HIPAA Q&A: You've got questions. We've got answers!
HIM-HIPAA Insider, July 6, 2015
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Submit your HIPAA questions to Editor John Castelluccio at jcastelluccio@hcpro.com and we will work with our experts to provide you with the information you need.
Q: The facility where I work handles release of information in-house. We often receive checks from attorneys, insurance companies, etc., as payment for the released records. Patient names and account numbers are often included on the checks. I am concerned that others within the facility that are not involved in the patient’s care may see this information on the checks. I am also concerned about bank employees viewing this information when the checks are deposited. Is it a HIPAA violation for this information to be included on the checks we receive?
A: If the patient name and account number are included on checks received, those responsible for managing payments received may see the patient PHI. However, in most cases, this would be considered an incidental disclosure. Often, the patient information included on payments is needed to account for the source of the revenue and the associated patient record. If access to the checks is limited to only those who will be processing the payment, it is not a HIPAA violation.
If the patient name and account number are not required for the bank processing of the payment, it is advisable to black out that information. This is especially true if the covered entity (CE) is a specialty provider, because the mere fact that the check was paid to the CE can reveal the health condition of the patient. In the end, it comes down to the risk as determined by the CE. If it’s not feasible to black out the patient name and account number, it can be chalked up to incidental disclosure, which should be documented.
Editor’s note: Chris Apgar, CISSP, President of Apgar & Associates, LLC in Portland, Oregon, answered this question for HCPro’s Briefings on HIPAA newsletter. This information does not constitute legal advice. Consult legal counsel for answers to specific privacy and security questions.
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Related Products
-
Briefings on APCs
Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...
-
HIM Briefings
Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...
-
Briefings on Coding Compliance Strategies
Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...
-
Briefings on HIPAA
How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...
-
APCs Insider
This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...
Most Popular
- Articles
-
- Nursing responsibilities for managing pain
- Note similarities and differences between HCPCS, CPT® codes
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- OB services: Coding inside and outside of the package
- Q&A: Primary, principal, and secondary diagnoses
- Complications from immobility by body system
- Skills of effective case managers
- The consequences of an incomplete medical record
- Coding Clinic reiterates guidelines for provider documentation
- E-mailed
-
- Severity of illness: What is it all about and what does it mean for physician profiles, public perception?
- Q&A: Emergency room documentation and radiology reports
- Proctoring conundrums: How to credential an OR observer
- Learn documentation requirement for critical care coding in the ED
- Know the medical gas cylinder storage requirements
- Joint Commission aligns patient visitation rights requirements with CMS
- Immediate Jeopardy - Why this finding can be disastrous to your facility.
- HIM, CDI programs require 'TEAM' effort
- Free tool: Peer evaluation tool for charge nurse
- Correctly bill ancillary bedside procedures in addition to the room rate
- Searched
