What does it mean to amend your medical record?

A Medical Record Amendment is: A change, edit or update of medical record information requested by the patient when they feel the information documented is incorrect.

How do I amend a medical report?

Patient Requests

1. The patient’s request must be in writing and must be signed and dated.
2. The request must be directed to the provider who originated the portion of the record the patient wants to amend.
3. The request must state which portion of the record the patient wants to amend and specify how it should be amended.

Can I get information removed from my medical records?

If you feel something on your records is wrong, you can’t usually delete it. You can ask your doctor to add a note to show that you disagree. You should be able to see your records online if you sign up for ‘Patient Online’.

What is a Hipaa amendment request?

A Patient’s Right to Amend PHI. The HIPAA privacy rule provides individuals with the right to request an amendment of their PHI within the designated record set. [45 CFR §164.526 (a)(1)] The rule specifies the processes covered entities must follow in responding to such a request.

What actions must be taken when you make an error in the medical record?

When an error is made in a medical record entry, proper error correction procedures must be followed.

• Draw line through entry (thin pen line).
• Initial and date the entry.
• State the reason for the error (i.e. in the margin or above the note if room).
• Document the correct information.

What are the consequences of falsifying medical records?

Healthcare providers may also lose accreditation, eligibility for federal reimbursement programs, and loss of trust if they are found to have falsified a patient’s medical record. Finally, knowingly falsifying medical records is a felony crime with a potential fine of $250,000 or five years in prison.