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Provide Timely Medical Records or Risk $85K HIPAA Penalty

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Provide Timely Medical Records or Risk $85K HIPAA Penalty

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Medical Records HIPAA Access Penaltty

You must be vigilant in timely releasing patient medical records or face $85,000 in penalties. That’s the amount fined to the second provider since fines began in 2019. In December, Korunda Medical, LLC in Florida was fined $85,000 for slow-walking a patient’s medical records.

This is the second enforcement action and settlement leveraged by the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services for violating its HIPAA Right of Access Initiative. Korunda is a primary care and pain management clinic serving approximately 2,000 patients annually.

Medical Records HIPAA Access Penalty Avoidance Must Do

To avoid a hefty fine, here are the three things you must do when providing medical records:

  1. Provide medical records promptly – within 30 days of request
  2. Without overcharging for copies
  3. In the readily producible format of the requestee’s choice

What Korunda Did Wrong with Medical Records HIPAA Access

The patient requested the medical record be forwarded in electronic format to a third party. Korunda failed to provide the records in a timely manner, did not provide them in the format requested and charged more than the HIPAA-allowed fees.

To make matters worse, after a complaint had been filed to the OCR and the OCR advised Korunda on how to fix the situation, Korunda failed to provide the records. In response to a second complaint and OCR’s intervention, Korunda provided the records free of charge two months after the request.

Beware: Vigorous Enforcement Promised for Medical Records HIPAA 

The OCR has pledged to vigorously enforce patient medical records access rights. Expect complaints to be met swiftly and with financial punity. “For too long, healthcare providers have slow-walked their duty to provide patients their medical records out of a sleepy bureaucratic inertia.

We hope our shift to the imposition of corrective actions and settlements under our Right of Access Initiative will finally wake up healthcare providers to their obligations under the law,” said Roger Severino, OCR Director.

Read more about the settlement, corrective action plan including monitoring at https://www.hhs.gov/about/news/2019/12/12/ocr-settles-second-case-in-hipaa-right-of-access-initiative.html


Commonly Purchased Online Medical Records Resources


Meet Your Writer

Jen Godreau
CPC, CPMA, CPEDC, COPC

Content Director

Jennifer Godreau, CPC, CPMA, CPEDC, COPC, has almost 20 years of experience in billing, coding, compliance, and practice management. She develops the content and programs for Healthcare Training Leader, a practice-specific online training company offering step-by-step advice on increasing reimbursement and avoiding compliance violations. Prior to joining Healthcare Training Leader, Jennifer supervised the program delivery for EMRs, practice management systems and compliance and revenue cycle services for more than 6,000 providers. Thousands of software products - encoders, claims management, auditing, and HIPAA compliance, have been created with her teams and helped thousands of practices more easily reduce revenue losses and comply with complex regulations. Her passion for breaking down healthcare rules and requirements in simple steps has provided practical advice, education, and risk reduction strategies to numerous associations, payers and medical specialties especially in primary care, otolaryngology, eye care, and pediatrics. Jennifer’s advocacy resulted in supervision rule revisions, new CPT codes, and CMS compliance contracts. She oversaw the provider auditing and education for one of the major corporate integrity health system settlements. Jennifer has authored and presented on numerous healthcare compliance and payment challenges. Her education guides include the Certified Otolaryngology Coder (CENTC) exam study guide and the AAPC Professional Medical Coding Curriculum. Jennifer has a Bachelor of Arts from Wittenberg University in Springfield, Ohio. She holds certificates in coding, auditing, pediatric coding, and ophthalmology billing and coding, and is AAPC Vice President of the Naples, FL chapter. Please reach out to Jennifer for step-by-step guidance at editorial@hctrainingleader.com