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HIPAA COW
POLICY/PROCEDURE WORKGROUP
PATIENT PRIVACY-RELATED COMPLAINTS
Disclaimer
This document is Copyright ? 2002 by the HIPAA Collaborative of Wisconsin (“HIPAA COW”). It may be freely redistributed in its entirety provided that this copyright notice is not removed. It may not be sold for profit or used in commercial documents without the written permission of the copyright holder. This document is provided “as is” without any express or implied warranty. This document is for educational purposes only and does not constitute legal advice. If you require legal advice, you should consult with an attorney. HIPAA COW has not yet addressed all state preemption issues related to this document. Therefore, this document may need to be modified in order to comply with Wisconsin law.
Preemption Issues Section 51.61 Wis. Stats. covering mental health and substance patients in private hospitals or public general hospitals states that grievance procedures must include protections against the application of sanctions against any complainant or any person, including an employee of the department, county department under s. 51.42 or 51.437 or service provider who assists a complainant in filing a grievance.
Section 631.28(1) Wis. Stats. covering insurers states that every insurer shall provide notice to its policyholders and its insureds of the right to file a complaint with the Office of the Commissioner of Insurance in the manner prescribed by rules promulgated under 631.28(2).
* * * *
Policy
Company XYZ shall provide a process for the patient to file a complaint if the patient feels his or her privacy rights have been violated. The patient may also file a complaint concerning Company XYZ’s privacy policies and procedures, even without alleging a violation of rights.
Company XYZ shall designate a contact person or office responsible for receiving complaints and shall establish a process for receiving, investigating and responding to patient com
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