RE: Attorney Authorization

2003-03-17 Thread Gerald E. DeLoss
If the attorney is providing an authorization, the minimum necessary rule
does not apply.  If the attorney is a business associate of the CE, then no
authorization is required because legal services are health care operations.
In addition, the CE may rely upon their own professional's representation
that the entire medical record is necessary to carry out their duties as
being the minimum necessary.

Jud

Gerald Jud E. DeLoss, Esq. 
Barnwell Whaley Patterson  Helms, LLC 
885 Island Park Drive
Post Office Drawer H (29402)
Charleston, SC 29492 
Telephone (843) 577-7700 
Direct (843) 329-5313
Facsimile (843) 577-7708
[EMAIL PROTECTED] mailto:[EMAIL PROTECTED]  

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-Original Message-
From: Thomas Johnson [mailto:[EMAIL PROTECTED]
Sent: Monday, March 17, 2003 2:23 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Attorney Authorization


Wondering how Ce's will be treating a general authorization by attorneys to
release medical information and/or records, especially if some info not
pertinent/exceeded minimum necessary standard pertaining to the matter that
the attorney is representing the insured for? 

Thomas L. Johnson
Vice President, External Affairs and Compliance
D.C. Chartered Health Plan
820 First Street, N.E. Suite LL100
Washington, DC 20002
(p) 202-408-2034
(f) 202-408-0838 



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RE: EMS and the NPP

2003-01-28 Thread Gerald E. DeLoss
Yes, the Preamble states that in emergency situations the EMS must still
provide the NPP as soon as reasonably practicable after the emergency and
that the EMS must provide the NPP and make a good faith effort to obtain
written acknowledgment at the time of transportation in non-emergency cases.

The Preamble that you cite directly contradicts your prior statement.  Is
there something I am missing?

Jud

-Original Message-
From: William Gateland [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 8:37 PM
To: Gerald E. DeLoss; WEDI SNIP Privacy Workgroup List
Subject: RE: EMS and the NPP


Check out Aug 14, 02 Final Rule, pg 53242 where it
talks about ambulance services.

--- Gerald E. DeLoss [EMAIL PROTECTED]
wrote:
 What specific section of the rule do you base this
 on?  I disagree.
 
 Jud
 
 Gerald Jud E. DeLoss, Esq. 
 Barnwell Whaley Patterson  Helms, LLC 
 885 Island Park Drive
 Post Office Drawer H (29402)
 Charleston, SC 29492 
 Telephone (843) 577-7700 
 Direct (843) 329-5313
 Facsimile (843) 577-7708
 [EMAIL PROTECTED]
 mailto:[EMAIL PROTECTED]  
 
 The information contained in this message may be
 privileged and/or
 confidential and protected from disclosure. If the
 reader of this message is
 not the intended recipient or agent responsible for
 delivering this message
 to the intended recipient, you are hereby notified
 that any dissemination,
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 strictly prohibited.  If
 you have received this communication in error,
 please notify the sender
 immediately and delete all copies of the material.
 
 
 
 -Original Message-
 From: William Gateland [mailto:[EMAIL PROTECTED]]
 Sent: Thursday, January 23, 2003 8:05 PM
 To: WEDI SNIP Privacy Workgroup List
 Subject: RE: EMS and the NPP
 
 
 Forget all this talk about layered notice or full
 notice.  The EMS does not have to carry NPP's or
 give
 them out per the rule.
 
 Bodhitaro1
 --- Dee Warrington [EMAIL PROTECTED] wrote:
  Spencer, 
   
  Donald is correct.  Members/patients must receive
  the whole document -- even if covered entities
  choose to create a layered notice.  It is simply
  an executive summary for the members/patients.
   
  Dee Warrington 
  Director, HIPAA and Regulatory Compliance 
  OAO HealthCare Solutions, Inc. 
  20955 Warner Center Lane 
  Woodland Hills, CA  91367 
  (818) 598-6606 
  Fax: (818) 598-3270 
  [EMAIL PROTECTED] 
  -Original Message-
  From: Ribelin, Donald
  [mailto:[EMAIL PROTECTED]]
  Sent: Thursday, January 23, 2003 8:55 AM
  To: WEDI SNIP Privacy Workgroup List
  Subject: RE: EMS and the NPP
  
  
  Spencer, this is not how I read this provision.  I
  believe you must provide the entire NPP, not just
  part of it.  IMHO, the layer is simply a bulleted
  cover sheet that is meant to assist the patient in
  better understanding their rights.
   
  Donald L. Ribelin
  HIPAA Project Manager
  Firsthealth of the Carolinas
  (910) 215-2668
  [EMAIL PROTECTED]
   
  -Original Message-
  From: Spencer Hall
  [mailto:[EMAIL PROTECTED]]
  Sent: Thursday, January 23, 2003 10:33 AM
  To: WEDI SNIP Privacy Workgroup List
  Subject: RE: EMS and the NPP
   
  The recent guidance allows for a layered NPP -
 you
  can provide your customers with a shot form and
 then
  provide the long form if it is requested.  
   
