Authorization
We can accept any HIPAA compliant Franciscan authorization form?
Yes, older authorization forms are still accepted if valid.
There is no need to add issues to any requests. The processer will always check.
False:
Loggers are the first line of defense against any issues; we want to find issue and place them at the first chance. To get corrected documents ASAP.
True or False: Center of Hope for a patient over the age of 18 going to Law enforcement with a valid HIPAA authorization is ok for MRO to release?
False
Franciscan process these requests internally.
MRO is only able to release Center of Hope if patient over the age of 18 going directly back to patient.
VAERS
Processed by Franciscan
An authorization form is a required for a patient request. True or False
False-A patient or their rep only must request in writing.
Needed on a patient directed request:
Name and DOB
Specific location (not just Franciscan)
Record types and dates they want
Where to send records (complete information)
Signature and Date--
If other than patient or guardian signs (we need proof they have ability to sign (check Epic)
There is no need to add component to a request when asking for certification--True of False
False
Adding the components at the time of logging is essential so that they are not missed by the processer.
If the logger inadvertently misses any component, as a processer it is our job to ensure that we release all the needed items. As always review what is being requested.
MRO can release RAC requests for Franciscan Health Indianapolis?
False this is a request type process in house.
Please forward to Franciscan.
Genetic testing flag in Epic for service date that you are releasing, valid authorization form has been sent that includes genetic testing. MRO should not process.--True or False
False: MRO processes as normal ensure to add privacy flag in Exchange manager since the flag service date is what we are releasing.
A 34-year old can sign the authorization form for their parent's records.
Yes, if they have proof of their ability to sign on their parent's behalf.
Medical Power attorney, Guardianship paperwork, a note with all of the specifics (like a patient directed note)
For Disability Determination Bureau requests that date of present is the date the request was received.
True-This is the only type of "disability" request for our client "Franciscan" that gets this treatment.
MRO or Franciscan email address allows me to email medical records to a patient.
False
We can only email medical records out of Exchange manager.
Office notes, Emergency room notes and Op reports needed for quality-of-care investigation request by Humana for payment of claim.
Franciscan to process close request, notate and forward to Franciscan.
What information is required for a 3rd party authorization form to be valid?
What is:
Patient name/2nd identifier
Record description/dates
Recipient name/address
Purpose-Expiration date/event
Revocation/Re-disclosure statement-condition of treatment statement
Signature/date
False-Per our new HITECH logging guidelines, we will be required to select the check box HITECH so that required by dates are generated by the system. 25 days from the request received date.
An IL workers compensation commission subpoena requesting Northwestern Medicine of Olympia fields, I find no patient in Epic so I can send an No Records statement.
False
The request is not properly address to a Franciscan Health location. An issue should be placed for provider name incorrect.
Office notes & Immunization record- typed font on signature line of authorization form says parent name- MRO Delivery or Onsite?
Add issue electronic signature does not comply with state law. Not a valid form of signature. Check for any other issues and place if needed.
True or False: Substance Abuse program records do not require patient consent to release for payment of services
False:
Epic departments that are licensed substance abuse programs are protected under 42CFR Part 2. These departments will require a valid authorization with 42CFR Part 2 verbiage. *See Franciscan Share Point Reference-Behavioral Health 42CFR Departments list.*
DOB is not a needed item. True or False
False:
Exchange manager will not let you keep this blank.
Use default DOB 1/1/1900 if you do not have one.
A patient is in a coma. Patient's adult son has requested the patient's medical records to help get home care. He says he is the only child so he can get records. He presents his driver's license and we can give records.
Per HIPAA we need a healthcare power of attorney signed by the patient. If onsite have the person fill out authorization form and escalate. Franciscan leadership will escalate to their legal/risk department for guidance. There have been instances where legal has given permission, so please do not just assume its no.
Department of health fatality investigation.
Franciscan to process, notate forward close.