New requirements under the HITECH Act that expand patients' rights to obtain an accounting of disclosures of their health information will be "extremely difficult to achieve without an enormous outlay of resources," according to the Medical Group Management Association.

The Englewood, Colo.-based organization has sent a letter to the Health and Human Services' Office for Civil Rights responding to a request for information as OCR writes a new rule governing disclosures. HITECH expands the privacy rule's disclosure requirements by including disclosures during the previous three years for treatment, payment and health care operations if a covered entity uses an electronic health records system.

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