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FAQs lewis gale medical center medical records release of information
Why is it always so difficult to get a doctor's office to send their records over to another doctor's office?It’s not.The only thing that is required is for the patient to fill out and sign a form called Authorization of Release of Protected Health Information (PHI). Your doctor’s office can give you a copy of this form.The doctor’s office will then send this form to the other doctor or healthcare facility that has your prior health records. These records will then be transmitted by fax, mail, or secured e-mail to whatever provider you stipulate on the form.Depending on the size of your medical file and how busy the transmitting office is, this can all be accomplished within an hour or a day at most.Doctors cannot transmit PHI to other healthcare facilities without prior written authorization from the patient. Doing so would be a violation of US federal law called HIPAA.I also recommend that you ask your doctor’s office to make a copy of your medical records to take with you. The office is required to provide you with a copy of your records on request. However, they may charge a small fee for processing, especially if your records are large. You are then free to take these medical records to any other provider. I recommend holding a copy of your medical records in a safe place.
Are health clubs, gyms and other public businesses that require customers and clients to fill out health and/or medical forms or releases required to protect that information under HIPAA?This does not fall under HIPAA. Under the HIPAA regulations, the entities that must comply with the rules are defined as "covered entities" which are: health care plans, health care providers, and health care clearinghouses. So health clubs or gyms do not meet this definition and are therefore not subject to HIPAA. However, depending on your state, there may be laws which protect the sharing of this type of information.
Are “addressable” requirements in encryption of protected health information (PHI) defined by HIPAA equivalent to “optional”?If an implementation specification is described as “required,” the specification must be implemented. The concept of "addressable implementation specifications" was developed to provide covered entities additional flexibility with respect to compliance with the security standards. In meeting standards that contain addressable implementation specifications, a covered entity will do one of the following for each addressable specification:(a) implement the addressable implementation specifications;(b) implement one or more alternative security measures to accomplish the same purpose;(c) not implement either an addressable implementation specification or an alternative.The covered entity’s choice must be documented. The covered entity must decide whether a given addressable implementation specification is a reasonable and appropriate security measure to apply within its particular security framework.
How do you fill out a certificate of authorization for a drone?We get asked this a lot at Lumoid, and wrote a blog post just for this purpose. Here it is: Understanding the Basics of Drone Rules/Regulations
How secure is SSL for the online transmission of protected health information?Modern browsers use TLS (Transport Layer Security) for securely transmitting data between a browser and a server. This protocol was originally known as SSL (Secure Sockets Layer), and as described in Lussier's answer, is based on public key (asymmetric) cryptography that, when correctly implemented, prevents a third party from observing any data communicated over TLS.In your specific case of online medical education, TLS is sufficiently secure to ensure that any data sent by your server will not be eavesdropped on its way to the client. To use TLS, you would typically purchase and install a server certificate on the webserver providing the content, and configure the webserver to run only in HTTPS mode for those resources.However, TLS does not offer any security about what the client does with the data after transmission. Unlike a credit card purchase, in which the client is transmitting sensitive data to the server, your scenario is transmitting sensitive data to the client. Are they downloading movies, slides, or documents containing protected health information, that they could then send to third parties without your permission? If so, then you may need users to agree not to disclose the materials, or your partners may require the use of specialized viewer technology that permits students to see the information on their screen without being able to save it. (Aside: technologies that attempt to prevent saving of static information are easy to defeat because once I can see it on my screen, I can capture the information somehow. I can take a screen shot, or even use an external camera to take a digital photograph of my screen.)
