be identified with an individual record for Medical Insurance Scheme. The employer should register the Form 01 with is sent as per Employees State Insurance. It may take 2 to 3 days of time for issuing the Employer Code Number.Step 14: Government ApprovalThe last step is filling for government approval before RBI/ FIPB for foreigners and NRIs. It may take 15 days to complete the process.If you were having any query regarding registration of your company, then feel free to contact us for all types of help. Our Experts will surely help you to get rid of your problem in a minute.Visit These Websites with Simple Registration:Quick Company indiaeFiling PortalMyOnlineCAMinistry Of Corporate AffairsIndiaFilingsVakilsearchOnline Company IndiaLegalraasta india
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What is the procedure to incorporate company?
Incorporation of a company means registering your business with the MCA as a company. Through incorporation, your business gains legitimacy in the eyes of the people. And, you can then get benefits of several government policies.Following is the brief procedure to incorporate your company:Decide the name of the company: Your business needs to have a unique name. It should also be memorable and easy to pronounce. Pick and choose the name for your company. To ensure its uniqueness, check with company name search portal first.Gather the documents for company registration: Collect the following documents:ID proof of the members and directors of the companyAddress proof of the members and directors of the companyPAN card of the directorsAddress proof of the registered office spacePower of attorney authorizing the CA to file your application on his behalfDigital Signature Certificate (DSC) as the incorporation process is completely onlineDIN or Director Identification Number.Reserve the name: The business name is an important commodity. Therefore, it would behove you to reserve that name as soon as possible.Draft memorandum of Association: Memorandum of association or MOA is the information sheet of the company. It entails details about the director, members, capital, object and address of the company.Draft Articles of Association: Articles of Association or AOA is the policy document of your company – detailing the rights and limitations of the company officials.Fill and submit company incorporation application: Go to the MCA website. Login and register and then select to private limited company incorporation. Click on New Company Registration. You’ll be presented with the INC-32 form. It’s called the SPICe Form or Simple Form for Incorporating Company. It’s similar to INC-29, which accelerates the company incorporation process. Fill the form. Upload the documents once you have signed them digitally (DSC is used). And then, wait for the Registrar to process your application.Upon processing the application, if the Registrar finds any issues, you’ll be notified and will probably have to redo the whole process.However, that only has a chance to happen if you take on company incorporation yourself. It’s an expert matter that needs proficient hands to be completed. Therefore, contact business registration experts for guaranteed company registration.
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How do I get the original copy of my medical records when I stop seeing a doctor?
How to Get Copies of Your Medical RecordsReviewing your medical records is not only the smart thing to do, it's your right. It allows you to update any information that may be vital to your care or to query your doctor about prescriptions or test results that are missing or incorrect.Historically, medical records were kept and maintained by the primary care provider. In recent years, a trend has emerged that has seen patients taking responsibility for the storage and maintenance of their own medical records.Unless you are in a health care system which provides you access to your electronic medical records (EMR), you will need to take steps a request for copies for yourself.According to the Health insurance Portability and Accounting Act (HIPAA) of 1996, you have the right to obtain copies of most of your medical records, whether they are maintained electronically or on paper. These include doctor's notes, medical test results, lab reports, and billing information.Who May Request Medical RecordsWhile designed to protect your privacy, HIPAA regulations are so extensive that many providers are still confused about how to enforce them. This can sometimes make it difficult to obtain your records, even if you are fully entitled to them.According to HIPAA, you have the right to request medical records if:You are the patient or the parent or guardian of the patient whose records are being requested.If you are a caregiver or advocate who has obtained written permission from the patient. In some cases, the health care provider will provide you a form that the patient must complete.Many people assume that only they or their designees can obtain copies of their medical records. Under the law, there are other individuals or organizations who may also have the right.This not only includes your primary care physician but third-party covered entities to whom you may have knowingly or unknowingly granted the right when signing a patient intake or registration form. These not only include medical practitioners but organizations like insurance companies, hospitals, labs, nursing homes, rehabilitation centers, and billing providers.Today, some people are even requesting their medical information be shared with mobile apps (such as those that monitor your heart health or diabetes). Under HIPAA, you have the right to request this with the understanding that the doctor who releases the information is not responsible for how the mobile app provider uses or secures your information.To this end, it is in your interest to read any medical registration or intake document to fully understand the rights you are granting and with whom your information may be shared.Which Records Can Be Provided and Which DeniedAlthough you have a right to most of your medical records, there are some that healthcare providers can withhold. Note that the age of a particular set of records also can affect the ability to obtain them: Most providers, including doctors, hospitals, and labs, are required to keep adult medical records for at least six years, although this can vary by state. Depending on the state, a child's records must be kept for three to 10 years beyond the age 18 or 21.Among the various records you have the right to obtain:Any notes or records that a provider has created themselvesAny diagnostic results for which a provider has copies including blood tests, X-rays, mammograms, genetic tests, biopsies, etc.Any information provided by another doctor that was used to establish