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So I Need 2 Doctors Now?


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So my  doc wont recommend,, so NONE of the Certifying docs will Certify me? So I have to go to another doc,, for numerous visits,,,,, ONLY to have those records,,, to go to a Certifying Doc? And those Certifyiing Docs want my records from a previous doc? But I have to be certified on a regular system as an ongoing patient,, which my "certifying doc" is not a "real doc" and can not diagnose my condition and I must provide medical records with exams in order to "certify" for my certificate"? 

 

Ummm, I have no heath insurance you fucckers, thank u "certifying docs" for asking me for" certifying docs" which I don't have, 

 b

U wanna guess what I will do? I will grow,,,and take the chance from Mi state police on my "dr recommended" thingy from last year,, 

 

then visit a "certified doc,, that requires u actually bring records from "another" doc in order for them to "certify" you, 

 

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So my doc wont recommend,, so NONE of the Certifying docs will Certify me? So I have to go to another doc,, for numerous visits,,,,, ONLY to have those records,,, to go to a Certifying Doc? And those Certifyiing Docs want my records from a previous doc? But I have to be certified on a regular system as an ongoing patient,, which my "certifying doc" is not a "real doc" and can not diagnose my condition and I must provide medical records with exams in order to "certify" for my certificate"?

 

Ummm, I have no heath insurance you fucckers, thank u "certifying docs" for asking me for" certifying docs" which I don't have,

b

U wanna guess what I will do? I will grow,,,and take the chance from Mi state police on my "dr recommended" thingy from last year,,

 

then visit a "certified doc,, that requires u actually bring records from "another" doc in order for them to "certify" you,

Sounds like you don't know what your asking. If your primary doc wont sign a certification then yes you must find another doc that will. There are many docs that will but you must do a follow up visit every 6 months to maintain a bonafied relationship with this doc most of which are free when you pay to get your certification. However insurance does not pay for nothing mmp related so its all out of pocket cost.

Good luck on taking your chances. Would you rather pay 200 dollars or 5000 dollars on a section 8 defense that you have a good chance of losing?

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i just had $3000 in tests done because my cert doc wanted more records.

 

$3k and all the testing doc could tell me was 'there was nothing he could do for me'.

thanks doc, i knew that already.

 

waste of money...

 

on the bright side, i got to see how useless physical therapy was (for me anyhow).

paying someone $300 an hour to watch you do stretches? bah.

Edited by t-pain
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t-pain,I am so sorry the leeches are robbing you.  BOB! YOUR MEDICAL RECORDS ARE YOURS! They CANNOT keep them.You need to scare the pee out of them,this is illegal,call them,talk to whoever the boss is,tell them you will be calling the AMA to report them ,and the hospital or Drs office that will not give them to you.And then you call whatever insurance company paid for those tests on those records.If they are from medicare or medicaid,tell them you are reporting  this fraud to them. You don't NEED a lawyer,you as a pt of ANY kind have rights to your medical records. I am a patient advocate,I know these facts are true. But you MUST get nasty,as nasty as the employees have been to you. They just want to run you around in circles hoping you will forget. Don't let them do that to you.

Thanks

i have been trying for almost 5 years now and if i do as you say the Doc would just stop seeing me he has been my Doc for over 10 years i have talked to him about it with no good outcome but when i ask him about the same time as the Law was voted in he gave me my chart note right away but then we got raided 

 

when i did go see him the last time the office lady didn't even have my medical records on the door way going into the room of fear of me just taking them on my own i have even send a legal forum to the office from another Doc and he couldn't get them for me ether 

 

a lot of people just think as you do and yes sometimes they do get them but most time they don't i know this Doc very well it's not him stoping me it's who he works for ( Beaumont Hospital )

Edited by bobandtorey
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t-pain,I am so sorry the leeches are robbing you.  BOB! YOUR MEDICAL RECORDS ARE YOURS! They CANNOT keep them.You need to scare the pee out of them,this is illegal,call them,talk to whoever the boss is,tell them you will be calling the AMA to report them ,and the hospital or Drs office that will not give them to you.And then you call whatever insurance company paid for those tests on those records.If they are from medicare or medicaid,tell them you are reporting  this fraud to them. You don't NEED a lawyer,you as a pt of ANY kind have rights to your medical records. I am a patient advocate,I know these facts are true. But you MUST get nasty,as nasty as the employees have been to you. They just want to run you around in circles hoping you will forget. Don't let them do that to you.

 

Actually your medical records are the attending physician's property.

For more information of the law in the state of Michigan:

http://www.hpi.georgetown.edu/privacy/stateguides/mi/mi.pdf

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Medical records are the doctor's property, period.  The doctor must actually retain copies of them for 7 years.  Most, like me, keep them forever in case they ever need to revisit them.

