Health Information Technologies and Processes

ROI fees

  • 1.  ROI fees

    Posted 14 days ago
    TLDR; Is it ok to not charge fees for release of information?

    Some context: We are implementing a new EHR at my very small facility are deciding whether or not to create the policy/procedural infrastructure to charge certain parties for release of information (like a lawyer's office). There are two competing thought frameworks here

    1. Everyone charges money to legal offices for ROI. Deviating from this is equivalent to deviating from standard of practice, and that could present some sort of legal/compliance problem for us.

                     or

    2. Creating the framework we need to charge certain parties but not others within the bounds of Right of Access is actually a risk, and one that is not worth the potential minuscule revenue that would be generated by the process.

    I would appreciate anyone's feedback on this and information about how you handle this; i.e. whether or not you charge and why.
    Thanks for your time

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    Candace Abraham
    Health Information Technician
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  • 2.  RE: ROI fees

    Posted 14 days ago
    As a rule, we charge for payer, third party, and legal/subpoena requests. 

    Electronic delivery of patient requested records is completed at no charge. An invoice is sent with patient release that are greater than 15-pages, and we do not expect to receive payment from patients for these requests.

    -M
    __________________________________________
    Maria Caban Alizondo, MOL, MLC, RHIT, FAHIMA
    Director | Health Information Management Services
    ISS | Information Services & Solutions  
    Office: 310-267-7603 | Cell: 818-590-7504



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  • 3.  RE: ROI fees

    Posted 13 days ago
    Thank you so much for your response! So just to clarify - you say "as a rule, we charge for payer, third party, and legal/ subpoena requests."

    When you say that, do you mean that's what your internal facility's rules are, or do you mean that in HIM in general, everyone does this? I apologize if this is a silly question. My experience is limited to only a single very rural Critical Access hospital. Is there anything to indicate that it would be inappropriate not to charge these requesters? Thank you for following up

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    Candace Abraham
    Health Information Technician
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  • 4.  RE: ROI fees

    Posted 10 days ago
    It is really up to the facility to determine how they want to address those fees.  Here we charge for each page for paper copies and electronic we charge over a certain amount.


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    Tennille Schmitt
    Medical Records Supervisor
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  • 5.  RE: ROI fees

    Posted 10 days ago
    Thanks for the question, and my apologies for the confusion. The rule I was referring to is an organizational ‘rule’ or practice.

    Regards,

    -M

    ________________________________

    UCLA HEALTH SCIENCES IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.