Billing Manual for Community Care Network Providers
Billing Manual for Community Care Network Providers
Billing Manual for Community Care Network Providers
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The member has the right to request an accounting of disclosures of his/herin<strong>for</strong>mation by writing a letter to the privacy officer at <strong>Community</strong> <strong>Care</strong>.The privacy officer or his/her designee will review the member request and willrespond in 30 days.If the in<strong>for</strong>mation requested by the member is not on site, <strong>Community</strong> <strong>Care</strong> willretrieve the in<strong>for</strong>mation within 60 days.If needed <strong>Community</strong> <strong>Care</strong> may extend the retrieval an additional 30 days provided;that the member is sent a written statement with the reasons <strong>for</strong> delay and a date bywhich we will have the in<strong>for</strong>mation.<strong>Community</strong> <strong>Care</strong> will only have one such extension of time <strong>for</strong> each request.If granted, <strong>Community</strong> <strong>Care</strong> will release to the member an accounting of his/herdisclosed protected health in<strong>for</strong>mation.The privacy officer or his/her designee will oversee the process to account <strong>for</strong>disclosures of protected health in<strong>for</strong>mation.This granted request <strong>for</strong> an accounting of protected health in<strong>for</strong>mation will berecorded in the Member Request to an Accounting of Protected Health In<strong>for</strong>mationLog, which will be maintained by the privacy officer or his/her designee.The privacy officer or his/her designee will notify the manager of the file room tohave the member’s chart pulled. The following will be included in the accounting ofdisclosures:• The date of the disclosure.• A brief description of the in<strong>for</strong>mation that was released.• A statement on the purpose of the disclosure or a copy of the signedauthorization.• The name of a person or provider who requested this in<strong>for</strong>mation. (<strong>Community</strong><strong>Care</strong> reserves the right to deny the request <strong>for</strong> an accounting of disclosure ofin<strong>for</strong>mation if divulging the name of the person who received in<strong>for</strong>mation could bedetrimental to the member or the person to whom the in<strong>for</strong>mation was disclosed.)• A brief statement of <strong>Community</strong> <strong>Care</strong>’s policy on Disclosure of In<strong>for</strong>mation.• If there was more than one authorized release of in<strong>for</strong>mation during therequested time period then, the frequency, periodicity, or number of thedisclosures made is included.• If the in<strong>for</strong>mation was <strong>for</strong>, or in anticipation of, a civil, criminal, or administrativeaction or proceeding, <strong>Community</strong> <strong>Care</strong> will not release the in<strong>for</strong>mation.• A flag will be placed in PsychConsult to notify employees that the member asked<strong>for</strong> an accounting of disclosures.Once this in<strong>for</strong>mation has been compiled, the in<strong>for</strong>mation will be mailed in anenvelope marked “Confidential” to the address that the member specifies.Each year the first request <strong>for</strong> the accounting of in<strong>for</strong>mation is free. After this,<strong>Community</strong> <strong>Care</strong> may charge a reasonable fee <strong>for</strong> preparing the in<strong>for</strong>mation, as long asmembers are notified.<strong>Community</strong> <strong>Care</strong> Provider <strong>Manual</strong> | 1-888-251-CCBH | © 2012 All Rights Reserved | Page 156