Question

The HIPAA Privacy Rules allows sharing of information without authorization for TPO (treatment, payment, operations). Categorize each of the following scenarios into either treatment, payment, or operations. A clinic office sends an office note to an insurance company to show medical necessity for the services provided. A psychoanalyst forwards a patient’s health care information to another health care provider for further treatment by that provider. A department runs a report of the number of patients seen this year in order to plan for the number of patients that will be seen next year. A hospital sends a patient’s health care instructions to a nursing home to which the patient is being transferred.

Answer 1

The treatment like new medication, allergies, procedure,etc.,to be carried out by other provider pr health care sector when a patient is transferred from one provider to another or from one organization to another

• A psychoanalyst forwards a patient's health care information to another health care provider for treatment by that provider
• A host hospital sends a patient's health care instructions to a nursing hone to which the patient is being transferred

Payment are related to the information which can be provided either to an hospital or to an insurance company

• A clinic office sends an office note to an insurance company to show medical necessity for the services provided

Operations includes a variety of information in an organization to be shared anonymously for public purposes or for the best interest for a bigger set up .It is generally used in planning in ahead

• A department runs a report of the number of patients seen this year in order to plan for number of parents that will be seen next year