Orange County NC Website
Browse       Search
2. North State Medical Transport must provide a written denial (See, "Denial of Patient <br /> Request for Amendment" Form), and the denial must be written in plain language and <br /> contain the following information: <br /> a. The reason for the denial; <br /> b. The individual's right to submit a statement disagreeing with the denial and how the <br /> individual may file such a statement; <br /> c. A statement that, if the individual does not submit a statement of disagreement,the <br /> individual may request that North State Medical Transport provide the request for <br /> amendment and the denial with any future disclosures of the PHI; and <br /> d. A statement that the individual may file a complaint with North State Medical <br /> Transport or with the Office for Civil Rights of the Department of Health and Human <br /> Services. <br /> 3. North State Medical Transport shall provide a copy of our "Procedure for Filing <br /> Complaints About Privacy Practices" if the requestor indicates that he or she wants to <br /> file a complaint against North State Medical Transport. <br /> 4. If the individual submits a "statement of disagreement," North State Medical Transport <br /> may prepare a written rebuttal statement to the patient's statement of disagreement. <br /> The statement of disagreement will be appended to the PHI, or at North State Medical <br /> Transport's option, a summary of the disagreement will be appended, along with the <br /> rebuttal statement of North State Medical Transport. <br /> Administrative Obligations <br /> 1. If North State Medical Transport receives a notice from another covered entity, such as <br /> a hospital,that the other covered entity has amended its own PHI in relation to a <br /> particular patient, North State Medical Transport must amend its own PHI that may be <br /> affected by the amendments. The HIPAA Compliance Officer shall be responsible for <br /> performing this task. <br /> 2. North State Medical Transport will add the "Patient Request for Amendment of <br /> Protected Health Information Form," the denial or granting of the request, as well as <br /> any statement of disagreement by the patient and any rebuttal statement by North <br /> State Medical Transport to the DRS. The HIPAA Compliance Officer shall be responsible <br /> for performing this task. <br />