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CIPP-US · Question #61

CIPP-US Question #61: Real Exam Question with Answer & Explanation

The correct answer is D. Disclosing health information needed to pay a third party billing administrator.. The HIPAA Privacy Rule requires covered entities to obtain an individual's written authorization for any use or disclosure of protected health information (PHI) that is not for treatment, payment, or health care operations or otherwise permitted or required by the Privacy Rule. H

Question

Which of the following would NOT constitute an exception to the authorization requirement under the HIPAA Privacy Rule?

Options

  • ADisclosing health information for public health activities.
  • BDisclosing health information to file a child abuse report.
  • CDisclosing health information needed to treat a medical emergency.
  • DDisclosing health information needed to pay a third party billing administrator.

Explanation

The HIPAA Privacy Rule requires covered entities to obtain an individual's written authorization for any use or disclosure of protected health information (PHI) that is not for treatment, payment, or health care operations or otherwise permitted or required by the Privacy Rule. However, there are some exceptions to the authorization requirement for certain public interest-related activities, such as disclosing health information for public health activities, reporting child abuse, or treating a medical emergency. These exceptions are intended to balance the privacy interests of individuals with the public interest in protecting health and safety, promoting quality health care, and ensuring compliance with the law. Disclosing health information needed to pay a third party billing administrator is not one of the exceptions to the authorization requirement, as it is considered a payment activity that falls under the general rule of requiring authorization. Therefore, it is the correct answer to the question.

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