Which of the following can HIPAA-covered entities and business associates disclose PHI for?

Prepare for the AAPC Certified Physician Practice Manager Exam with comprehensive quizzes, multiple-choice questions, and detailed explanations. Ace your exam with confidence!

The correct answer is based on the provisions established by the Health Insurance Portability and Accountability Act (HIPAA), which outlines the permissible uses and disclosures of Protected Health Information (PHI). Specifically, HIPAA allows covered entities and business associates to disclose PHI for treatment and payment purposes without the need for patient authorization.

Disclosing PHI for treatment purposes includes sharing information with other healthcare providers for the coordination of care or consultation. For payment purposes, this includes activities related to billing, claims management, and other payment functionalities involved in healthcare operations. Thus, these activities are essential for the delivery of healthcare services and the financial operations of health providers.

In contrast, while marketing, family notifications, and employee benefits might have situations where PHI can be shared, they often require specific authorizations or must meet more stringent criteria under HIPAA regulations. For instance, marketing activities typically require explicit consent from the patient unless they fall under certain exemptions. Family notifications may be permissible under specific circumstances, such as when the patient is incapacitated, but this is not universally applicable. Similarly, employee benefits would generally require additional measures to protect the confidentiality of PHI and often need informed consent from the individual. Therefore, treatment and payment stand out as inherently permissible uses of PHI

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