Summary
HIPAA permits sharing patient information for legitimate healthcare operations, including audits. However, if an audit is fraudulent, it may not qualify as a permissible use under HIPAA. If you suspect BCBS-MA is conducting a fraudulent audit, it is crucial to seek legal advice. Document all communications with BCBS-MA and consider reaching out to legal aid organizations or the Massachusetts Attorney Generals Office for assistance. Filing a complaint with the Office for Civil Rights (OCR) under the U.S. Department of Health and Human Services may also be a viable step to address potential HIPAA violations.Full Conversation
no. no attorney wants to take my case
It sounds like you're dealing with a complex situation. Here are some key points regarding HIPAA and sharing patient information:
- HIPAA allows sharing patient information for healthcare operations, which includes audits.
- However, if you believe the audit itself is fraudulent, it complicates the matter.
Given the complexity, seeking legal advice is crucial. Have you considered reaching out to the Massachusetts Bar Association for a referral service to find an attorney who might take your case?
I have already reaching out to the MA Bar two weeks ago, no response
Given the complexity of your situation with potential HIPAA implications and the allegation of a fraudulent audit, it’s important to get legal advice. Here are a few steps you might consider:
- Document all communications with BCBS-MA.
- Continue reaching out to other legal resources, such as legal aid organizations or specialized legal clinics.
Have you tried contacting the Massachusetts Attorney General's Office for assistance with this matter? They may offer guidance or resources to help you.
If BCBS-MA request me to provide my patient's medical notes under the collor or fraudulent audit, but actually just using it as an excuse to deny my claim, is that still consider BCBS-MA is using my medical notes for healthcare operations?
If BCBS-MA is requesting patient medical notes under the guise of a fraudulent audit, it complicates the matter. HIPAA allows sharing patient information for legitimate healthcare operations, including audits. However, if the audit is fraudulent, it may not fall under permissible uses.
Have you considered filing a complaint with the Office for Civil Rights (OCR) under the U.S. Department of Health and Human Services? They handle HIPAA violations and might be able to assist you.
thank you for your advice, I will contact OCR
It sounds like you are dealing with a potentially serious issue involving HIPAA compliance and a possibly fraudulent audit by BCBS-MA. Contacting the OCR is a good step. If you need further assistance, consider reaching out to the Massachusetts Attorney General's Office or local legal aid organizations for more help.
Is there anything else I can assist you with today?
TRY ME!
Start a new chat