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ROI > HIPAA compliant auths, req vs not req > Flashcards

HIPAA compliant auths, req vs not req Flashcards

1
Q

Attorney/Attorney General

A

Requires a HIPAA Compliant Authorization

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2
Q

Disability Determination Services (DDS)

A

Requires a HIPAA Compliant Authorization

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3
Q

Division of Family Services/HHS

A

Requires a HIPAA Compliant Authorization

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4
Q

Insurance Benefits, Payment will go to the pt (reimbursement to pt)

A

Requires a HIPAA Compliant Authorization

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5
Q

Insurance Underwriting (pt applying for insurance)

A

Requires a HIPAA Compliant Authorization

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6
Q

Law Enforcement (local, state or federal)

A

Requires a HIPAA Compliant Authorization

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7
Q

Medical Studies/clinical trials

A

Requires a HIPAA Compliant Authorization

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8
Q

Military Recruiters (ex: air force, coast guard, national guard)

A

Requires a HIPAA Compliant Authorization

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9
Q

Subpoena for sensitive records

A

Requires a HIPAA Compliant Authorization

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10
Q

Subpoena in lieu of satisfactory assurance as per state guidelines

A

Requires a HIPAA Compliant Authorization

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11
Q

Third Party Record Retrieval Companies (except audits)

A

Requires a HIPAA Compliant Authorization

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12
Q

Workers compensation, requested records are outside the scope of injury

A

Requires a HIPAA Compliant Authorization

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13
Q

Audits, CMS, PRO RAC

A

does NOT Requires a HIPAA Compliant Authorization

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14
Q

Audits, Insurance reviews, DRG validation, risk adjustment, HEDIS

A

does NOT Requires a HIPAA Compliant Authorization

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15
Q

COC, medical provider to medical procider

A

does NOT Requires a HIPAA Compliant Authorization

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16
Q

COC, Center for Disease Control (federal or state)

A

does NOT Requires a HIPAA Compliant Authorization

17
Q

COC, Coroner/Medical examiner

A

does NOT Requires a HIPAA Compliant Authorization

18
Q

COC, State child death review

A

does NOT Requires a HIPAA Compliant Authorization

19
Q

Court Orders

A

does NOT Requires a HIPAA Compliant Authorization

20
Q

Insurance Claims to pay the provider

A

does NOT Requires a HIPAA Compliant Authorization

21
Q

Internal (BOC, businesses within your cover entity)

A

does NOT Requires a HIPAA Compliant Authorization

22
Q

Social and Rehabilitative Services

A

does NOT Requires a HIPAA Compliant Authorization

23
Q

Subpoena within Satisfactory assurance (cannot be for sensitive information)

A

does NOT Requires a HIPAA Compliant Authorization

24
Q

Workers compensation, for records on or after the injury and are related only to the injury

A

does NOT Requires a HIPAA Compliant Authorization

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