By Danielle M. Murray, J.D.
Law enforcement has been working hard to bust pill mills and stop prescription drug abuse. Pharmacists and pain management doctors are under intense scrutiny by various law enforcement agencies, including the Drug Enforcement Administration (DEA) and the Department of Health (DOH), for their role in giving out controlled substances.
"Doctor shopping" is a common phrase used to describe patients who see multiple doctors in a short period of time in an attempt to dupe doctors into giving them prescriptions for controlled substances. Doctors have been hampered somewhat by HIPAA privacy laws and have been unable to report suspicious patients to law enforcement agencies.
Sarasota County has a solution for that. According to the Sarasota Herald-Tribune, the county has devised a form, entitled "Authorization for Release of Protected Health Information," and distributed it to pain management physicians. This form is to be signed voluntarily by patients and would allow doctors to discuss concerns with law enforcement. According to the sheriff's office, the form intended to be limited to the patient's name and the doctor's concerns, and not to allow the release of medical records or other protected information.
To see the form for yourself, click here.
Criticism of Form.
Critics say that the form is a blatant violation of patient rights and is simply a way for law enforcement to get around constitutional protections, such as search warrants.
It appears that some physicians agree with the critics. Not a single waiver has been returned to the Sarasota Sheriff's Office.
In a Sarasota Herald-Tribune article, a pain management clinic owner states that his clients sign a contract that waives their rights if the clinic is approached by an investigator. He states "I understand HIPAA and am a firm believer in their rights, but if they're doing something illegal, they're jeopardizing my license."
To see the full article from the Sarasota Herald-Tribune, click here.
Prescription Abuse and Your License.
The clinic owner is correct. Providers are at risk for their patients' inappropriate prescription use. We have seen cases where providers are faced with criminal and civil liability when a patient overdoses on medication, whether intentional or not.
Click here to read a previous blog post on one Florida doctor who gave up his license due to allegations of malpractice and overprescribing pills.
In Orlando, Florida, a drug trafficking ring used fake prescriptions to access drugs at pharmacies around the city, and the responsible pharmacists are now facing disciplinary action for filling those prescriptions. There is a major crackdown underway to stop pill mills.
Recently the Polk County Sheriff’s Office issued 25 arrest warrants in connections to a pill mill investigation (click here to read the blog on this story). The big pharmacy chains are getting hit as well. A Walgreens distribution center in Florida was recently served with an immediate suspension order from the DEA (click here for that blog), and the DEA also pulled the controlled substance licenses from two Central Florida CVS Pharmacies (click here to read more).
Providers must be careful not to violate HIPAA. HIPAA violations may also result in administrative and civil action against you and your license, especially if the patient can prove they were damaged by the leak. A patient who was arrested due to the provider's HIPAA violation would likely be able to show damages and cause action against the provider's license.
You can read more on HIPPA violations on our two-part blog series. Click here to read part one and click here to read part two.
Contact a Health Law Attorney Experienced in Defending HIPAA Complaints and Violations.
The attorneys of The Health Law Firm represent physicians, medical groups, nursing homes, home health agencies, pharmacies, hospitals and other healthcare providers and institutions in investigating and defending alleged HIPAA complaints and violations and in preparing Corrective Action Plans (CAPs).
For more information about HIPAA violations, electronic health records or corrective action plans (CAPs) please visit our website at www.TheHealthLawFirm.com or call (407) 331-6620 or (850) 439-1001.
What do you think of the “Authorization of Release of Protected Health Information” form? Do you think it goes too far? Please submit any thoughtful comments below.
About the Author: Danielle M. Murray is an attorney with The Health Law Firm, which has a national practice. Its main office is in the Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone: (407) 331-6620.
Tag Words: Health Insurance Portability and Accountability Act, HIPAA, HIPAA audits, HIPAA audit protocol, HIPAA compliance, medical records, defense attorneys, defense lawyers, legal representation, audit attorneys, health care audits, breach of patient confidentiality, pill mill, doctor shopping, pill mill laws, controlled substances, pharmacies, pharmacists, overprescribing, pain clinics, pain management, Florida prescription drug crackdown, Florida prescription drug abuse
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