Mississippi Request for Accounting of Disclosures of Protected Health Information

State:
Multi-State
Control #:
US-3581
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request an accounting of the persons or entities to whom the individual's protected health information has been disclosed. Permitted exclusions from the accounting are also described.
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FAQ

Vital Records, Medical Records and Immunization Records Personal medical records from visits to our county clinics must be obtained through our Epic service: call 601-576-7267. Immunization records are kept for most Mississippians who received their vaccinations from a medical provider in the state.

MISSISSIPPI STATE LAWS: Complete medical records must be retained for a period of at least seven years for patients discharged at death, 10 years for adult patients of sound mind at the time of discharge, and for the period of minority or other disability plus seven years, but not to exceed 28 years for minors or

Other instances necessitating Accounting of Disclosures (AOD) include: Those Required by Law (Court Orders, subpoenas, state reporting, emergencies) Public Health Activities (Prevention of disease, public health investigations) Victims of abuse, neglect, or domestic violence.

A statement (mandated by the HIPAA Privacy Rule) issued by a healthcare organization that informs individuals of the uses and disclosures of patient-identifiable health information that may be made by the organization, as well as the individual's rights and the organization's legal duties with respect to that

HIPAA Disclosure Accounting or Accounting of Disclosures (AOD) is the action or process of keeping records of disclosures of PHI for purposes other than Treatment, Payment, or Healthcare Operations. You are required by law to provide patients a list of all the disclosures of their PHI that you have made outside of TPO.

According to HIPAA, patients have the right to request their records. Other individuals can also request records on behalf of a patient. These include a parent, legal guardian, patient advocate or caregiver with written permission from the patient.

When releases occur that are pursuant to Accounting of Disclosures, the log must include certain elements like: the date of the disclosure; the name and address of the organization / person who received the PHI; a brief description of the PHI disclosed; and.

For each disclosure, the accounting must include: (1) The date of the disclosure; (2) the name (and address, if known) of the entity or person who received the protected health information; (3) a brief description of the information disclosed; and (4) a brief statement of the purpose of the disclosure (or a copy of the

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Mississippi Request for Accounting of Disclosures of Protected Health Information