Sorry I couldn’t word that better, but I don’t know the proper term. My vocabulary is kind of limited and I have trouble putting thoughts into words.
I always see stuff about this rule, but I don’t really understand it. You can’t talk about what’s said during this appointment, but what does that entail? And what are the exceptions to this rule, because I think there are, right?
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Everything will go into an office note for documentation purposes. There will be billing and diagnostic codes related to it. If you are self pay, these records are sealed to just you, the Dr, and anyone you approve. If you have insurance, you, the Dr, and the insurance have records. If sign releases, other doctors or private individuals can access these records. If someone can fake being you, they can also get them. In the US, some mental health codes or STDs lock down the system, where only the provider sees anything and the patient and insurance can only access codes and not complete records. I forget the reasoning on this, but it’s super secured with anyone baker acted.
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