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PubMed2003

Medicare program; photocopying reimbursement methodology. Final rule.

This final rule increases the rate of reimbursement for expenses incurred by prospective payment system PPS) hospitals for photocopying medical records requested by Quality Improvement Organizations (QIOs), formerly known as Utilization and Quality Control Peer Review Organizations (PROs). We are increasing the rate from 7 cents per page to 12 cents per page to reflect inflationary changes in the labor and supply cost components of the formula. This final rule also provides for the periodic review and adjustment of the per-page reimbursement rate to account for inflation and changes in technology. The methodology for calculating the per-page reimbursement rate will remain unchanged. We are also providing for the payment of the expenses of furnishing photocopies to QIOs, to other providers subject to a PPS (for example, skilled nursing facilities and home health agencies), in accordance with the rules established for reimbursing PPS hospitals for these expenses.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2003

HIPAA copy charges for medical records.

The HIPAA privacy rule allows providers to charge for providing copies of medical records to patients and their representatives. Providers need to know which activities in the retrieval and handling of such information can be included in the medical record copy charges. State-mandated fees for copies vary and may be preempted by HIPAA, requiring careful review by providers. Healthcare organizations that use a copy service may need to determine whether bringing the activity in house would be more cost-effective under HIPAA.

Copying Processes↗