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Correcting Medical Record Errors
Summary
A medical coding error affected a Short-Term Disability claim due to pre-existing condition limitations. Under Mississippi Code § 41-9-68, you can request a correction of your medical records. Ensure the records accurately reflect the visit as an employment physical, not hypertension-related, to avoid triggering pre-existing condition limitations. Document corrections and submit them to your insurer. Consider writing a formal request to your physician for record correction, including supporting documentation.Full Conversation
This is my policy for my short term disability. I am having issues with the look back period. I live in Mississippi. The Mississippi law Correction of Medical Records Under Mississippi Code § *-*-*
seems to be my only hope of getting my short term disability claim approved. On July * of *. I went into my doctors office and was requesting an employee physical. That is the reason I went into the clinic. I was supposed to be charged a $* fee for the employee physical during the physical process. My blood pressure was elevated and my physician ended up coding my visit purpose as “hypertension” related . I didn’t go into the office looking for any medical advice. Prescription changes prescriptions, or anything of that nature dealing with hypertension.
It seems you’re dealing with a coding error affecting your Short-Term Disability claim due to pre-existing condition limitations. Under Mississippi Code § *-*-*, you may request a correction of your medical records. Have you contacted your physician to discuss correcting the record to reflect the true purpose of your visit?
Yes
It sounds like you're taking the right steps by discussing the coding error with your physician. If the record can be amended to accurately reflect your visit as an employee physical rather than hypertension-related, it may help with your Short-Term Disability claim. Ensure that any corrections are documented properly. Would you like guidance on any other specific aspect of this process?
Per my policy if corrections are made should I be okay ?
If your medical records are corrected to accurately reflect the visit as an employee physical, it should help with your Short-Term Disability claim, as it may no longer fall under the pre-existing condition limitations. Ensure the corrections are documented and submitted to your insurance provider.
They mentioned hypertension. That’s not my problem. Per the look back policy’s wording .
Case Rating: *
It seems you're dealing with a complex issue regarding your Short-Term Disability claim and the pre-existing condition limitations due to a coding error. Correcting your medical records under Mississippi Code § *-*-* is a key step. Ensure any amendments are thoroughly documented and submitted to your insurance provider to potentially resolve the issue. Would you like guidance on the process of submitting corrected documentation to your insurance provider?
It seems you're dealing with a complex issue regarding your Short-Term Disability claim and the pre-existing condition limitations due to a coding error. Correcting your medical records under Mississippi Code § *-*-* is a key step. Ensure any amendments are thoroughly documented and submitted to your insurance provider to potentially resolve the issue. Would you like guidance on the process of submitting corrected documentation to your insurance provider?
What does my policy say about the look back and what makes the preexisting condition trigger PER THE POLICY ?
Case Rating: *
Your policy states that for Short-Term Disability, a pre-existing condition is any sickness or injury for which you received medical advice, treatment, consultation, or had medication prescribed during the 6 months immediately before coverage begins. Document corrections and ensure they're submitted to your insurer. Would you like guidance on submitting these documents?
Your policy states that for Short-Term Disability, a pre-existing condition is any sickness or injury for which you received medical advice, treatment, consultation, or had medication prescribed during the 6 months immediately before coverage begins. Document corrections and ensure they're submitted to your insurer. Would you like guidance on submitting these documents?
Even if the medical records are corrected to employment physical and they still mentioned, hypertension would “you received medical advice, treatment, consultation, or had medication prescribed during the 6 months immediately before coverage begins” still count although I did not go to the clinic looking for medical advice, treatment consultation, and I didn’t have any medication prescribed
Case Rating: *
If your medical records are amended to accurately reflect the visit as an employment physical, it may not count as receiving medical advice, treatment, consultation, or having medication prescribed for hypertension, thus potentially not triggering the pre-existing condition limitation. Would you like guidance on submitting these corrected documents to your insurer?
If your medical records are amended to accurately reflect the visit as an employment physical, it may not count as receiving medical advice, treatment, consultation, or having medication prescribed for hypertension, thus potentially not triggering the pre-existing condition limitation. Would you like guidance on submitting these corrected documents to your insurer?
I need help submitting to the physician a record update per Correction of Medical Records Under Mississippi Code § *-*-*. The receptionist just informed me that the visit was coded under Unemployment physical but since my blood pressure was elevated, they changed it to a sick visit. That’s not my fault.
Case Rating: *
To correct your medical records under Mississippi Code § *-*-*, follow these steps:
- Write a formal request to the physician, clearly explaining the error and your need for correction.
- Include any supporting documentation or evidence showing the purpose of your visit.
- Ensure you receive and keep a copy of the amended records for your insurance claim.
Would you like guidance on how to format this request letter?
To correct your medical records under Mississippi Code § *-*-*, follow these steps:
- Write a formal request to the physician, clearly explaining the error and your need for correction.
- Include any supporting documentation or evidence showing the purpose of your visit.
- Ensure you receive and keep a copy of the amended records for your insurance claim.
Would you like guidance on how to format this request letter?
Write it for me
Case Rating: *
Here's a template for your request letter to correct the medical records:
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[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Physician's Name]
[Clinic/Hospital Name]
[Clinic Address]
[City, State, ZIP Code]
Subject: Request for Correction of Medical Records
Dear [Physician's Name],
I hope this letter finds you well. I am writing to formally request a correction to my medical records in accordance with Mississippi Code § *-*-*. During my visit on [Date of Visit] to your clinic, I intended to have an employee physical. However, due to an elevated blood pressure reading, my visit was coded as related to "hypertension."
I would like to clarify that I did not seek medical advice, treatment, or prescription for hypertension during this visit. It was purely for an employment-related physical, and I was not charged for a sick visit, but rather the standard fee for the physical.
