Health Information Management

Q&A: HITECH vs. third-party payer policies: Who wins?

HIM-HIPAA Insider, May 11, 2010

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Q. Does HITECH supersede our contracts with third-party health insurance policies if the patient pays for the office visit in cash?

A. HITECH gives patients the right to restrict disclosure of their health information for billing purposes for any services for which they have paid in full. In these situations, you may not bill insurance companies or even disclose that you provided services.
 
Editor’s note: Mary D. Brandt, MBA, RHIA, CHE, CHPS, associate executive director of HIM at Scott & White Healthcare in Temple, TX, answered this question in the May 2010 issue of Briefings on HIPAA.



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