Can someone assist me in this topic?

[Fastmedreports]

I was told that this group might be able to help me with some interpretation of an issue I'm facing. I have just subscribed so pardon me if this is the wrong forum

We provide medical transcription and coding services to physician practices.� To give our clients a little better price, our transcription and coding is provided by a company that produces does the work in India.

Our dilemma is that we are in a debate with a couple of the practices over disclosure of the organizations that are involved in the business functions.� The practices say that they are obligated by law to disclose to the patients that their records are across seas with companies who are not governed by US laws and regulations.� I suggest that it may be an ethical question but not a legal requirement.

My concern is possible public backlash that would force us to produce the transcription here in the US.� Although the savings are not significant on individual accounts for us to send it over seas, they do add up when all put together.� I'd have to raise my prices to produce it here.

Is a physician or practice legally required to notify the patients that their records are being processed outside of the US by companies or individuals who aren't necessarily bound by HIPAA?

Thank you kindly for your assistance.

Melissa

Fast Medical Reports
California

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