Documenting Encounters
Paper, Electronic, and Hybrid Medical Records
HIPAA Privacy: Protected Health Information
What Is Protected Health Information?
Notice of Privacy Practices and Acknowledgment
Disclosure of PHI
Release of Information for Treatment, Payment, and Operations
Release of Information for Purposes Other Than TPO
Exceptions to Disclosure Standards
Incidental Use and Disclosure
Patients' Rights
Access, Copy, and Inspect
Amendments
Accounting for Disclosures
Confidential Communications Requirements
Patient Complaints
Requests for Restrictions
Case Discussion
Case 1
Case 2
Case 3
After studying this chapter, you should be able to:
Briefly discuss the role of medical record documentation as the source of health information about patients.
List five responsibilities of covered entities under the HIPAA Privacy Rule.
Define protected health information (PHI).
Discuss the required content of the HIPAA Notice of Privacy Practices (NPP).
Discuss the privacy standards relating to appropriate release of PHI for treatment, payment, and operations (TPO) purposes.
Describe the conditions under which authorization for release of PHI must be obtained.
List the items that are essential for general authorizations to release information.
Discuss the major exceptions to the HIPAA release of information requirements.
State the privacy standards that relate to incidental use and disclosure of PHI.
State patients' rights regarding the use and disclosure of their PHI.
