Part B Insider - 2015 Issue 11
You Be the Coder: Beware Medical Records Rules
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Article Overview
This premium coding/compliance article reviews medical record transfer and access rules under HIPAA, including what practices must provide, how electronic records may need to be furnished, when fees may be charged, and the timing requirements for responding to requests. It is intended for coders, billers, compliance staff, and medical office managers who handle release-of-information workflows and want to understand the general categories of federal and state rules that can affect records requests.
Why This Topic Matters
Record-release handling can create compliance risk if a practice bills the wrong party, misses timing requirements, or fails to follow HIPAA and state-law limits. Understanding the scope of these rules helps staff manage requests appropriately without relying on assumptions about who should pay or how records must be delivered.
What You Will Learn
- How HIPAA-related medical record transfer requests are handled in general
- What kinds of record access and format issues may arise with electronic records
- When fees and timing limits may apply to record copies or transfers
- Why state law review can matter alongside federal privacy requirements
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Medical office managers
- Release of information staff
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