Confidentiality, Privacy & Security

1.  HIV records and HEDIS review

Posted 12 days ago

Hi All,
What is the typical process for your facility when releasing medical records containing an individuals HIV information to the patient's other providers? Also, does that ROI  fall under the protection of TPO through HIPAA for a HEDIS review?

Thank you!

Robert Gorman
Medical Records Representative

2.  RE: HIV records and HEDIS review

Posted 11 days ago
We treat HEDIS and other audits as part of the TPO requests because they affect both payments and it is a part of operations.   We still log the requests in our ROI log.

Jesse Floyd, RHIA