Form ODM10113 Mcp / Mcop Reporting Document for Improper Disclosure of Protected Health Information (Phi) - Ohio

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Form ODM10113 Mcp / Mcop Reporting Document for Improper Disclosure of Protected Health Information (Phi) - Ohio

What Is Form ODM10113?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is ODM10113?A: ODM10113 is a reporting document for improper disclosure of Protected Health Information (PHI) in Ohio.

Q: What is MCP/MCOP?A: MCP/MCOP stands for Managed Care Plan/Managed Care Organization.

Q: What is PHI?A: PHI stands for Protected Health Information, which includes any personal health information that can be used to identify an individual.

Q: What is an improper disclosure of PHI?A: An improper disclosure of PHI refers to the unauthorized release of protected health information to individuals or entities not authorized to receive it.

Q: Who is required to report improper disclosure of PHI?A: Managed Care Plans/Organizations in Ohio are required to report improper disclosure of PHI using the ODM10113 reporting document.

Q: What information is required in the ODM10113 reporting document?A: The ODM10113 reporting document requires detailed information about the improper disclosure, including the date, time, location, individuals involved, and description of the incident.

Q: What are the consequences of improper disclosure of PHI?A: Improper disclosure of PHI can result in legal repercussions, financial penalties, and damage to the reputation of the organization responsible for the disclosure.

Q: How can individuals protect their PHI?A: Individuals can protect their PHI by being cautious with their personal health information, not sharing it with unauthorized individuals, and regularly monitoring their health records for any signs of improper disclosure.

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Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM10113 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM10113 Mcp / Mcop Reporting Document for Improper Disclosure of Protected Health Information (Phi) - Ohio

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