   
  Spencer D. Hall
  Health Information Security Officer
  St. Vincent's
  (904) 308-7029
  [EMAIL PROTECTED]
  
   Ribelin, Donald [EMAIL PROTECTED]
  01/23/03 07:56AM 
  Chris, thanks for the feedback. Biggest problem,
 our
  NPP is five pages (front and back) long. 
 Attaching
  it becomes an issue secondary to its bulk.  Good
  point about 911 calls.  We are less worried about
  them.   
   
  Donald L. Ribelin
  HIPAA Project Manager
  Firsthealth of the Carolinas
  (910) 215-2668
  [EMAIL PROTECTED]
   
  -Original Message-
  From: Chris Brancato
  [mailto:[EMAIL PROTECTED]]
  Sent: Wednesday, January 22, 2003 10:20 AM
  To: Ribelin, Donald; WEDI SNIP Privacy Workgroup
  List
  Subject: RE: EMS and the NPP
   
  Don,
  I consult with some of the nations largest
 Fire/EMS
  departments for HIPAA.
  I advise several different ways. Non-transports
  require a treat and release signature from a
  patient.
  A copy of NPP can be printed on the back or
  separately, but they should make a reasonable
  attempt to provide the NPP. What you don't say is
  how they are activated. If they are activated via
  911, this is an emergency response, not requiring
 an
  NPP as the call is emergency, not routine, in
  nature.
   
  I also advise departments that do the billing to
  include the NPP in the billing statement, just
 like
  the Credit Card companies do.
   
  Hope that helps.
   
  Chris Brancato
   
  -Original Message-
  From: Ribelin, Donald
  [mailto:[EMAIL PROTECTED]]
  Sent: Tuesday, January 21, 2003 8:03 AM
  To: WEDI SNIP Privacy Workgroup List
  Subject: RE: EMS and the NPP
   
  An interesting

RE: Is HIPAA Individually Liable?

2003-01-24 Thread Gerald E. DeLoss
The Privacy Rule does not provide a private right of action, it only
provides for the civil and criminal penalties to be imposed by the
government.  However, a clever plaintiff's attorney could craft an argument
that the violation of the HIPAA Privacy Rule is evidence that the Covered
Entity was negligent (negligence per se) by violating the Rule.  This
would be a way in which an attorney could sue for damages.

As a disclaimer, I do not represent plaintiffs, I represent Covered
Entities, so there might be other crafty arguments of which I am not aware.

Jud DeLoss

Gerald Jud E. DeLoss, Esq. 
Barnwell Whaley Patterson  Helms, LLC 
885 Island Park Drive
Post Office Drawer H (29402)
Charleston, SC 29492 
Telephone (843) 577-7700 
Direct (843) 329-5313
Facsimile (843) 577-7708
[EMAIL PROTECTED] mailto:[EMAIL PROTECTED]  

The information contained in this message may be privileged and/or
confidential and protected from disclosure. If the reader of this message is
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to the intended recipient, you are hereby notified that any dissemination,
distribution or copying of this communication is strictly prohibited.  If
you have received this communication in error, please notify the sender
immediately and delete all copies of the material.



-Original Message-
From: Nancy Jones [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 12:40 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Re: Is HIPAA Individually Liable?


I would like to add to this question . . . I have been to several HIPAA
workshops, each taught by a different attorney or team of attorneys.  

One group will tell you that the entity can't be sued for damages if a
HIPAA violation occurs . . . . that sanctions from the OCR is punishment
enough for the covered entity and that patients may not expect damages. 
Others have said that plaintiff's attorneys are circling like buzzards
and buying the back covers of telephone books all over America with the
big question . . HAS YOUR MEDICAL PRIVACY BEEN VIOLATED?

I havent' gotten a straight answer yet!  And now I hear that THIPAA -
the Texas version of HIPAA that goes in to effect in 9/03 not only
allows the entity to be sued, but the individual can be held personally
liable.  I am a patient advocate and believe in the fundamental
principals of protecting health information, but this is really getting
out of hand.

Patricia Conroe wrote:
 
 I apologize if this is listed somewhere real obvious, but I was wondering
if there was a definite answer as to who's liable when HIPAA has been
violated?  In a hospital situation, if HIPAA's violated and jail time and
fines are distributed who gets that fun time?  Is it the CEO, the Privacy
Officer, the employee who violated the rule, all of the above, etc?  Thank
you!
 
 ---
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RE: EMS and the NPP

2003-01-23 Thread Gerald E. DeLoss



The only problem is that the "short" notice 
must contain all of the elements set forth in the rule, which will still take up 
quite a bit of space. Also, you still need to provide the "long" form NPP 
to the patient, you cannot wait for a request to do so. Technically, you 
are to provide both forms to the patient at the same time.

