QUESTION IMAGE
Question
question 4 of 30
providers may disclose phi for treatment, payment or (health care) operations (known as tpo). which of the following are covered by tpo? check all that apply.
select all that apply
release to an attorney and some court requests
referral to specialist
sending phi to billing management company for coding
discussing phi in clinical quality of care committee meeting
Brief Explanations
To determine which options are covered by TPO (Treatment, Payment, Health Care Operations), we analyze each:
- Referral to a specialist: This is for Treatment (ensuring proper care), so covered.
- Sending PHI to billing management company for coding: This is for Payment (processing claims, coding for reimbursement), so covered.
- Discussing PHI in clinical quality of care committee meeting: This is for Health Care Operations (improving care quality), so covered.
- Release to an attorney and some court requests: Court/attorney releases are usually not TPO; they fall under legal requirements or patient authorization (not part of TPO's Treatment, Payment, Operations).
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- Referral to specialist
- Sending PHI to billing management company for coding
- Discussing PHI in clinical quality of care committee meeting