All of these documents, and perhaps others, may need to be captured into the imaging system retrospectively. So, flexibility in the collection of release of information revenues software is important. Releases of audit trail information will impact the billing function as well. According to the privacy rules, the first patient request of an audit trail is free each calendar year. Subsequent requests may be fulfilled at a reasonable charge unless state statute has specific requirements.
Many organizations currently maintain policies against releasing incomplete records.
Perhaps at the point where a record is incomplete for slightly less than 60 days, your organization will send a 30-day extension letter to the patient and require the physician to complete the record. The entire amendment rule can be found on pages 82824 and 82825 of the Federal Register, Volume 65, Number 250, dated Dec. 28, 2000.