In light of this, I respectfully request that my medical records be amended to accurately reflect the visit as an employment physical. This correction is crucial for my Short-Term Disability claim process, as the current coding may result in the application of pre-existing condition limitations.
Enclosed, please find supporting documentation, including the original visit purpose and any relevant communication, to assist in making the necessary amendments.
I appreciate your prompt attention to this matter. Please let me know if you require any further information from my side. Kindly provide me with a copy of the corrected records once the amendment is completed.
Thank you for your understanding and cooperation.
Sincerely,
[Your Name]
---
Would you like any further assistance with this process?
Here's a template for your request letter to correct the medical records:
---
[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Physician's Name]
[Clinic/Hospital Name]
[Clinic Address]
[City, State, ZIP Code]
Subject: Request for Correction of Medical Records
Dear [Physician's Name],
I hope this letter finds you well. I am writing to formally request a correction to my medical records in accordance with Mississippi Code § *-*-*. During my visit on [Date of Visit] to your clinic, I intended to have an employee physical. However, due to an elevated blood pressure reading, my visit was coded as related to "hypertension."
I would like to clarify that I did not seek medical advice, treatment, or prescription for hypertension during this visit. It was purely for an employment-related physical, and I was not charged for a sick visit, but rather the standard fee for the physical.
In light of this, I respectfully request that my medical records be amended to accurately reflect the visit as an employment physical. This correction is crucial for my Short-Term Disability claim process, as the current coding may result in the application of pre-existing condition limitations.
Enclosed, please find supporting documentation, including the original visit purpose and any relevant communication, to assist in making the necessary amendments.
I appreciate your prompt attention to this matter. Please let me know if you require any further information from my side. Kindly provide me with a copy of the corrected records once the amendment is completed.
Thank you for your understanding and cooperation.
Sincerely,
[Your Name]
---
Would you like any further assistance with this process?
That’s incorrect. I need it to state that per the receptionist on duty on September *, * my visit was coded for physical, which meant I had to pay $* but they changed it to hypertension and I didn’t have to pay the required $* as I did in the past. I did not request to not pay. I did not request for it not to be coded as an employer physical. That was done by the physician on her own.
Case Rating: *
Here's a revised version of your request letter to correct the medical records:
---
[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Physician's Name]
[Clinic/Hospital Name]
[Clinic Address]
[City, State, ZIP Code]
Subject: Request for Correction of Medical Records
Dear [Physician's Name],
I hope this letter finds you well. I am writing to formally request a correction to my medical records in accordance with Mississippi Code § *-*-*. On my visit on [Date of Visit], as confirmed by the receptionist on duty on September *, *, my visit was initially coded for an employment physical, which entailed a $* fee. However, due to an elevated blood pressure reading, the coding was changed to "hypertension," and I was not charged the $* as I have been in the past.
I want to clarify that I did not request this change, nor did I seek any medical advice, treatment, or prescription related to hypertension during this visit. The primary purpose of my visit was for an employment physical.
In light of this, I respectfully request that my medical records be amended to reflect the original coding as an employment physical. This correction is crucial for my Short-Term Disability claim process, as the current coding may result in the application of pre-existing condition limitations.
Enclosed, please find supporting documentation to assist in making the necessary amendments. I appreciate your prompt attention to this matter and kindly ask for a copy of the corrected records once the amendment is complete.
Thank you for your understanding and cooperation.
Sincerely,
[Your Name]
---
Would you like any more assistance with this process?
Here's a revised version of your request letter to correct the medical records:
---
[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Physician's Name]
[Clinic/Hospital Name]
[Clinic Address]
[City, State, ZIP Code]
Subject: Request for Correction of Medical Records
Dear [Physician's Name],
I hope this letter finds you well. I am writing to formally request a correction to my medical records in accordance with Mississippi Code § *-*-*. On my visit on [Date of Visit], as confirmed by the receptionist on duty on September *, *, my visit was initially coded for an employment physical, which entailed a $* fee. However, due to an elevated blood pressure reading, the coding was changed to "hypertension," and I was not charged the $* as I have been in the past.
I want to clarify that I did not request this change, nor did I seek any medical advice, treatment, or prescription related to hypertension during this visit. The primary purpose of my visit was for an employment physical.
In light of this, I respectfully request that my medical records be amended to reflect the original coding as an employment physical. This correction is crucial for my Short-Term Disability claim process, as the current coding may result in the application of pre-existing condition limitations.
Enclosed, please find supporting documentation to assist in making the necessary amendments. I appreciate your prompt attention to this matter and kindly ask for a copy of the corrected records once the amendment is complete.
Thank you for your understanding and cooperation.
Sincerely,
[Your Name]
---
Would you like any more assistance with this process?
State that I want it noted and documented that I did not come to the visit for Receiving medical advice or treatment,
• Consulting a physician or nurse practitioner, or
• Had medication prescribed. It was for an employer physical that had nothing to do with the company I work for now .
Case Rating: *
Your request for documentation is valid and should be clearly stated in your letter. Here's an additional paragraph to include in the request letter:
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I would like it noted and documented that my visit was not for receiving medical advice or treatment, consulting a physician or nurse practitioner, or having medication prescribed. It was strictly for an employer physical unrelated to my current company.
---
Would you like more help with this process?
Your request for documentation is valid and should be clearly stated in your letter. Here's an additional paragraph to include in the request letter:
---
I would like it noted and documented that my visit was not for receiving medical advice or treatment, consulting a physician or nurse practitioner, or having medication prescribed. It was strictly for an employer physical unrelated to my current company.
---
Would you like more help with this process?
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