Physician reimbursement claims must be accompanied by a list of patient names. The agency administering the claim must give the list of names full confidentiality protections.
The primary attending health care practitioner shall obtain prior written consent from each patient for whom a billing is requested, authorizing the release of the patient's billing.
Physicians and surgeons are eligible to receive payment for patient care services provided by a properly credentialed nurse practitioner or physician's assistant for care rendered under the direct supervision of a physician and surgeon who is present and available for immediate consultation. Payment is limited to claims that are substantiated by a medical record and that have been reviewed and countersigned by the supervising physician and surgeon.
Authorizes the disclosure of medical information to specified persons involved with patient's care or health care payments; Such disclosure generally requires the person's agreement, or if agreement is not practical, limited disclosure may occur as specified.
Health care providers and local health departments may disclose to each other certain types of health information (listed 1 to 9) for the purpose of immunization and payment for such services.
Unless a refusal to permit record sharing is made under (e), health care providers and other agencies may disclose information specified in (c)(1) to (9) from the patient's medical record or the client's record to local health departments operating immunization information systems and to the State Department of Health Services. Local health departments and the State Department may disclose (c)(1) to (9) information to each other and to requesting health care providers taking care of a particular patient.
State DHS and local health departments may disclose to each other certain types of health information (listed 1 to 9) for the purpose of immunization and payment for such services.
Every health facility shall provide to the primary attending health care practitioner a copy of the complete itemized charges for services rendered to the specified patient, upon request.
The department may examine any of the books and records of applicants, providers, or person or entity providing goods or services and seeking reimbursement, to the extent necessary to carry out the listed provisions and regulations. Applicants, providers or others receiving or seeking reimbursement through the Medi-Cal program or other health care program must provide copies of records upon request by the department. The information provided shall only be used to investigate Medi-Cal fraud or abuse.
Limited by state and federal law and regulations limiting disclosure, local health departments and the State Department may share (c) information with any entity designated by federal or state law to receive such information. The State Department of Health Services may enter into written agreements to share confidential information with other states for the listed purposes and use of information must be limited to such purposes. Information may not be shared under this subdivision if the patient or patient's guardian refuses to allow the sharing of immunization information under (e) [i.e.
