This message rang a bell, but I had to make a phone call to get the source.  The MODEL 
PATIENT PRIVACY PROTECTION ADVISORY 
Notice of Non-participation in Government Medical Records Program quoted is from the 
Association of American Physicians and Surgeons, Inc at http://www.aapsonline.org/
It is an interesting site.  

Christine Jensen
HIPAA Project Manager
Denver Health
303.436.7942

-----Original Message-----
From: fwdanby [mailto:[EMAIL PROTECTED]]
Sent: Sunday, September 22, 2002 7:41 PM
To: [EMAIL PROTECTED]
Subject: Re: PHI MAP is here ( was RE: Yoo-hoo!! Kristi?!! Where are
you!! Yoo-hoo!!

Many of my colleagues are getting pretty fed up with the requirements
dictated by HIPAA. To know them is not to love them!
Some see the following as a way to save time and money that would be FAR FAR
BETTER APPLIED TO PATIENT CARE.
What do you think of this approach (aside of course from envying the less
than 10 crowd).
Yes I know there are some debatable quibbles in the content.
Bill D.

MODEL PATIENT PRIVACY PROTECTION ADVISORY
Notice of Non-participation in Government Medical Records Program


I have chosen to remain a non-covered entity under the Health Insurance
Portability and Accountability Act of 1996 (HIPAA) that goes into effect in
October 2002.  If I agreed to participate, I would have to comply with more
than 3,000 pages of federal laws and regulations that decide how and when
your
private medical files are used, as well as who has access to them.This would
be done without your permission.  Instead, you would only have a chance to
read a statement of general ways your records might be used, rather than
requiring your consent for their use.

Under these rules, thousands of government agencies would have virtually
unrestricted access to your medical records.The HIPAA standards will result
in a nationwide data base of medical records accessible to marketers,
government agents, researchers, and many private entities whose interests
may
conflict with the best interest of patients. It is not possible to protect
confidentiality once records are in a networked computer, no matter how many
rules are in force.

Further, the regulations enable a centralized government database of
everyone's medical records. Information in your medical record could be used
against you, for example, to ration your care or even to prosecute you, as
for an allegedly false statement to an insurer.

By choosing to be a "non-covered entity" and not filing a compliance program
with the government, I am better able to protect the confidentiality of your
medical record.

I am also better able to serve your medical needs by concentrating on
medical
problems rather than complex, ever-changing rules, and by organizing my
practice in an efficient manner rather than the way dictated by government
rules.

Our practice will not participate in the entry of your private data into
this
data base. Your records will be released only with your written consent,
except as may be specifically required by law.

To do this, I must file only paper claims, not electronic ones. This may
delay processing.

You may choose to file your own claim. This may lead to faster payment and
possibly even to a higher rate of reimbursement. Our office will gladly
provide you with any documentation you need if you choose to file your own
claim.  We will continue to make the trust of our patients our highest
priority.

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