Certified Medical Assistant (CMA AAMA)Communication and Legal/EthicalHard

A medical assistant receives a subpoena requesting a patient's complete medical record for a legal proceeding. The patient has not provided explicit authorization for this release. Which of the following actions should the medical assistant take FIRST?

  1. AImmediately release the requested records to the court.
  2. BContact the patient to obtain their authorization for release.
  3. CRedact all protected health information (PHI) and send the remaining documents.
  4. DNotify the practice's legal counsel or supervisor.
Show answer & explanation

Correct answer: D. Notify the practice's legal counsel or supervisor.

A subpoena is a legal document, but it does not automatically bypass HIPAA rules for protected health information (PHI) without proper process. The first step upon receiving a subpoena for medical records is to notify the practice's legal counsel or supervisor. They can assess the validity of the subpoena, determine if a qualified protective order is in place, or advise on obtaining specific patient authorization, ensuring compliance with both legal requirements and HIPAA.

Why the other options are wrong

  • A. Releasing records without proper authorization or legal review could violate HIPAA.
  • B. While patient authorization is often required, a subpoena introduces a legal dimension that necessitates counsel review first.
  • C. Redacting PHI without legal guidance may not fully comply with the subpoena's requirements or HIPAA rules regarding legal disclosures.

Subpoena for Medical Records

A legal order requiring the production of medical records, which must be handled carefully to comply with both legal demands and HIPAA privacy rules.

  • Does not automatically authorize PHI release.
  • Requires review by legal counsel or supervisor.
  • May require a qualified protective order or patient authorization.

Memory trick: S-L-A-R: Subpoena, Legal Counsel, Authorize, Release/Refuse.

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