Medical Records and the Law

viiiCONTENTSChapter 8Chapter 9Documentation and Disclosure: Special Areasof Concern 267Chapter Objectives 267Introduction 268Special Documentation Concerns 269Emergency Department Records 269Celebrity Patients 275Hostile Patients 277Recording Indicators of Child or Elder Abuseor Domestic Violence 278Patients Refusing Treatment and/or Near Death 278Deceased Patients and Autopsy Authorizations 290Recording Disagreements Among ProfessionalStaff 291Special Disclosure Concerns 292Use and Disclosures for Marketing Purposes 292Use and Disclosures for Fund-Raising 295Records Sought by Managed CareOrganizations 297Records Sought by Parties to Adoption 300Records Indicating Child or Elder Abuse 305Health Information Sought by Law EnforcementAgencies 308Warrants and Searches 313Responding to Subpoenas and Court Orders 317Fraud and Abuse Investigations 325Oversight for HIPAA Compliance 327Use of Outside Test Reports in Hospital Patients’Records 329Licensure and Accreditation 329Antitrust Issues 331Change of Ownership or Closure: Dispositionof Records 332HIV/AIDS: Mandatory Reporting andConfidentiality 343Chapter Objectives 343Introduction 344Duty to Report 345