Re: When to have the patient sign an authorization

2003-01-23 Thread BBurns

Jill-

In Kansas, the authorization is valid for a year (unless otherwise
specified by the patient)
and it is our policy to not disclose information that was generated after
the
date of the patients signature on the authorization. At the time they sign
the
authorization, they have no way of knowing what will happen after that
date; therefore,
could not be making an informed decision about what to have disclosed in
the future.

We never use or honor 'blanket consents' that do not specify exactly which
info
is to be disclosed, the specific reason, to whom, etc. Hope this helps.

Becky Burns, RHIT
Privacy Officer
Ellinwood District Hospital
Ellinwood, Kansas


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RE: When to have the patient sign an authorization

2003-01-20 Thread Ribelin, Donald
§ 164.508 Uses and disclosures for which an authorization is required...
...(c) Implementation specifications: Core elements and requirements.
(1) Core elements. A valid authorization under this section must contain at
least the following elements:
(i) A description of the information to be used or disclosed that identifies
the information in a specific and meaningful fashion.
(ii) The name or other specific identification of the person(s), or class of
persons, authorized to make the requested use or disclosure.
(iii) The name or other specific identification of the person(s), or class
of persons, to  whom the covered entity may make the requested use or
disclosure.
(iv) A description of each purpose of the requested use or disclosure. The
statement "at the request of the individual" is a sufficient description of
the purpose when an individual initiates the authorization and does not, or
elects not to, provide a statement of the purpose.
(v) An expiration date or an expiration event that relates to the individual
or the purpose of the use or disclosure. The statement "end of the research
study," "none," or similar language is sufficient if the authorization is
for a use or disclosure of protected health information for research,
including for the creation and maintenance of a research database or
research repository.
(vi) Signature of the individual and date. If the authorization is signed by
a personal representative of the individual, a description of such
representative's authority to act for the individual must also be provided.


Donald L. Ribelin
HIPAA Project Manager
Firsthealth of the Carolinas
(910) 215-2668
[EMAIL PROTECTED]

 -Original Message-
From:   Rachel Foerster [mailto:[EMAIL PROTECTED]] 
Sent:   Monday, January 20, 2003 2:34 PM
To: WEDI SNIP Privacy Workgroup List
Subject:    RE: When to have the patient sign an authorization

I believe that HIPAA requires any authorization to expire either on a
specific date or at a specific event. An event expiration could in fact, be
upon the individual's demise. Unfortunately I don't have a specific cite
from the rag on this.

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in Health Care EDI
39432 North Avenue
Beach Park, IL 60099
Voice: 847-872-8070
Fax: 847-872-6860
eMail: [EMAIL PROTECTED]
http://www.rfa-edi.com



-Original Message-
From: Darrell Rishel [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 20, 2003 1:25 PM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: When to have the patient sign an authorization


I do not believe that HIPAA mandates that an authorization can only be valid
for 60 days. Such a limitation might be a part of state law, or an
organization's own standard. I think that if you can foresee the need for
the disclosure when the patient is admitted, then you can have it signed at
that time. If the need does not become apparent until later, then you have
the patient sign it then. In either case, of course, the authorization has
to meet all off the other HIPAA (and other applicable) requirements.

Darrell Rishel, J.D.
Director of Information Services
Arapahoe House, Inc.

This message is not legal advice or a binding signature.


-Original Message-
From: Klayer Geni [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 20, 2003 11:59 AM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: When to have the patient sign an authorization


As the need arises.  The authorization is only valid for 60 days.

-Original Message-
From:   [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]]
Sent:   Monday, January 20, 2003 1:20 PM
To: WEDI SNIP Privacy Workgroup List
    Subject:When to have the patient sign an authorization

How are providers in particular handling the singing of
authorizations? Are practices having patients sign it when they first come
in, for future disclosures, or as the specific situations arise (i.e., they
later decide their atty. should see the medical records and sign an
applicable authorization).

Thanks as always for your input.

Jill Rubin, Esq.
(617)388-2404
[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
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disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as:
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To unsubscribe from t

RE: When to have the patient sign an authorization

2003-01-20 Thread Rachel Foerster
I believe that HIPAA requires any authorization to expire either on a
specific date or at a specific event. An event expiration could in fact, be
upon the individual's demise. Unfortunately I don't have a specific cite
from the rag on this.

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in Health Care EDI
39432 North Avenue
Beach Park, IL 60099
Voice: 847-872-8070
Fax: 847-872-6860
eMail: [EMAIL PROTECTED]
http://www.rfa-edi.com



-Original Message-
From: Darrell Rishel [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 20, 2003 1:25 PM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: When to have the patient sign an authorization


I do not believe that HIPAA mandates that an authorization can only be valid
for 60 days. Such a limitation might be a part of state law, or an
organization's own standard. I think that if you can foresee the need for
the disclosure when the patient is admitted, then you can have it signed at
that time. If the need does not become apparent until later, then you have
the patient sign it then. In either case, of course, the authorization has
to meet all off the other HIPAA (and other applicable) requirements.

Darrell Rishel, J.D.
Director of Information Services
Arapahoe House, Inc.

This message is not legal advice or a binding signature.


-Original Message-
From: Klayer Geni [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 20, 2003 11:59 AM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: When to have the patient sign an authorization


As the need arises.  The authorization is only valid for 60 days.