Thanks,
Jud


Gerald "Jud" E. DeLoss, Esq. Barnwell Whaley 
Patterson  Helms, LLC885 
Island Park DrivePost OfficeDrawer H 
(29402)Charleston, SC 29492 Telephone (843) 577-7700Direct (843) 329-5313Facsimile (843) 577-7708[EMAIL PROTECTED] 

The information contained in this message may be privileged and/or 
confidential and protected from disclosure. If the reader of this message is not 
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intended recipient, you are hereby notified that any dissemination, distribution 
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delete all copies ofthe material.

  -Original Message-From: Spencer Hall 
  [mailto:[EMAIL PROTECTED]]Sent: Thursday, January 23, 2003 
  10:33 AMTo: WEDI SNIP Privacy Workgroup ListSubject: RE: 
  EMS and the NPP
  The recent guidance allows for a "layered" NPP - you can provide your 
  customers with a shot form and then provide the long form if it is 
  requested. 
  
  
  Spencer D. Hall
  Health Information Security Officer
  St. Vincent's
  (904) 308-7029
  [EMAIL PROTECTED]
   "Ribelin, Donald" [EMAIL PROTECTED] 
  01/23/03 07:56AM 
  
  Chris, 
  thanks for the feedback. Biggest problem, our NPP is five pages (front and 
  back) long. Attaching it becomes 
  an issue secondary to its bulk. 
  Good point about 911 calls. 
  We are less worried about them. 
  
  
  Donald L. 
  Ribelin
  HIPAA Project 
  Manager
  Firsthealth of the 
  Carolinas
  (910) 215-2668
  [EMAIL PROTECTED]
  
  -Original 
  Message-From: Chris 
  Brancato [mailto:[EMAIL PROTECTED]]Sent: Wednesday, January 22, 2003 10:20 
  AMTo: Ribelin, Donald; WEDI 
  SNIP Privacy Workgroup ListSubject: RE: EMS and the 
  NPP
  
  Don,
  I consult with some of the nations 
  largest Fire/EMS departments for HIPAA.
  I advise several different ways. 
  Non-transports require a treat and release signature from a 
  patient.
  A copy of NPP can be printed on 
  the back or separately, but they should make a "reasonable attempt" to provide 
  the NPP. What you don't say is how they are activated. If they are activated 
  via 911, this is an emergency response, not requiring an NPP as the call is 
  emergency, not routine, in nature.
  
  I also advise departments that do 
  the billing to include the NPP in the billing statement, just like the Credit 
  Card companies do.
  
  Hope that 
  helps.
  
  Chris Brancato
  
  -Original 
  Message-From: Ribelin, 
  Donald [mailto:[EMAIL PROTECTED]]Sent: Tuesday, January 21, 2003 8:03 
  AMTo: WEDI SNIP Privacy 
  Workgroup ListSubject: RE: 
  EMS and the NPP
  
  An 
  interesting question from our EMS HIPAA rep yesterday: 
  
  
  When 
  EMS treats and transports an accident victim to another hospital (one not part 
  of our enterprise), should we give them a copy of our NPP? One of the underlying issues centers 
  on our management of EMS in several counties. While most of the patients 
  involved end up at FirstHealth facilities (where they would receive a copy of 
  the NPP once their condition allowed), a significant minority are transported 
  to other hospitals. On first look my response is that the receiving facility 
  would be responsible for providing the patient with a copy of their NPP. But is that the case? I would like the group's comments, 
  opinions and citations re: the whole ems issue. I am also looking forward to OCR's 
  clarifications on these issues.
  
  
  Donald L. Ribelin
  HIPAA Project 
  Manager
  Firsthealth of 
  the Carolinas
  (910) 
  215-2668
  [EMAIL PROTECTED]
  
  
  ---The WEDI 
  SNIP listserv to which you are subscribed is not moderated. The discussions on 
  this listserv therefore represent the views of the individual participants, 
  and do not necessarily represent the views of the WEDI Board of Directors nor 
  WEDI SNIP. If you wish to receive an official opinion, post your question to 
  the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These 
  listservs should not be used for commercial marketing purposes or discussion 
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RE: Consulting fees

2003-01-10 Thread Gerald E. DeLoss
I'm no antitrust expert, but there might be antitrust problems with this.
If anyone else out there has a different opinion, please let me know.

Jud DeLoss

-Original Message-
From: Debby Bartow [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 10, 2003 9:35 AM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: Consulting fees


I would be very interested in the answer to this question as well.

Debby Bartow
Tobin  Associates, Inc.
www.TobinIT.com
[EMAIL PROTECTED]
585.586.2103 x3040

-Original Message-
From: Rebekah Savoie [mailto:[EMAIL PROTECTED]] 
Sent: Thursday, January 09, 2003 8:37 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Consulting fees

What are HIPAA consultants charging these days

I need something to compare to

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