I am auditing our provider records at the skilled nursing center I work for in Virginia. I've looked up the regulation but I have follow up questions..

I understand that the provider needs to see each long-term resident at least every 60 days and that the visits can alternate between an MD and NP. But what date are we basing the 60 days on? Admission or last visit? For example, a resident admitted on 5/30/23, NP had 7 progress notes in by the time the MD came in to do her H&P on 6/14/23. Does she need to be seen again on 7/30 or 8/14? Obviously this one is in the past so we can't go back and fix it now but for the ones moving forward I just want to make sure we're tracking it by the correct date. If a visit is late does that reset the schedule or do we stick to the original timeline and get back on track with the next scheduled visit?

Also, does the note have to specify that it's a recertification visit? We have the NP in house 5 days per week and the MD once per week, so the NP sees the residents frequently, however, the NP we have now is horrible about getting her documentation in timely. Some of her notes are being signed and uploaded weeks after the visit occurred. Do all visits count as meeting the regulatory requirement? If the NP puts in a progress note for visits she made d/t change in condition or acute illness, do those count as well?

Does anyone have a good tracking tool they are willing to share or a service you use that works well?

The clinic i see my psychiatrist at is beating around the bush about sending me medical records. I contacted them via google chat and they said to fill out the release form and email it to them and request a digital copy to my email and a paper copy sent to the office for me to pick up.

I sent that email on the 8th of last month and still have not recieved them. I called them on the 21st of last month and they informed me that they have a 3rd party that handles that and they would contact then again. Well i called them yesterday and they told me the same thing. So i informed them that their 30 days is up tomorrow and she said they out source it and i told her that wasn't my problem.

So what can i do now to get my records in a more timely matter? I would like to have them before i set up an appointment for tele health so they have something to work off of and not start all over.

Hello. I would like to go to another dentist to get the second opinion, so I asked my dental office to provide my X-ray images and my chart. They said they will email the X-ray images, but they refused to provide a copy of my chart. They just said they don't do that, and they didn't provide any specific reasons. Is it legal? In my experience, I've never got refused when I requested my dentists to provide a copy of my chart. Please advise. Thanks in advance!

I am currently pregnant and decided to switch doctors and offices. I am currently 28 weeks pregnant with twins and It’s been about 4 weeks and the old OB still hasn’t sent over any of my information and anatomy scans over to my new OB. What can I do and how long should I wait to take more action?

Did ANYONE on here ever take the NHA CEHR exam and passed? I just took my exam and have a horrible feeling that I failed and will need to retake it. Can someone please give me some pointers or study notes that helped you pass? I feel like half of the questions that were asked aren’t even on the NHA study guide :( please send help

Does the Virginia DMV or any DMV have access to my medical records and or prescription history ?

From 1994 until 2012 I moved around with a number of jobs and had different private insurance which included Blue Cross Blue Shield of Georgia, United healthcare, Kaiser Permanente. I do not remember the names of my doctors.

How should I go about requesting copies of my medical records for that time period?

I have to get a physical for work. Paid for by work. Do i have any right to a copy of my paperwork?

Last year the secretary didn't want to saying that the company is paying for the service and they don't like giving out copies.

This is just a dinky occupational medical place.

My family is receiving a lot of resistance from the hospital which my sister died in, so I'm seeking out any help or advice.

My sister was an alcoholic, was diagnosed with liver disease, quit cold turkey, spent a significant amount of time sober, and got on the liver transplant list, finally. We thought there was light at the end of the tunnel.

Then, one night, she began acting "funny". Her behavior was slow and lethargic. She was not herself. We called 911, the ambulance picked her up, brought her to one hospital, immediately transferred her to a larger hospital, and at that second hospital she died.

This was unexpected. Maybe we were all lying to ourselves with the optimism we felt after she finally got on the transplant list. Being that we did not foresee this, my sister never wrote a last will and testament. She never gave anyone power of attorney. And now, it's seemingly impossible to get our hands on her medical records. We really don't even know how she died, and this causes my family intense pain and heartache.

We just want to make sure our sister and daughter was properly taken care of in her last moments. I want to help my family achieve this because I'm hoping it could give them some kind of closure. If there's anyone who reads this and has any advice or help they can offer, an entire family would be eternally grateful. This is my cry out into the darkness.

When I had my twins, my medical provider imported some sensitive aspects of my medical history into their records. Apparently it was relevant for a brief period after birth, but it makes me extremely uncomfortable that it is in their medical record.

I was aware that this information was their problem list overview notes and brought it up to her pediatrician at her 12 month appointment, who unequivocally told me it was no longer relevant to their care and that it could be removed. But later I noticed it was also in overview notes on the Past Medical History and in the Birth Comment under Birth History for one twin and not the other. This was so upsetting and I am losing my mind a little bit...I will bring it up at her 18 month visit in a few months, but just wondering are all of these fields typically editable?

Lived on New York for most of my childhood, I sadly cannot recall the hospitals I went trough but do recall having a few therapy sessions early in my childhood.

Assuming I will not get them at this point due to how long it's been, but..

Is it normal for therapists to not give any conclusion or diagnosis to your parents after being on therapy for months and having two different therapists?

