HIPAA compliant auths, req vs not req Flashcards
Attorney/Attorney General
Requires a HIPAA Compliant Authorization
Disability Determination Services (DDS)
Requires a HIPAA Compliant Authorization
Division of Family Services/HHS
Requires a HIPAA Compliant Authorization
Insurance Benefits, Payment will go to the pt (reimbursement to pt)
Requires a HIPAA Compliant Authorization
Insurance Underwriting (pt applying for insurance)
Requires a HIPAA Compliant Authorization
Law Enforcement (local, state or federal)
Requires a HIPAA Compliant Authorization
Medical Studies/clinical trials
Requires a HIPAA Compliant Authorization
Military Recruiters (ex: air force, coast guard, national guard)
Requires a HIPAA Compliant Authorization
Subpoena for sensitive records
Requires a HIPAA Compliant Authorization
Subpoena in lieu of satisfactory assurance as per state guidelines
Requires a HIPAA Compliant Authorization
Third Party Record Retrieval Companies (except audits)
Requires a HIPAA Compliant Authorization
Workers compensation, requested records are outside the scope of injury
Requires a HIPAA Compliant Authorization
Audits, CMS, PRO RAC
does NOT Requires a HIPAA Compliant Authorization
Audits, Insurance reviews, DRG validation, risk adjustment, HEDIS
does NOT Requires a HIPAA Compliant Authorization
COC, medical provider to medical procider
does NOT Requires a HIPAA Compliant Authorization
COC, Center for Disease Control (federal or state)
does NOT Requires a HIPAA Compliant Authorization
COC, Coroner/Medical examiner
does NOT Requires a HIPAA Compliant Authorization
COC, State child death review
does NOT Requires a HIPAA Compliant Authorization
Court Orders
does NOT Requires a HIPAA Compliant Authorization
Insurance Claims to pay the provider
does NOT Requires a HIPAA Compliant Authorization
Internal (BOC, businesses within your cover entity)
does NOT Requires a HIPAA Compliant Authorization
Social and Rehabilitative Services
does NOT Requires a HIPAA Compliant Authorization
Subpoena within Satisfactory assurance (cannot be for sensitive information)
does NOT Requires a HIPAA Compliant Authorization
Workers compensation, for records on or after the injury and are related only to the injury
does NOT Requires a HIPAA Compliant Authorization