Is the interpretation of protected group under Genocide Convention by ICC under-inclusive and unprincipled?I don’t have much experience with international law, but “protected groups” or “protected classes” under legal statutes and regulations are generally construed very narrowly - that’s been true forever.HOWEVER, the definition of “protected group or class” under many laws and regulations are generally expanded over time as loopholes and back doors are discovered, challenged, and corrected in the statutes and explained in regulations.As an example from my “world” - the HIPAA (“Health Insurance Portability and Accountability Act” of 1996) and HITECH (“Health Information Technology for Economic and Clinical Health Act” of 2009) medical privacy acts are the laws that protect the privacy of your medical/health records. I’m sure you’ve noticed the “HIPAA forms” on every medical form you’ve every filled out. It explains who is entitled to see your medical records, when they can see them, how they can be transmitted if requested, and your recourse for non-compliance. The penalties for a medical facility, insurance co., etc. being careless with your medical records are SEVERE - hundreds and hundreds of thousands of dollars in fines can be - and are - imposed by the Office of Civil Rights of U.S. Health and Human Services.Unfortunately, HIPAA defined “covered entity” - the people bound by those laws - very narrowly (basically doctors, hospitals, and insurance companies). And since this is America after all, the private sector came up with the idea of starting companies to handle the constant barrage of medical records requests that “covered entities” receive every year - my office alone requests hundreds and hundreds of medical records every year. These private companies locate them, reproduce them, and send them to the requesting patient or his/her representative (that part was challenged as well).The problem was that those third-party companies that handled your medical records for doctors, hospitals, etc. were NOT “covered entities” under HIPAA. As a result, if THEY were careless, you really had no recourse. To make matters worse, they charged a small fortune - “research fees,” “location fees,” “reproduction fees,” “$______ per page copied,” AND sales tax (since they were not the actual medical provider - you get the picture). Quite a little “cottage industry” developed in that area . . .So, to handle the growing problem, Congress passed HITECH - which closed the loopholes, included these third-party companies (and others) in the definition of “covered entity,” and recognizing that most records are now maintained on computer, made sending records electronically mandatory, limiting the amount they could charge to do so . . . to $6.50. Yes . . . Six dollars and fifty cents, whereas they used to charge $500 - $1,000. HITECH also made it very clear that if patients authorize the release of their protected health information (PHI) to a third party - say . . . a lawyer, said records were no longer covered by these privacy laws. Of course, there are many requirements for patient notification of this, but pay attention the next time you’re in a doctor’s office - the form will probably say “HITECH” - not “HIPAA.”
What are some reasons that a health insurance company would ask for a pre-authorization form to be filled out by a Dr. before filling a prescription?One common reason would be that there is a cheaper, therapeutically equivalent drug that they would like you to try first before they approve a claim for the prescribed drug. Another reason is that they want to make sure the prescribed drug is medically necessary.Remember that nothing is stopping you from filling the prescribed drug. It just won't be covered by insurance until the pre-authorization process is complete.
How long does THC stay in the body (wiki)?OK here it is! The only way for a user to be sure to pass a test is to substitute a clean specimen of synthetic urine. The article casts doubt on the effectiveness of such a product but having taken several DOT mandated drug screens, and since the first collection is always not monitored, I can positively say that synthetic clean urine is 100% foolproof. And keep it at the correct temperature by using duct tape to keep it under your armpit in a small plastic vile.A marijuana high lasts only a few hours (around six if an edible is consumed), but traces of tetrahydrocannabinol, or THC, remain in the body for much longer than that. Marijuana can be detected through both blood and urine tests, which are frequently conducted for DUIs and employers. If inhaled, marijuana enters the bloodstream through alveoli in the lungs. If marijuana is eaten, the liver breaks down THC into non-psychoactive marijuana metabolites, which linger in the body and are stored in fatty tissues. Some THC metabolites have a half-life of 20 hours, while others like THC-COOH have a half-life of 13 days, according to High Times.A 2014 study found that regular marijuana users have traces of marijuana in their urine for about two weeks, according to High Times. The study also found that a tiny bit of THC can still be present in the blood of a regular user despite abstaining for several weeks.Urine tests measure THC-COOH, since it has a very long half-life in the body, according to the website for the California branch of the marijuana advocate organization Norml. Blood tests are used to measure THC levels, and directly correlate with impairment at the time the test is taken.For infrequent users, marijuana can be detected in urine for around a week or more, and blood tests can measure active THC levels for around 24 hours.For frequent or heavy marijuana users, their urine tests may show up positive for up to 100 days after their last use, and blood tests will show the presence of THC for up to one week. THC-COOH builds up in the body each time marijuana is used, and thus takes even more time to decline, according to Norml.