MGMA: Disclosure Mandate Unreasonable

Register now

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.

"The fact that HITECH stipulates that the TPO accounting is only required for those physician practices that have adopted an EHR suggests that the government believes TPO disclosures would be collected and stored on this one clinical system," according to MGMA's letter. "This is simply not the case. The majority of physician practices store their clinical data in an EHR and their administrative data (including payment information and data that would quality as 'health care operations') in their practice management system. Satisfying an accounting for TPO request in most practices is not a simple keystroke strike. As discussed more fully below, MGMA members have made it clear that completing these types of reports requires a substantial amount of manual collection from multiple data sources."

MGMA's complete 22-page letter, which responses to specific questions in OCR's request for information, is available at

--Joseph Goedert


For reprint and licensing requests for this article, click here.