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Psychiatric Practice & Managed Care
Published Online: 17 September 2004

What Can You Release?

Publication: Psychiatric News
Volume 39, Number 18
https://doi.org/10.1176/pn.39.18.0390013a
Under the Health Insurance Portability and Accountability Act (HIPAA), psychotherapy notes that are kept separate from the rest of the patient's medical record are held to a higher level of confidentiality and cannot be released to insurers, including Medicare, without written patient authorization.
Psychotherapy notes are defined by law as not including the following information (which are considered to be part of the patient's medical record):
•
Medication prescription and monitoring
•
Counseling session start and stop times
•
Modalities and frequencies of the treatment furnished
•
Results of clinical tests
•
Any summary of the following items:
◦
Diagnosis
◦
Functional status
◦
Treatment plan
◦
Symptoms
◦
Prognosis and progress to date
These bulleted items can be released without a separate written authorization from the patient.

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Go to Psychiatric News
Psychiatric News
Volume 39 • Number 18 • September 17, 2004
Pages: 13

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Published online: 17 September 2004
Published in print: September 17, 2004

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