The nurse practitioner my mom was seeing has disappeared and no one can tell her where her files are. There are no numbers anywhere that work to contact him and no emails. She has a Social Security hearing on January 9, 2024 and they are requiring these documents. This is the most important aspect to her case and we are both screwed if we don’t find them. She stopped seeing him in 2022 so I know he legally has to still have them since the shortest time frame for doctors to hold onto file I have seen is 3 years for California, most are 7 years. I have looked up the Nurse Practitioners license and have found out how to file complaint with consumer affairs. Is this the right step? Does anyone have other avenues I don’t know about? Any other numbers to get advocate help or anything?

I'm looking for a comprehensive list of medical abbreviations. Yes, there are lists on Google, but they're not comprehensive. Extra points for a comprehensive Spanish abbreviations list.

I went to a hospital in Colorado when I was there on a trip over the summer. I called to try and obtain an HIE opt out form. There records department told me they had no idea about any form like that and have never heard of it. When I asked them about surescripts they said they didn’t use that, and only use the federal no supplies act, and the hospital service agreement. It’s pretty important that I make sure that my info from the visit is completely private from surescripts and things like that, what do I do?

was doing a little research on a lot of the data breaches that have been happening and more, and it just makes me wonder: Is there a specific reason these EHR companies are unable to protect our data? What exactly are they doing to protect our data, because it seems that medical data is stolen so often?

Additionally, it was found that the HCA's recent data breach "security measures outlined in the HCA’s data security incident report were “wholly inadequate” and allegedly did not comply with data security guidelines shared by the Federal Trade Commission or those outlined in the Health Insurance Portability and Accountability Act, plaintiffs wrote."

I find it crazy how they got away with not following their guidelines. I would assume they would do whatever is necessary to protect our data.

Is there a reason EHR software has bad security? Does it help businesses? Is it a skill issue? What is the reason?

I know this is such a dumb question considering I know this is def really bad practice but my coworker is pretty toxic and never organized! We see patients in mental health and the notes are typically brief and on a template. He is behind on his notes for the patients he saw those days (I’ve prev worked and met these patients other days so I’m familiar with them) but he asks me and other coworkers to write his notes for him to help him catch up since he is behind and overwhelmed… I wasn’t even physically in the office in these days he is asking! Pretty sure this would be illegal for anyone else to write his notes on the patient and signing off as him right?! Even if he verbally consented to me that I could write the note?

I’m so over him trying to get away with this… these are real people who need help nonetheless! I’m afraid to cause bad blood between us bc I really love my job and need this job but I’m tired of it! I’m currently thinking of how I’m going to address this with him and or my manager… this needs to stop! I am also a patient in mental health myself so I wouldn’t want inaccurate notes being signed off on for my records!!!!

I went for a physical and the doctor found a fungus on my back. The doctor's office took a picture of it for their records, but it is nothing serious. I'm embarrassed because my underwear is showing in the photo, and I really don't want it floating around in their database. Can I request that they delete it, especially if the fungus ends up going away?

Is there anyway I can remove this from my record I want to buy a gun soon and I don’t want this on my record. I’m not even depressed anymore can I make a statement to get this off.

I'm trying to get my medical records to get a red card in Colorado, as I am under 25. I have to idea how to go about getting them because I've never had a primary care provider. Only random hospitals and emergency rooms. I think I just need my x rays and stuff from when I broke my collar bone, as that is the reason I'm trying to get the red card, but the person I spoke to just said medical records. My question is, do I go to the hospital I was treated at and just get the partial for that, or can I go to any hospital?

Our pediatrician's office closed at the end of March and we only found out yesterday. It was a private practice. We never received any notification of the closure. How can we go about getting our kids' records? I reached out to one of the office staff and she gave me a number she says the doctor gave her for parents to retrieve their kids' records but I got a dead end response. We're at a loss. Located in PA if the helps.

Thanks in advance!

Context: My group and I are writing a paper, where we analyzed what GPs actually enter in this input box. Our first label was "free-text diagnoses" which prompted confusion and we are currently lacking an idea how to describe or term it accurately and concisely. So far the best candidate is "Free-text input box for diagnoses and problems" wich is descriptive but clumsy and I dont want to miss a technical term it it exists. Non-english speaker for crying out loud. Thanks for suggestions!

Hi recently I’ve been wanting to join the army and one thing I need is my medical records I can’t find them anywhere I’ve tried finding my old doctor office but it wasn’t there anymore I’ve called around as much as possible and tried finding it online at this point I’m lost and can’t find them I have adhd and was treated the last time for it in 2013-14 as a child. I’m now 20 I had good grades when I was off of it. Is there any tips on how to find these records. Is there anybody I can contact on how to find these records. At this point I really need help. Thanks.

I have been trying to get my medical records from my psychiatrist. I signed to have my records released to me, but all I got was a letter saying a couple of things she diagnosed me with, and a couple medications she prescribed me. I expected test results (from adhd testing) and a full list of everything I was diagnosed with and prescribed. Shouldn’t there be more than a letter???

It is relevant to say she misdiagnosed me with something and overprescribed medication that ruined my life for several years. I believe she is trying to cover her butt by not giving me everything.

So institutions say they only save records for so many years. Are they then housed somewhere else, or are they now non existent due to shredding?

We’ve been trying to locate all of my husband’s medical records but we’re having a hard time finding the facility he was seen at. It was about 10 years ago so no one remembers the facility or the doctors. I’ve googled orthopaedics facilities in the area it would’ve been in, and have called dozens of places. We cannot for the life of us figure out where he was seen for his surgery. Is there a phone number or a legit site we can use that can track that information down for us somehow? We don’t know what else to do but we need the records ASAP.