Under HIPAA Privacy Rule, a healthcare provider may disclose PHI without patient authorization in all of the following situations EXCEPT:
A) to a specialist a patient is being referred to.
B) to a nursing home a patient is being transferred to.
C) when consulted to provide healthcare to a patient.
D) to any family members.
E) as part of a claim for payment from a health plan.
D
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Why do clinicians have to include diagnosis codes (in addition to procedure codes) when submitting claims for medical services to CMS?
A. The IRS cross-checks diagnoses against patient income tax deductions for medical care. B. CMS will not pay for procedures that don't relate to the diagnosis. C. Diagnosis-related data is transmitted to the Centers for Disease Control and Prevention so it can detect trends. D. CMS uses diagnosis and procedure codes to assess the competence of clinicians.
Some of the participants in the Tuskegee Syphilis Study were not informed of the purpose and procedures of the study. Which right was violated?
a. Confidentiality b. Anonymity c. Full disclosure d. Protection from harm