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under what rule mays use patients Protected Health Information (PHI) with out specific authorization for treatment, payment, and operation purposes (TPO).
What does (T)reatment in TPO mean?
primarily for the purpose of discussion of the patients case with other providers
physicians are legally responsible for their own conduct and any actions of their employees.
"errors and omissions insurance" a protection against a loss of monies caused by failure through error or unintentional omission on the part of the individual or service submitting the insurance claim
: documentation on the patients social and medical history, family history, physical examination findings, progress notes, radiology and lab results, consultation reports and correspondence to patient
Reason 1 for Documentation of Pt Records
avoiding denied payments by insurance carriers investigating the medical necessity of services
Reason 2 for Documentation of Pt Records
enforcement of record keeping rules by insurance carriers requiring accurate documentation that supports procedure and diagnostic codes
Reason 2 for Documenting of Pt Records
Subpoena of medical records by state investigators of the court review
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