Health Information Technologies and Processes

Proper ROI charging

  • 1.  Proper ROI charging

    Posted 10-04-2019 22:02
    So, not 100% on if it's happening, but is a possibility and I want to make sure I'm not unduly confused.

    We got a request for records to send to another facility for continuation of care with a proper authorization.
    So, we didn't charge for the records because it was for CoC.

    However, apparently they charged the patient for the records we released?
    Again to reiterate:
    We sent records to another facility.
    We did not charge facility for those records.
    That facility charged the patient for those records.

    Is that kosher anywhere in the US?

    Cody Todd , RHIT
    Health Info Svc Technician

  • 2.  RE: Proper ROI charging

    Posted 10-06-2019 16:26
    I am An HIM student and I'm still learning about the profession but from what I've studied for class I believe some hospitals charge a small fee for the release of information but it is the patient's right to receive a copy of their medical records even if they can't provide the funds for it.

    Monica Ortiz

  • 3.  RE: Proper ROI charging

    Posted 10-07-2019 02:53
    Those are correct statements. Many facilities do charge for the records (one of the few ways an HIM department can actually reduce their costs), and a patient is entitled to most of their record whether they can pay the processing fee or not, with a number of caveats.
    However, it is my understanding that for continuation of care (provider to provider for the purpose of treatment), there is no charge. Or, at the very least, the receiving facility should not be charging the patient for the records.

    Cody Todd , RHIT
    Health Info Svc Technician
    Mercy Hospital

  • 4.  RE: Proper ROI charging

    Posted 10-07-2019 07:46

    Hi, they should not be charging for continuity of care!


  • 5.  RE: Proper ROI charging

    Posted 10-07-2019 08:37

    We have never charged for Continuity of Care.

    Donna Hofer, RHIA


  • 6.  RE: Proper ROI charging

    Posted 10-07-2019 17:07
    I agree, but any thoughts on charging for receiving records?

    Cody Todd , RHIT
    Health Info Svc Technician
    Mercy Hospital

  • 7.  RE: Proper ROI charging

    Posted 10-08-2019 07:40

    I have never heard of anyone charging for receiving records. That does not sound kosher to me.


  • 8.  RE: Proper ROI charging

    Posted 10-08-2019 11:04
    Charging for receiving records is not appropriate.  

    It is incredibly unfortunate that the requirements for charging and appropriate release requirements are not followed universally, and in the end the one most affected is the patient.  

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

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  • 9.  RE: Proper ROI charging

    Posted 10-17-2019 18:24
    Your facility disclosed the information to another provider without fee - which is the industry standard for CoC.  The patient should not be charged for receiving the records.  I'm curious if the request was facilitated by a BA with a fee that was passed on to the patient.  Anyway, that does not sound kosher to me either.

    Leah Beck, RHIA
    HIM Assistant Director
    Arrowhead Regional Medical Center