Millions of payer requests for medical records are sent to hospital business offices every day. Business office staff are often tasked with pulling, compiling and sending Protected Health Information (PHI) to meet these requests.
Many payer requests are part of treatment, payment and operations (TPO) according to HIPAA. Payer requests are the “P” in TPO. However, others such as Medicaid assistance applications and disability requests are not covered under TPO. Knowing the difference and managing each request with the upmost regard for patient privacy is the focus of this month’s HIM Scene post.