Question

Question 1. Scenario: A coding clerk overhears two employees discussing a patient by name. Because the clerk has been working on the medical record of that patient and is now familiar with the patient's history the clerk realizes that the information being discussed is not accurate.

1. What is this an example of?

2. What action should the clerk take?

Question 2. Scenario: In reviewing an insurance claim, the insurance billing specialist realizes that they know the individual who has a diagnosis that indicates a mental health condition. The specialist discusses this with a friend at work.

1. What is this an example of?

2. What is this a violation of?

Answer 1

Ans.1.1.) It is an example medical scrutiny and negligence.

2.) The clerk should recheck the information and gathers data to maintain accurate medical records.

Ans.2.1) It is an example of violation of patient's privacy.

2.) According to the Health Insurance Portability and Accountability Act (HIPAA), it is the violation of patient's privacy.