a diagnosis and/or direct treatmentIf you're seeking specific lab tests or hospital admission records, often it's best to request them from the lab or hospital rather than your primary care provider. They are likely to be more complete and may even be kept for a longer period of time than a private medical practice.Records Your Provider May DenyThere are records to which you may be denied access. These primarily involve mental health records for which the provider's notes may be considered "impressions" rather than diagnoses. It has been argued that disclosure of these record may harm the doctor-patient relationship or be misconstrued when taken out of context.With that being said, a provider cannot deny your request because it might hurt your feelings. It can only be denied if the release of the information may compel you to harm yourself or others. If denied, the denial must be provided to you in writing.Under the law, the following may be reasonably withheld:Psychotherapy notesEMR records that are not in a "designated record set" (meaning those that do not pertain to your health but are used for quality assurance to improve patient care)Records that might endanger your life and safetyInformation compiled for use in a lawsuitRecords that includes mention of another person who may be harmed by the release of the informationRecords that bsignNow the confidentiality of a third-party who was promised confidentialityRecords that may compromise your health, safety, custody, or rehabilitation if you are in prison (or those of other inmates or persons in the correctional facility)Records that are part of ongoing research that has not been completedMany of these limitations are subject to broad interpretation.If you feel you are being unfairly denied access to specific medical records, you can file a complaint with the Office of Civil Rights (OCR) at the DHHS. You can do the same if your medical confidentiality has been bsignNowed.If the OCR agrees that your complaint is justified, it will instruct the doctor or facility to take corrective action or enforce a settlement if actual harm was done. The complaint must be filed within 180 days of the violation.The law also prohibits retaliation on the part of the covered entity if a complaint is lodged, such as the termination of services or an increase in the cost of services.What to Do if You are Denied Access to Your Medical RecordsHow to Request Your Medical RecordsMost practices or facilities will ask you to fill out a form to request your medical records. The forms can be usually be collected at the office or delivered by fax, postal service, or email,If the office doesn't have a form, you can write a letter to make your request. Be sure to include:Your nameSocial Security numberDate of birthAddress and phone numberEmail addressThe list of records being requestedThe dates of serviceDelivery option (fax, post, email, in person)SignatureOnce the request has been made, you may have to wait a while before the records are actually received. State laws vary but typically require delivery within 30 to 60 days. Be sure to keep a copy of the original request, and contact your state's Department of Health if you fail to receive the documents after repeated attempts.Cost of ServiceBe aware that you may have to pay for the cost of your medical records if you want them delivered on paper, by fax, or via electronic media. While the price can vary, it must be reasonable.Moreover, you are entitled to the records even if you haven't paid the doctor or facility for the procedure involved. The records cannot be withheld for non-payment, and you cannot be charged an exorbitant fee to compensate for the non-payment of services. If monies are owing, the doctor or facility can pursue avenues for collection, such as legal action or a debt collection service.For a Doctor No Longer in PracticeIf your doctor retires or is no longer in practice, all medical records must still be maintained under the law. This pertains even if a doctor has died or dissolves the practice without a sale.Under the law, the medical records should be transferred to another health care provider that agrees to accept the responsibility. If a provider cannot be found, the records may be archived with a reputable commercial storage firm.Similarly, if your doctor has left the practice but the practice is still operating, your records must be maintained by the remaining members. If the practice was sold, the new practice will be responsible for the maintenance of the records and be liable if the records are lost or mishandled.Tracking down your records can sometimes be a challenge, particularly if a doctor's office was closed with no forwarding details. In this instance, there are several things you can do:Contact your state or local medical society. Because many of these organizations require annual registration, they will most likely have the latest contact information.Speak with your health insurance company. If the doctor is still an approved provider, your insurer will have contact details.Contact any hospital where you doctor made rounds. Hospitals require doctors to undergo a formal process to obtain hospital privileges. Human resource departments will usually have details on file.If all else fails, you may need to reconstruct your file by contacting the various labs, hospital, or specialists you used. Your health insurers, both past, and present can provide you with the details of any claims made on your behalf.Correcting ErrorsOnce you've obtained a copy of your medical records, review them carefully. If you find errors or omissions, you will want to have them corrected immediately to ensure that they don't compromise your future care.Most providers will agree to correct factual errors or track down reports that should have been maintained in your file.However, this does not extend to differences of opinions for which your doctor has the right to express a medical opinion. This includes notes regarding contributing factors to an illness (such as alcoholism or HIV) that you would rather not have in your medical records. Altering or omitting the records would not only be ethically problematic, it could subject the doctor to legal action.With that being said, if you believe that that the refusal of a correction is unjust or places you in harm's way, submit a complaint to the OCR detailing the dispute. They can review the evidence and decide if the correction is warranted.A Word From VerywellKnowing what is in your medical records can be every bit as important as seeing a doctor in the first place. If you have access to your EMR, be sure to review it after every appointment or well-care visit. It allows you to make corrections when needed and participate more actively if and when medical treatment is needed.
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