Observations
Based on the review of client records, the facility failed to document an informed and voluntary consent to release information form prior to the disclosure of information in two out of seven client records reviewed.
Client #3 was admitted on April 8, 2021 and discharged on July 20. 2021. There was documentation of correspondence with the funding source dated April 9, 2021; however, there was no proper consent to release information form signed by the client prior to disclosure.
Client #4 was admitted on June 1, 2021 and discharged September 15, 2021. There was documentation of correspondence with the funding sources dated June 1, 2021; however, there was no proper consent to release information form signed by the client prior to disclosure.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Outpatient supervisor will review all new client files, on a weekly basis, to ensure that all Release of Information forms are completed for the appropriate funding source, and signed by the client, prior to billing for any services. This was reviewed with all staff, including clerical staff, who oversees the billing of services. This was implemented on 10/07/2021. |