Appropriate charges for transfer of mammographic records could include items such as administrative time costs incurred in logging-in the request, retrieving the mammography films and reports, having the patient sign a release, packaging and mailing charges for the materials, and photocopying costs incurred in making copies of reports.
Facilities may, but are not required by MQSA to, make copies of the mammographic films. If these copies are requested by the patient or are mandated by State regulations, then the cost of making the copies can be charged to the patient. If the facility wishes to keep copies for its own benefit, the cost cannot be charged to the patient. If requested by the patient, facilities must produce documentation (e.g., itemized bill) that shows the charges do not exceed the costs associated with this service.