Re: Gen: Medical Records
From: art fougner, md (evsono@pipeline.com)
Mon Jun 23 10:21:06 2008
You mean irregardless ain't a word?
Art
At Sun, 22 Jun 2008, R. Daniel Braun wrote:
>
>One of my pet peeves.
>
>IRREGARDLESS
>
>Online Etymology
>Dictionary<http://dictionary.reference.com/help/etymon.html>- Cite
>This Source<http://dictionary.reference.com/cite.html?qh=irregardless&ia=etymon>-
>Share
>This <http://dictionary.reference.com/browse/irregardless#sharethis>
>irregardless
>an erroneous word that, etymologically, means the exact opposite of what it
>is used to express, attested in non-standard writing from 1912, probably a
>blend of irrespective and regardless. Perhaps inspired by the double
>negative used as an emphatic.
>
>Dan
>
>On Sun, Jun 22, 2008 at 10:05 AM, Ronald Ainsworth <ainsron@sbcglobal.net>
>wrote:
>
>> I agree completely with this statement. I do not
>> charge if the records are going to another physician's
>> office, irregardless of the reason for transfer of
>> care, only if they are going to an insurance company,
>> lawyer, etc.
>> Ron
>> --- Gordon Goldman <obgyndoc@swbell.net> wrote:
>>
>> > Garry,
>> >
>> > I do not think you can ethically withhold the
>> > records, (http://
>> >
>> http://www.acog.org/departments/dept_notice.cfm?recno=19&bulletin=1884)
>> > but
>> > you are certainly entitled to the fee. We ask the
>> > patients to pay
>> > for them in advance of sending them and if they do
>> > not, we do not
>> > withhold the records from another physician's
>> > office. Whether that
>> > would apply to a midwife (CNM or otherwise), may be
>> > another issue.
>> > If you (or as some on the list) have strong
>> > objections to poorly or
>> > unsupervised midwifery, a case might be made for
>> > incurring liability
>> > by sending those records to other than another
>> > physician. With
>> > regard to sending records to employers and or other
>> > third party
>> > payers (insurance companies), that is not for the
>> > purpose of ongoing
>> > medical care and is billable and collectable prior
>> > to sending the
>> > records. We prefer to have the records copied and
>> > picked up by the
>> > patient (I think HIPAA allows this one time with
>> > appropriate cost to
>> > the patient), who signs a receipt for them. If
>> > requests are received
>> > subsequent to that, simply refer them to the
>> > patient, as you have
>> > fulfilled compliance with the law and ethics.
>> >
>> > Best regards,
>> >
>> > Gordon
>> >
>> > On Jun 21, 2008, at 8:25 AM, Garry E. Siegel, M.D.
>> > wrote:
>> >
>> > > Due to an impending change in delivery hospitals,
>> > a well regarded CNM
>> > > from our practice has resigned, and moved nearby.
>> > As expected, a fair
>> > > number of obstetric patients, some due soon, have
>> > requested their
>> > > medical records.
>> > >
>> > > Georgia law allows a retrieval fee of $24.32 and a
>> > per page charge
>> > > that
>> > > is around 80 to 90 cents per page, depending on
>> > the total number.
>> > >
>> > > We have asked for $25 flat for all, and only
>> > around 20% have chosen to
>> > > pay YET they are leaving the practice.
>> > >
>> > > We don't want to hinder their care, but we are
>> > within the law and
>> > > common
>> > > practice. The problem is that some are due soon,
>> > so there is a time
>> > > factor.
>> > >
>> > > Any thoughts?
>> > >
>> > > Garry
>> > >
>> > > --
>> > > Garry E. Siegel, M.D.
>> > > Private Practice
>> > > Roswell, GA
>> >
>>
>--
>R. Daniel Braun, MD FACOG(L) ABMP CMTh
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
>"Science without Religion is LAME; Religion without Science is BLIND"
>Einstein 1941
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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