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CIPP-US Exam - Question 100


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

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Correct Answer: CD

Under the HIPAA Privacy Rule, several exceptions allow for the disclosure of protected health information without patient authorization. These exceptions include disclosing health information for public health activities, filing a child abuse report, and treating a medical emergency. However, disclosing health information to pay a third-party billing administrator does not fall under these exceptions. Generally, disclosures made for payment and healthcare operations do not require patient authorization, but these typically involve entities directly involved in the healthcare process, not third parties.

Discussion

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cwww98Option: D
Apr 9, 2023

While the other options listed are all exceptions to the authorization requirement, disclosing health information to pay a third-party billing administrator falls under the "payment" exception, so authorization is not required.

AmbulocetusOption: D
Aug 20, 2023

The answer is D. Disclosing health information needed to pay a third party billing administrator. Among the options provided, disclosing health information needed to pay a third party billing administrator would NOT constitute an exception to the authorization requirement under the HIPAA Privacy Rule. Generally, when disclosing health information for payment and healthcare operations purposes, specific patient authorization is not required. However, this exception applies primarily to disclosures made to healthcare providers, health plans, and other entities directly involved in the payment or healthcare operations process.

RomeoktonOption: D
Feb 2, 2024

After a lot of my own research I also go with D and agree with Ambulocetus. The key is "third party". The cwww98 logic is wrong or he/she did not understand the question.

BhimeshOption: D
Apr 11, 2024

Yup, D...