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if a patient wants to request a restriction on the disclosure of their phi Preview on Page 1

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The Privacy Rule requires covered entities to provide individuals with access to protected health information about themselves that is contained in their designated record sets. The term record in the term designated record set does not include oral information; rather, it connotes information that has been
Requests to be in Writing Requests for restriction of the uses and disclosure of PHI should be submitted in writing to a department the Facility designates to handle these requests, typically the Facilitys Health Information Management/Medical Records Department (HIM/Medical Records department).
The request must be made in writing. Emergency Treatment exception: If the facility agrees to a restriction request or a portion thereof, HIPAA privacy regulations provide an exception in emergency treatment situations for a hospital or provider to use and disclose necessary information to treat the patient.
HIPAA generally does not limit disclosures of PHI between health care providers for treatment, case management, and care coordination, except that covered entities must obtain individuals authorization to disclose separately maintained psychotherapy session notes for such purposes.
The request must be made in writing. Emergency Treatment exception: If the facility agrees to a restriction request or a portion thereof, HIPAA privacy regulations provide an exception in emergency treatment situations for a hospital or provider to use and disclose necessary information to treat the patient.
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Yes, but only within specific limits. The Privacy Rule permits a covered entity to impose a reasonable, cost-based fee to provide the individual (or the individuals personal representative) with a copy of the individuals PHI, or to direct the copy to a designated third party.
Psychotherapy notes are excluded from a patients mental health medical records. Mental health records are part of the designated record set, and unlike psychotherapy notes, are required to be released if a Right to Access request is received.
Designated record sets include medical records, billing records, payment and claims records, health plan enrollment records, case management records, as well as other records used, in whole or in part, by or for a covered entity to make decisions about individuals. See 45 CFR 164.501.
Since its initial adoption, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule has granted individuals the right to request restrictions regarding the use and disclosure of their protected health information (PHI) for treatment, payment, and healthcare operations (TPO).
Excluded from the Medical Record are source data, including photographs, films, monitoring strips, videotapes, slides, worksheets and daily communication sheets, and shadow files or charts, unless such data is used to make decisions related to the residents care.

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