General Category > General Questions

Blacking out other patient's names on Medicare R/A's

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PMRNC:
If there are denials or remarks I do send it.

shanbull:

--- Quote from: nlbarnes64 on February 11, 2014, 05:02:25 PM ---I hear you.  By the way, do you send the last page of the eob with all of your secondary claims?  The page with the explanation codes.  I haven't in the 27 years I've been doing this.  One time, a payer wanted it.  It's being done here and I feel it's such a waste.

--- End quote ---

No, I'm curious as to why that would be necessary. Don't most insurers use the same remit codes these days?

RichardP:

--- Quote from: nlbarnes64 on February 11, 2014, 03:38:30 PM ---I'm looking for a reference where it is mandatory to black out other patient's names on Medicare R/A's before mailing them out to a secondary payer.  I know it's PHI under HIPAA but I need something to show.

--- End quote ---

http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf

See bottom of Page 3 (Page numbers are at bottom of page).  This is the bottom of the fifth page of the PDF file.  Starts with:

Protected Health Information:  The Privacy Rule protects all "individually identifiable health information" held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information "protected health information (PHI)."

This is dated 2003.  I'm sure there are more recent iterations of the Privacy Rule, but I found this first.

nlbarnes64:
Thank you...

Merry:
I remember Michele noting somewhere in the forum that certain pens do not really "black out" the data and can be seen when a copy is made. I am sure she will pop in here and see this.

Merry

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