RE: Temporary Employees

2003-02-10 Thread CBowman
I think you would have to train a temporary workforce member just as you would a workforce member  that was not temporary.  My understanding is you don't train on the privacy rule itself, you train on what procedures/policies that all employees need to know about your privacy procedures, tha

RE: NPP and accounting for disclosures - was Medicare audits: op erations?

2003-02-14 Thread CBowman
Doug, Why do you suggest "If you need a separate Authorization to do the disclosure, log it". Refer to § 164.528(a)(1)(iv) The rule says: Right to an Accounting of Disclosures of Protected Health Information - § 164.528(a) 1. An individual has a right to receive an accounting of disclosures of p

RE: NPP and accounting for disclosures - was Medicare audits: op erations?

2003-02-14 Thread CBowman
Doug, Thanks for the clairication for your organization. Since the Privacy Rule requires we "document and retain any signed authorization as required by § 164.530(j)".."for six years from the date of its creation or the date when it last was in effect, whichever is later", we have elected to st

RE: NPP and accounting for disclosures - was Medicare audits: op erations?

2003-02-14 Thread CBowman
Title: Message I don't think saying a CE "may not use or disclose protected health information in a manner inconsistent with such notice" is the same as "if you notice a patient regarding a disclosure that is permissible means that you do not need to account for it".  My beliefs are based on

RE: NPP and accounting for disclosures - was Medicare audits: op erations?

2003-02-14 Thread CBowman
Title: Message Do you have HHS commentary that states if 'a disclosure allowed by law if it is addressed in your notice of privacy practices doesn't have to be accounted for'?  If so please let me know where to find it.  If there is supporting commentary then it would make a lot of health ca

RE: Unlocked charts

2003-03-07 Thread CBowman
Title: Message Cindy,   The key work here is incidential.  I don't feel this would be an incidential disclosure since you know the cleaning folks will have access to PHI.  See text below from another list about the topc.   Date 1/16/03 "...yesterday during a conference call with 2,000 plus

RE: Unlocked charts

2003-03-07 Thread CBowman
Title: Message Cheri,   My position is this situation is not an incidential disclosure, do you disagree with that?  It was Linda Sanchez of DHHS that said a BAA was needed.   Like you, my concern is also the stipulation of your quoted text that "provided reasonable safeguards are in place."

RE: NPP

2003-03-07 Thread CBowman
There are very different NPP requirements for a health plan and a health care provider.  While a health care provider has a requirement to obtain a written acknowledgment of receipt, a health care plan does not.  I refer to Provision of Notice of Privacy Practices - § 164.520(c) below:   HH

RE: Unlocked charts

2003-03-07 Thread CBowman
Title: Message Dennis,   I am not sure where your disagreement exists with me since I did not say they are a business associate.  It was a DHHS member that said "if you know that a repairperson *WILL* have access to PHI as part of her/his job to repair something, then that is not an incident

RE: Unlocked charts

2003-03-07 Thread CBowman
Thank you for your input. I agree 100% with you. Do you mind if I privately share your response with the person that misquoted Ms. Sanches's response? I hate for her to be misquoted. The person may want to recheck their notes and post a correction to the other list where they quoted her. Cin

RE: Unlocked charts

2003-03-11 Thread CBowman
Matt, Here is the source of my confusion, thank you in advance for any light you can shed on my question. We have an open filing system for our medical records, so are unable to better safeguard them. Budget constraints prohibit a more secure system at this time. When our contract cleaning folks

RE: Filing deadline for complaints

2003-03-14 Thread CBowman
Diane, If you limit your complaint acceptance period to 30 days, the only other recourse the person would have is to file a complaint with the Secretary if the occurance is more than 30 days old. For my agency, I had rather our patients come to us with a complaint rather than the Secretary of DHH

RE: NPP in Other Languages

2003-03-18 Thread CBowman
Limited English Proficiency (LEP) guidance at: http://www.hhs.gov/ocr/lep/ If you are subject to Title VI, as it applies to LEP persons, below is safe harbor gudiance from the above OCR resource: Safe Harbor. The following actions will be considered strong evidence of compliance with the recipie