According to HIPAA guidelines on uses and disclosures of protected health information, in which of the following circumstances must a medical assistant obtain the patient's written authorization before releasing the records?
A nurse shares a patient's status update with other members of the health-care team for treatment purposes.
A lawyer requests a patient's records for a lawsuit unrelated to the patient's care.
The billing department submits a patient's health claim to the insurance company for payment.
A physician discards outdated medical records in a HIPAA-compliant manner.
HIPAA allows covered entities to disclose protected health information without authorization only for treatment, payment, and routine health-care operations or when another specific Privacy-Rule exception applies. A request from an attorney for records related to a lawsuit that is not part of the patient's care does not fall under these exceptions; therefore, the provider must have the patient's signed authorization (or a qualifying court order) before releasing the records. Securely discarding outdated records, sharing information among health-care professionals for treatment, and submitting claims for payment are all permitted activities that do not require the patient's written authorization.
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