Health Insurance Portability and Accountability Act (HIPPA) Practice Exam

Who can disclose PHI without patient consent under HIPAA?

1. The patient themselves

2. Family members of the patient

3. Healthcare providers for treatment purposes

4. The public for safety reasons

The correct answer is: Healthcare providers for treatment purposes

Healthcare providers are allowed to disclose Protected Health Information (PHI) without patient consent when it is necessary for treatment purposes. This is a key provision under HIPAA, designed to ensure that individuals receive appropriate care without unnecessary delays that could arise from obtaining consent for every exchange of information. For instance, if a doctor needs to share a patient's medical records with a specialist for ongoing treatment, HIPAA allows this exchange to occur without explicit consent from the patient. This provision facilitates coordinated care, enabling healthcare teams to work together effectively to provide the best outcomes for patients. In contrast, patients themselves obviously have unrestricted access to their own PHI, but this does not pertain to disclosure to others. Family members may have limited rights to access PHI depending on the patient's situation and level of consent, while the public at large cannot access PHI without proper justification, such as legal requirements or emergency situations. Therefore, the framework is set up to prioritize patient care and safety while also maintaining their privacy rights under HIPAA regulations.