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HIPAA Omnibus Patient Self-Pay Restriction Requirements

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The new right must be in practices Notices of Privacy Practices. Sample Form as prepared by MGMA with its Washington counsel.. The new right is patients can have the right to restrict disclosure of their health information to health plans for payment or healthcare operations for specific items and services. There is no requirement for a practice to notify downstream providers of a patient’s wish to restrict disclosure of information to a health plan. If patient doesn’t want health plan to know about a prescription drug, then give them a paper script and they request restriction at pharmacy. Patients can be made to pay out-of-pocket for requested restrictions. Make sure payment from patient is good (i.e. check conversion through merchant services) as if check bounces, you are expected to still must honor the request for restriction.