-Original Message-
From:   [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]]
Sent:   Monday, January 20, 2003 1:20 PM
To: WEDI SNIP Privacy Workgroup List
    Subject:        When to have the patient sign an authorization

How are providers in particular handling the singing of
authorizations? Are practices having patients sign it when they first come
in, for future disclosures, or as the specific situations arise (i.e., they
later decide their atty. should see the medical records and sign an
applicable authorization).

Thanks as always for your input.

Jill Rubin, Esq.
(617)388-2404
[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
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disagreements or unprofessional communication at any time.

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of Directors nor WEDI SNIP. If you wish to receive an official opinion, post
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disagreement

RE: When to have the patient sign an authorization

2003-01-20 Thread Darrell Rishel
I do not believe that HIPAA mandates that an authorization can only be valid
for 60 days. Such a limitation might be a part of state law, or an
organization's own standard. I think that if you can foresee the need for
the disclosure when the patient is admitted, then you can have it signed at
that time. If the need does not become apparent until later, then you have
the patient sign it then. In either case, of course, the authorization has
to meet all off the other HIPAA (and other applicable) requirements.

Darrell Rishel, J.D.
Director of Information Services
Arapahoe House, Inc.

This message is not legal advice or a binding signature.


-Original Message-
From: Klayer Geni [mailto:[EMAIL PROTECTED]] 
Sent: Monday, January 20, 2003 11:59 AM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: When to have the patient sign an authorization


As the need arises.  The authorization is only valid for 60 days.

-Original Message-
From:   [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]]
Sent:   Monday, January 20, 2003 1:20 PM
To: WEDI SNIP Privacy Workgroup List
Subject:    When to have the patient sign an authorization

How are providers in particular handling the singing of
authorizations? Are practices having patients sign it when they first come
in, for future disclosures, or as the specific situations arise (i.e., they
later decide their atty. should see the medical records and sign an
applicable authorization).

Thanks as always for your input.

Jill Rubin, Esq.
(617)388-2404
[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 of specific vendor products and
services. They also are not intended to be used as a forum for personal
disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as:
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commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
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RE: When to have the patient sign an authorization

2003-01-20 Thread Klayer Geni
As the need arises.  The authorization is only valid for 60 days.

-Original Message-
From:   [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]]
Sent:   Monday, January 20, 2003 1:20 PM
To: WEDI SNIP Privacy Workgroup List
Subject:When to have the patient sign an authorization

How are providers in particular handling the singing of
authorizations? Are practices having patients sign it when they first come
in, for future disclosures, or as the specific situations arise (i.e., they
later decide their atty. should see the medical records and sign an
applicable authorization).

Thanks as always for your input.

Jill Rubin, Esq.
(617)388-2404
[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
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RE: When to have the patient sign an authorization

2003-01-20 Thread Klayer Geni


-Original Message-
From:   [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]]
Sent:   Monday, January 20, 2003 1:20 PM
To: WEDI SNIP Privacy Workgroup List
Subject:When to have the patient sign an authorization

How are providers in particular handling the singing of
authorizations? Are practices having patients sign it when they first come
in, for future disclosures, or as the specific situations arise (i.e., they
later decide their atty. should see the medical records and sign an
applicable authorization).

Thanks as always for your input.

Jill Rubin, Esq.
(617)388-2404
[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 of specific vendor products and
services. They also are not intended to be used as a forum for personal
disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as:
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RE: When to have the patient sign an authorization

2003-01-20 Thread Deborah Campbell



Jill,
I'm 
not sure how a provider could have them sign an authorization when they arrive 
unless they already knew they would need one for a specific event. The regs say 
the authorization must be for a specific event or time period. I'm not sure you 
can get away with a blanket authorization.
Deborah
 

Deborah Campbell 
Compliance Coordinator 

Dominion Dental Services, 
Inc. 115 South Union 
Street, Suite 300 Alexandria, Virginia 22314 
Phn: (703) 518-5000 ext. 
3035 Fax: (703) 
518-8849 Toll 
Free:  888-518-5338 Email: [EMAIL PROTECTED] 
*** The information in this email is confidential and may be 
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  -Original Message-From: [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]]Sent: Monday, January 20, 2003 1:20 
  PMTo: WEDI SNIP Privacy Workgroup ListSubject: When to 
  have the patient sign an authorizationHow are 
  providers in particular handling the singing of authorizations? Are practices 
  having patients sign it when they first come in, for future disclosures, or as 
  the specific situations arise (i.e., they later decide their atty. should see 
  the medical records and sign an applicable authorization).Thanks as 
  always for your input.Jill Rubin, 
  Esq.(617)388-2404[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 of specific 
  vendor products and services. They also are not intended to be used as a forum 
  for personal disagreements or unprofessional communication at any 
  time.You are currently subscribed to wedi-privacy as: 
  [EMAIL PROTECTED]To unsubscribe from this list, go to the 
  Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email 
  to [EMAIL PROTECTED]If you need to unsubscribe 
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  the list, please use the Subscribe/Unsubscribe form at 
  http://subscribe.wedi.org 
---
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When to have the patient sign an authorization

2003-01-20 Thread JillGWlaw
How are providers in particular handling the singing of authorizations? Are practices having patients sign it when they first come in, for future disclosures, or as the specific situations arise (i.e., they later decide their atty. should see the medical records and sign an applicable authorization).

Thanks as always for your input.

Jill Rubin, Esq.
(617)388-2404
[EMAIL PROTECTED]
---
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