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Chapter 8

Confidentiality and Release of Information

Authorization Signed consent of the patient or his or her representative to release confidential information.
Certified copies Copies of the medical record that the custodian of records states, in writing, are true copies of the original record.
Conditions of admission A documentat signed by the patient at admission that specifies legal obligations of the patient and hospital, including agreement to pay bill and consent for simple procedures such as blood drawing and the like.
Confidentiality of Alcohol and Drug Abuse Patient Records Regulations Federal regulations that provide for maintaining the confidentiality of substance abuse treatment records.
Copy service A company that copies and mails records requested from a hospital.
Custodian of records The person designated with responsibility for maintaining and retrieving records in a business.
Freedom of Information Act (FOIA) Provides for access to government records.
HIV testing A blood test for the antibodies to human immunodeficiency virus. Presence of the antibodies indicates a responsibility of later developing acquired immune deficiency syndrome (AIDS).
Health Insurance Portability and Accountability Act (HIPAA) Federal legislation that established standardization of coding and claims submission, security of computerized patient information, and privacy rules for all patient information.
Microfilm Greatly reduced images on film in form of rolls or channels on index-sized cards (i.e., microfiche).
Preexisting condition A diagnosis known to have been treated prior to the implementation date of an insurance policy or the date of an accident.
Privacy Act of 1974 Provides regulations regarding confidentiality of records maintained on individuals.
Quash Annul or set aside.
Statute A law or established rule.
Cubpoena An order by a court or attorney to appear at the specified time.
Subpoena duces tecum An order to appear in court or at a deposition with the records specified.
Witness fee A fee specialized by state law to be paid a witness subpoenaed to appear in a court of law.
Created by: yunue03