Question

question 14 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

Explanation:

To determine which options apply, we analyze each in the context of TPO (Treatment, Payment, Healthcare Operations):

1. Referral to a specialist: This is for Treatment (helping the patient get needed care), so it's TPO - eligible.
2. Sending PHI to billing management company for coding: This is for Payment (processing claims, coding for reimbursement), so it's TPO - eligible.
3. Discussing PHI in clinical quality of care committee meeting: This is for Healthcare Operations (improving care quality), so it's TPO - eligible.
4. Release to an attorney and some court requests: Court/attorney releases are not automatically TPO; they typically require patient authorization or a court order (unless a specific exception applies, which is not indicated here). Thus, this is not TPO - covered.

Answer:

B. Referral to specialist
C. Sending PHI to billing management company for coding
D. Discussing PHI in clinical quality of care committee meeting