In this case, because the request came directly from the attorney, you may charge the attorney what you are permitted to charge under your state law for medical record requests. Typically, the attorney sends a request on their letterhead asking for a copy of the patient’s medical record, and the request includes an authorization signed by the patient permitting you to release the record to her attorney. The patient’s attorney would want a copy of the patient’s trip report to prove those injuries. For example, let’s say the patient you transported was in a motor vehicle accident and she is now suing the other driver for her injuries. In a common scenario, an attorney represents a patient that your agency transported, and the attorney wants a copy of their client’s patient care report. Generally, you can charge an attorney whatever your state law permits you to charge for requests for medical records – even if that fee would exceed the HIPAA cost-based rate. You might be surprised to learn that requests from attorneys are not subject to the reasonable, cost-based rate under HIPAA. Requests from attorneys for patient medical records The Office for Civil Rights specifically outlines the fees you may charge to the patient when the request comes from a patient, or the patient’s personal representative. Supplies (e.g., paper, or if you give the patient a CD or USB drive). You can only charge patients for the cost of:Ģ. When it comes to requests from patients, or their personal representatives, HIPAA limits you to charging the patient a reasonable, cost-based fee for the medical records request. Mixing business and billing: EMS documentation impact on billing and reimbursement
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