Question about Workersâ€™ Compensation Records
Occasionally we are asked questions about workersâ€™ compensation records. Just last week, we responded to the following question by Rick W. in Texas:
What do you have to disclose to an employer who wants records from one of its employees who is getting workersâ€™ compensation services from you?Â Do employers have a right to see those records?
Healthcare Compliance Pros Response
Under the HIPAA Privacy Rule, covered entities are permitted to disclose protected health information to workersâ€™ compensation insurers, State administrators, employers, and other persons or entities involved in workersâ€™ compensation systems, without the individualâ€™s authorization. In other words, a covered entity is permitted to disclose an individualâ€™s protected health information as necessary to comply with and to the full extent authorized by workersâ€™ compensation law.
Generally, the Privacy Rule requires covered entities to reasonably limit the amount of PHI disclosed under 45 C.F.R. 164.512(l) to the minimum necessary to accomplish the workersâ€™ compensation purpose. When disclosing PHI as required by Texas workersâ€™ compensation or other law, or pursuant to an individualâ€™s authorization, covered entities are not required to make a minimum necessary determination 45 C.F.R. 164.502(b).
Based on the facts restated above employers do have a right to see those records. In the state of Texas, you are not required to make a minimum necessary determination.Â HIPAA defers to State law, and in situations where employers are involved in workersâ€™ compensation systems, they are entitled to see records for purposes to the extent necessary to comply with laws relating to workersâ€™ compensation.Â In addition, disclosures are permitted for purposes of obtaining payment for any health care provided to an injured or ill worker.
If you have any additional questions or require further assistance, please do not hesitate to contact one of our professional consultants.