Your opinions on the following scenario:
A patient is seen in the ER last night.  Dr. A ordered labs.  Dr. B calls
the lab for the results today.  Lab only knows the ordering doctor.  Based
on the fact that Dr. B knows labs were ordered and according to section
164.514(d)(3)(iii)(B), we are going to release the lab results without an
authorization.  We believe that this is continuum of care and we are
releasing to another covered entity. (No disclosure is required either.)  If
each department identifies who can release the info, the minimum they can
release for routine disclosure and develop criteria for non-routine
disclosures, this should be an acceptable practice. Page 82545 also supports
this interpretation.  My notice also informs the patient that we will do
this as continuum of care.

Once the chart is received by medical records though, we will require an
authorization if the physician is not on record.  

I hope this is right, if not, we'd better start planting more trees to
support the tremendous mounds of paperwork.    

Thanks,
Leslie Harpe
Privacy Official
South Georgia Medical Center
Valdosta, GA  31603-1727
[EMAIL PROTECTED]


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