 

Patients may obtain copies of them upon request, at least once a year.  There may in some practices (not mine) be a copy fee, and there is a rate scale published by the state.  Once requested the doctor has 30 days to provide.  Most, but not all, docs will send records to another doctor for free, yet charge patients for personal copies.  Some send them to the doc and still charge the patient for the records.  Some require patients to pay an outside 'copy agency' a fee to come in and copy the records.

 

There are other charges that are not covered under insurance, such as missed appointment fees, etc.  You are NOT obligated to pay those, but on the other hand your doctor is NOT obligated to see you again if you don't.

 

Personally as a doctor, I don't go for charging fees because I want my patients comfortable coming to me.  I don't think sending them a bill for basic courtesy services is good for the dr/pt relationship.  Most malpractice cases resulted from a bad relationship between the doctor, their staff, and the patient....bills like this promote a bad relationship.  That isn't a headache I want and not my idea of good patient care.

 

Dr. Bob

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Thanks

i have been trying for almost 5 years now and if i do as you say the Doc would just stop seeing me he has been my Doc for over 10 years i have talked to him about it with no good outcome but when i ask him about the same time as the Law was voted in he gave me my chart note right away but then we got raided 

 

when i did go see him the last time the office lady didn't even have my medical records on the door way going into the room of fear of me just taking them on my own i have even send a legal forum to the office from another Doc and he couldn't get them for me ether 

 

a lot of people just think as you do and yes sometimes they do get them but most time they don't i know this Doc very well it's not him stoping me it's who he works for ( Beaumont Hospital )

 

20 / 20 hindsight Bob, you could have had one of your Lawyers subpena them.  That's what my Lawyer did. Against my wishes, even. As a result the receptionist from the Doctors office was to appear at LC_CH for my scheduled court appearance that morning. Needles to say I was furious, fortunately the Court date was again postponed.

 

As soon as we got out of the court room I insisted {stuffing a Franklin into his top pocket!} that he call the Docs immediatley and inform them they didn't have to appear. I later went and picked them up for him. I had to sign some kind of release, I remember.  I also appologized profusely for the imposition. She confided that they had never been through anything like that before.  

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i agree KD 

that may work out best getting medical records is not easy i was trying to get mine for years and still this day have not gotten them

 

They can deny you, although the reason is rather strange, imo.

 

 

WHAT CAN I DO IF MY HEALTH CARE PROVIDER DENIES MY REQUEST FOR

MY MEDICAL RECORD?

You have rights under both Michigan law and the HIPAA Privacy Rule if your

health care provider denies your request for your medical record because they believe

that seeing it might physically harm you.

 

Michigan law

Under Michigan law, if your health care provider determines that having access to your

medical record might harm you, they must give a copy of your record to another health

care provider (such as a doctor or a clinic) or legal counsel that you choose. When you

tell your provider who to send the record to, you should plainly state that you are

designating the provider or counsel to receive your record under Michigan law.

 

HIPAA Privacy Rule

Under the HIPAA Privacy Rule, if your provider denies your request for your medical

record you have the right to have another health care professional review their decision.

At the time your provider denies your request for your record, they must tell you in

writing if you have a right to a review. They also must tell you how to ask for a review.

If you request a review under HIPAA, your provider must choose another licensed

health care professional to review their decision. They cannot choose someone who was

involved in the original decision. The reviewer makes the final decision whether you

are allowed to get access to your medical record. Your provider must tell you in

writing what the reviewer decides.

 

Can I choose the reviewer under the HIPAA Privacy Rule?

No. Your health care provider gets to choose the reviewer.

.
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They can be destroyed.  Many doctors just continue to store them.  Some put them on microfilm.  In this age of the electronic medical record they never really go away.  The purpose of the 7 years is in case any legal questions come up they have to be available, but there is a reasonable statue of limitations.  As I said patients can and should get copies, there has to be a compelling reason NOT to give a patient a copy of their records upon request, generally this only comes into play in psychiatry.  But that does not mean the patient can't be made to pay a reasonable (as defined by Lara) fee for the records.  I believe, and don't know for sure because I don't charge for them, that the max is $20 plus $20 for the first 25 pages and about $20 for each 25 pages thereafter.

 

Personally, I have records from the 90's. 

 

Dr. Bob

Edited by Dr. Bob
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  • 3 months later...

It isn't clear to me...and so maybe isn't clear to a lot of folks...what you are trying to say.

I was bitching that a "certifying doc" needs medical records from a "regular doc" in order for a "certifying doc" to "certify" me, even though they can't diagnose me, so still need 2 docs because the "certifying docs" not only can't diagnose me, want records to prove that I am qualifying, but don't have a regular ongoing "doctor/patient relationship" because they require records from a "different doc" :) 

 

Hope that helped to clear up what I originally meant to say in my op. 

