Berks County Medical Society Medical Record Winter 2019 - 8

President's Message
continued from page 7

with the patient regarding the results of the test per your existing
professional obligations.
12. What information is required to be in the notice?
The notice must include the following:
1. The name of the ordering health care practitioner.
2. The date the test was performed.
3. The date the results were sent to the ordering health care
practitioner.
4. The following statement: "You are receiving this notice as a
result of a determination by your diagnostic imaging service that
further discussions of your test results are warranted and would be
beneficial to you. The complete results of your test or tests have
been or will be sent to the health care practitioner that ordered the
test or tests. It is recommended that you contact your health care
practitioner to discuss the results as soon as possible."
5. The contact information necessary for the patient to obtain a
full report.
13. Are there any exceptions under Act 112?
Yes. Notice is not required for the following services:
1. Routine obstetrical ultrasounds used to monitor the
development of a fetus.
2. Diagnostic imaging services performed on a patient who is
being treated on an inpatient basis or in an emergency room.
3. Diagnostic radiographs.
14. What is a "diagnostic radiograph"?
A diagnostic radiograph is defined as "a projectional radiograph that
acquires an image or digital image with x-rays to produce a high
contrast, two-dimensional image, otherwise known as an x-ray."
15. If inpatients are an exception under Act 112, does this
exception mean that hospitals are exempt from this law?
No. Hospitals and other providers that operate outpatient clinics or
other facilities that perform diagnostic imaging services, wherein the
patient is not admitted as an inpatient, will be required to comply
with Act 112.
16. As the entity performing the diagnostic imaging service, am I
required to send the test results to the patient under Act 112?
No. Only the information described above is required to be sent
to the patient, which includes information on how the patient can
obtain the full report from the diagnostic imaging service. However,
Act 112 does authorize (but not mandate) the diagnostic imaging
service to send the test results to the patient. Note that any other law
or regulation that requires test results to be sent to a patient is still
applicable.
17. Who must the test results be sent to?
The test results must be sent to the ordering health care practitioner.
8

|

www.berkscms.org

18. What is the timeframe the notice must be sent to the patient?
The notice must be sent to the patient no later than 20 days after the
date the test results were sent to the ordering health care practitioner.
19. What are the acceptable methods of communication of the
notice to the patient?
Acceptable methods of communication are:
1. Mail in a properly addressed and stamped letter through the
United States Postal Service.
2. Electronically sent by e-mail.
3. Sent by automatic alert from an electronic medical record
system that the notice has been posted to the patient's electronic
medical record that is presently viewable.
4. Sent by facsimile.
5. Provided directly to the patient at the time of service, so long
as the patient acknowledges receipt of the results and signs the
patient's medical record accordingly.
The notice shall be provided in a manner acceptable by the patient
or the patient's designee. This means that if the patient requests
a specific method of communication listed above, that request
must be honored. If the patient does not specify a specific method
of communication, then the entity performing the diagnostic
imaging service may employ one or more of the communications
listed above.
20. If I can hand the patient the notice, am I required to send an
additional notice within 20 days?
No. If notice is handed directly to the patient at the time of the test,
an additional notice is not required.
21. If I hand the patient the test results at the time of the test, am
I still required to send a notice?
No. Act 112 does not require an entity to provide the notice if the
results are provided to the patient or the patient's designee by the
health care practitioner at the time of the test.
22. Can the entity performing the test provide a summary of the
test to the patient?
Yes, though it is not mandatory. The entity performing the
diagnostic imaging service may provide a summary of the diagnostic
imaging service report (otherwise known as an impression or
conclusion) or provide the complete results of the diagnostic imaging
service provided to the ordering health care practitioner.
As of the date of this document, it is unknown whether providing
the impression or conclusion to the patient negates the requirement
to send the notice, as the law specifically negates sending the Act
112 notice if the test results are provided to the patient at the
time of test, and is silent on whether providing the impression
or conclusion negates sending the Act 112 notice. Until the
Department of Health provides clarification, it is recommended that


http://www.berkscms.org

Berks County Medical Society Medical Record Winter 2019

Table of Contents for the Digital Edition of Berks County Medical Society Medical Record Winter 2019

Berks County Medical Society Medical Record Winter 2019 - 1
Berks County Medical Society Medical Record Winter 2019 - 2
Berks County Medical Society Medical Record Winter 2019 - 3
Berks County Medical Society Medical Record Winter 2019 - 4
Berks County Medical Society Medical Record Winter 2019 - 5
Berks County Medical Society Medical Record Winter 2019 - 6
Berks County Medical Society Medical Record Winter 2019 - 7
Berks County Medical Society Medical Record Winter 2019 - 8
Berks County Medical Society Medical Record Winter 2019 - 9
Berks County Medical Society Medical Record Winter 2019 - 10
Berks County Medical Society Medical Record Winter 2019 - 11
Berks County Medical Society Medical Record Winter 2019 - 12
Berks County Medical Society Medical Record Winter 2019 - 13
Berks County Medical Society Medical Record Winter 2019 - 14
Berks County Medical Society Medical Record Winter 2019 - 15
Berks County Medical Society Medical Record Winter 2019 - 16
Berks County Medical Society Medical Record Winter 2019 - 17
Berks County Medical Society Medical Record Winter 2019 - 18
Berks County Medical Society Medical Record Winter 2019 - 19
Berks County Medical Society Medical Record Winter 2019 - 20
Berks County Medical Society Medical Record Winter 2019 - 21
Berks County Medical Society Medical Record Winter 2019 - 22
Berks County Medical Society Medical Record Winter 2019 - 23
Berks County Medical Society Medical Record Winter 2019 - 24
Berks County Medical Society Medical Record Winter 2019 - 25
Berks County Medical Society Medical Record Winter 2019 - 26
Berks County Medical Society Medical Record Winter 2019 - 27
Berks County Medical Society Medical Record Winter 2019 - 28
Berks County Medical Society Medical Record Winter 2019 - 29
Berks County Medical Society Medical Record Winter 2019 - 30
Berks County Medical Society Medical Record Winter 2019 - 31
Berks County Medical Society Medical Record Winter 2019 - 32
Berks County Medical Society Medical Record Winter 2019 - 33
Berks County Medical Society Medical Record Winter 2019 - 34
Berks County Medical Society Medical Record Winter 2019 - 35
Berks County Medical Society Medical Record Winter 2019 - 36
Berks County Medical Society Medical Record Winter 2019 - 37
Berks County Medical Society Medical Record Winter 2019 - 38
Berks County Medical Society Medical Record Winter 2019 - 39
Berks County Medical Society Medical Record Winter 2019 - 40
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Spring2021
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Winter2021
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BCMS_MedicalRecord_Fall2020
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Summer2020
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Spring2020
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Winter2020
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Fall2019
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Summer2019
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksMedicalSocietyHealthWellnessDirectory
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksMedicalRecord_Spring2019
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksMedicalRecord_Winter2019
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Fall2018
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Summer2018
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Spring2018b
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Winter2017-18
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_Physician_Fall2017
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/BerksCountyMedicalSociety_MedicalRecord_Summer2017
https://www.nxtbook.com/hoffmann/BerksCountyMedicalSociety/MedicalRecordSpring2017
https://www.nxtbookmedia.com