HIPAA and Making Appointments

Nurses HIPAA

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I'd like to know how offices apply HIPAA to the process of scheduling appointments. I had a maddening phone conversation this week with a receptionist at a practice where my family has a long relationship and believe she went overboard, but would like your input.

My daughter has seen the same doctor for years to manage a chronic condition. He acknowledges frustration with some of the office staff and has given us his personal contact information in order to circumvent them, but I don't want to take advantage and have never used it.

We live in a state where the age of adulthood is 19. My daughter turned 19 recently (since she was last seen in the office.) She had an appointment scheduled next week, but had the opportunity to go out of town on short notice, so I told her I would call and reschedule the appointment. When I called, the receptionist asked me to identify myself. I told her I was Ali's mom. She stopped me immediately and said she would not talk to me, that Ali would HAVE to call herself. I attempted to clarify that I was not seeking any information, just trying to reschedule an appointment that my daughter could not keep. She repeated herself. I let her know that Ali was not available at that time to make a phone call, as she was on a flight. Same response. I finally stated that I would have Ali call at her first opportunity (which would probably be on Monday, since the office would be closed by the time she landed on Friday afternoon), however, I insisted that she note that Ali would not be at her scheduled appointment.

This office has recently implemented a very strict policy of cancellation 48 hours in advance to avoid charges for a missed appointment. I understand that because their time is precious and appointments should not go unfilled when others are waiting to be seen, however, such a policy requires that the office staff accept cancellations when people try, in good faith, to make them.

I am the designated health care coordinator of our family. I regularly make appointments for my husband, my elderly parents, my husband's elderly aunt and have never had a problem.

Ironically, the purpose of this visit is to thank the doctor for his expertise over the years, and let him know that Ali will be transitioning her care to another physician while she is away at school.

I think I just might call his cell and let him know. Seems a whole lot easier than dealing with the witch on the phone.

Thoughts?

I'll be honest, at 19 your daughter needs to make/cancel her own appointments. I have always found it strange when parents get involved in the healthcare of young adults that should be doing this on their own. If the receptionist even acknowledged your daughter had an appointment, that is technically a HIPAA violation.

She did not go overboard, she did the right thing.

Specializes in School nursing.
I'll be honest, at 19 your daughter needs to make/cancel her own appointments. I have always found it strange when parents get involved in the healthcare of young adults that should be doing this on their own. If the receptionist even acknowledged your daughter had an appointment, that is technically a HIPAA violation.

She did not go overboard, she did the right thing.

Why did she call mom to confirm the daughter's appointment, then? With this logic, that in itself, was a HIPAA violation by the receptionist. She should have called Ali instead. This makes no sense to me.

I'll be honest, at 19 your daughter needs to make/cancel her own appointments. I have always found it strange when parents get involved in the healthcare of young adults that should be doing this on their own. If the receptionist even acknowledged your daughter had an appointment, that is technically a HIPAA violation.

She did not go overboard, she did the right thing.

1) the OP didn't "get involved" (as far as what that implies) - she's been involved for 18 years. Her daughter is transitioning into the full responsibilities of having reached the age of legal majority. What you feel about parental involvement with very young adults is irrelevant.

2) You are simply wrong about your contention regarding acknowledging an appointment and other similar disclosures. You can check HHS.gov for correct information.

I think your predisposition regarding all of this has led you to make a declaration that is factually incorrect.

Specializes in Maternal - Child Health.
I'll be honest, at 19 your daughter needs to make/cancel her own appointments. I have always found it strange when parents get involved in the healthcare of young adults that should be doing this on their own. If the receptionist even acknowledged your daughter had an appointment, that is technically a HIPAA violation.

She did not go overboard, she did the right thing.

UGH! Please inform yourself on HIPAA so that you don't perpetuate mis-information. It is NOT a HIPAA violation for someone other than the patient to schedule appointments.

My daughter is an accomplished dancer. She has a history of performing with a well-known dance company. Her tenure with them ended last fall, but due to unexpected circumstances, she was invited to re-join the group on very short notice and tour this summer. She literally had to pack up and leave. I assured her that I would take care of her appointment.

I'm not sure what you find strange about a parent assisting a 19 year old (who is unexpectedly unavailable) to cancel an appointment. Isn't that what adults do to help each other out occasionally?

Not a HIPAA violation to simply make or cancel an appt for someone. Period.

Also to address one argument, there is literally no way to confirm (in this instance) whether it was Ali or Ali's mom over the phone. She admitted who she was, but there no way to verify that. When you call and make your own appt, they have no way of knowing if it's really you. It does not matter because there is no medical info being given. Simply a time or revocation of a time to meet with a person (the doctor)

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