 

They can be destroyed.  Many doctors just continue to store them.  Some put them on microfilm.  In this age of the electronic medical record they never really go away.  The purpose of the 7 years is in case any legal questions come up they have to be available, but there is a reasonable statue of limitations.  As I said patients can and should get copies, there has to be a compelling reason NOT to give a patient a copy of their records upon request, generally this only comes into play in psychiatry.  But that does not mean the patient can't be made to pay a reasonable (as defined by Lara) fee for the records.  I believe, and don't know for sure because I don't charge for them, that the max is $20 plus $20 for the first 25 pages and about $20 for each 25 pages thereafter.

 

Personally, I have records from the 90's. 

 

Dr. Bob

 

I have no problem paying a few dollars for copies of my own medical records, but when I am told that they can ONLY release them to another "Doctor's Office" and I have no "other doctor", then I am screwed. I and my insurance paid for those visits and those tests ran, I should be able to get a copy of those records. I am flabbergasted that I am going on over a month now, of trying to obtain my own records and had no luck. This is very frustrating :(

So my  doc wont recommend,, so NONE of the Certifying docs will Certify me? So I have to go to another doc,, for numerous visits,,,,, ONLY to have those records,,, to go to a Certifying Doc? And those Certifyiing Docs want my records from a previous doc? But I have to be certified on a regular system as an ongoing patient,, which my "certifying doc" is not a "real doc" and can not diagnose my condition and I must provide medical records with exams in order to "certify" for my certificate"? 

 

Ummm, I have no heath insurance you fucckers, thank u "certifying docs" for asking me for" certifying docs" which I don't have, 

 b

U wanna guess what I will do? I will grow,,,and take the chance from Mi state police on my "dr recommended" thingy from last year,, 

 

then visit a "certified doc,, that requires u actually bring records from "another" doc in order for them to "certify" you, 

I was bitching that a "certifying doc" needs medical records from a "regular doc" in order for a "certifying doc" to "certify" me, even though they can't diagnose me, so still need 2 docs because the "certifying docs" not only can't diagnose me, want records to prove that I am qualifying, but don't have a regular ongoing "doctor/patient relationship" because they require records from a "different doc" :) 

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Seems like a simple solution is easily available IMO.

 

As said, you can get your records, or file complaint.

 

If you don't want the hassle of that, you can do this:

 

-- Contact a new doctor, get an address and simply tell them that your current Dr. will send your records over.

 

-- Tell your current Dr. the address and tell them to mail it over.

 

....problem solved, right?

 

Most people have to have a "marijuana Dr." as well as a primary physician. That's just the way it is right now.

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 A few years ago I asked my doc for a copy of my records.  The staff acted like this was completely out of the ordinary and maybe even flat out wrong.  I replied, "I can walk into the Chevy dealership and in five minutes walk out with a printed, comprehensive history of my car's service records.  So why it is that my own personal medical records are harder to acquire than my car's service history?"  I was asked to take a seat and wait for 15 minutes while they copied the file.  It is a real shame if any medical office treats its patients as if the patient's own medical records are less available than records of oil changes.

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Medical records are the doctor's property, period.  The doctor must actually retain copies of them for 7 years.  Most, like me, keep them forever in case they ever need to revisit them.

 

Yes, you are right, in a perfect world. However, we do not live in a perfect world. You are licensed by the state correct? All property under the license is property of the state. To go a bit further, it is really the property of the federal government if they hold any interest in it.

 

I have a patient who's records were purchased by the federal government from the state of Michigan. This patient is not able to get copies of said records let alone see them. In my opinion, when the state or the feds have dirty laundry in said records, you will not be able to get them. The final answer is "We seem to have misplaced your records". Investigation really means cover up.

 

Just a bit of experience a friend has gone through in the past that I was part of.

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You are incorrect.  The records of a private physician belong to them.  The state or federal gov may get a court order for them, or even seize them as evidence in an investigation of the doctor.  But just because I have a license doesn't mean the state or the licensing agency can waltz in and get records without an order.

 

The purpose of the ownership of the records is so that the physician can refer to them for continuity of care or in the event of legal action.

 

Dr. Bob

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  • 3 weeks later...

You are incorrect.  The records of a private physician belong to them.  The state or federal gov may get a court order for them, or even seize them as evidence in an investigation of the doctor.  But just because I have a license doesn't mean the state or the licensing agency can waltz in and get records without an order.

 

The purpose of the ownership of the records is so that the physician can refer to them for continuity of care or in the event of legal action.

 

Dr. Bob

I have x-rays, lab tests,etc. records with 2 different docs in another state from a bit over a year ago, I have several Emergency visits and chiropractic visits here. I have been trying to get my own records sent to me here from the other state from those 2 docs, but having no luck. I have my records from here but I would like to have those records from out of state in addition to what I have here. The only thing those docs forwarded to my last certifying doc was the "notes", not my actual tests. Do you have any advice on how I can go about obtaining the necessary previous tests that I have with those 2 docs in another state? I do not have insurance and I can not afford to have any current tests done on me right now, those tests are less than 2 years old. 

 

Just looking for help at this point on how to get all the medical records that I need. :(

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