Pt name in the report itself?

I thought I had read somewhere that the pt name should not be in the body of the report. Can anyone tell me if that is a law/regulation/etc.. or just a style guideline? I have a new acct I am assigned to and all of the docs give the pt's name while dictating the body of the office note/procedure note.

If it is a HIPAA thing or some sort of regulation, I need to know.  If it is merely style, I will leave it.

I just want to do my job right so if anyone knows for sure, please let me know.

• Pt name in the report itself? - newbie
  • name - me
  • A patient's name is almost required in the report - Milton's Red Stapler
  • You really should discuss this with your employer or - your client.
  • having less IDENTIFYING items in body of reportSM - It's a HIPAA law really - they want the record.
    • You are simply misinformed. It is not a HIPAA law. - Suzanne
      • To protect you, the MT, and the client...sm - It's a HIPAA thing and BOS thing really.....
      • Can you please give a link or something - that shows it is not "law"?
        • It's not law, so there is no "link" (sm) - Lori
          • R U LAZY? do your own work..link inside..sm - It's a HIPAA thing and BOS thing really.....
            • I already know what it says (sm)... - Lori
              • no message inside.... - *sniffs* - troll alert....LOL
              • re this poster's response consider the bad response - It's a HIPAA thing and BOS thing really.....
        • pls read hipaa link supplied above and.....sm - It's a HIPAA thing and BOS thing really.....
  • It's a style thing (nm) - Lori
    • It's CLIENT preference, not style....no message - 100 percent incorrect...
    • thanks - newbie
  • What does your client/QA say? - nm
    • nothing yet - newbie
      • you're doing it correctly *the pt* until they..sm - It's a HIPAA law really - they want the record.
        • this was a very bad example - Milton's Red Stapler
        • Again you are wrong. - Suzanne
          • so not necessary to be rude - and being rude and nasty on top of that
          • poster clearly said what client wants.....NM - ut-oh troll alert......

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What is the standard way to flag a report if you did not understand a dictated word? The AAMT BOS states to leave a blank space. If you had to flag a report for that reason what is your procedure?

Thanks

to help with filing the report into the chart.  Now whether or not it a copy of that record can be sent out with the patient's name is a different story depending on several factors.  For example, all identifying information must be removed by a hospital's tumor registrar before submitting the information to the College of Surgeons who monitor cancer trends and treatments.

Many services are steering away from the name of the patient being in the body of the report as a general safeguard, which is a good thing, but this is not mandated by any law.