900.12(c)(4)(ii),(iii): Each facility that performs mammograms:
(ii) Shall upon request by, or on behalf of, the patient, permanently or temporarily transfer the original mammograms and copies of the patient's reports to a medical institution, or to a physician or health care provider of the patient, or to the patient directly;
(iii) Any fee charged to the patients for providing the services in paragraph (c)(4)(ii) of this section shall not exceed the documented costs associated with this service.
- What should a facility do if a patient (or someone acting on her behalf) requests permanent or temporary transfer of mammograms and/or reports? Who should pay for it? What recourse does the patient have if the facility overcharges for the transfer or refuses to cooperate?
- What documentation should I get when a patient, or an individual acting on the behalf of the patient, or the patient's physician requests the release of the patient's records? How long should I keep the documentation?
- What are appropriate charges for the transfer of mammographic records? Can I include the cost of making copies of the films?
- With the introduction of Full Field Digital Mammography, what constitutes a mammogram for retention and transfer purposes, the digital data or the hardcopy film?
- We have an FFDM unit and do not keep hardcopy of our exams (i.e., we retain the images electronically). When patients request the release of their exam, we create a hardcopy for them. May we charge the patient for the cost of creating the hardcopy?
- Can a facility use lossless compression to transmit images to the patient or other medical institutions for final interpretation?
- Can a facility use lossy compression to transmit images to the patient or other medical institutions for final interpretation?