HIM1110 health info processing
Worksheet
Accounting of Disclosures Assignment

Maintaining an accounting procedure for monitoring and tracking PHI disclosures is not only required by the HIPAA Privacy Rule, but it also stipulates a specific standard with respect to such recordkeeping. Per the right to request accounting of disclosures, an individual has the right to receive an accounting of certain disclosures made by a CE. Evaluate this patient’s request for an accounting of disclosures. Using the Privacy Rule’s standard, determine if the disclosure should be included in the accounting report given to the patient. Defend your answer by indicating why the disclosure should or should not be included in the accounting report given to the patient. Record your answers on this Worksheet. Use this completed Worksheet to record your answers in the quiz. This quiz is worth 10 points. Determine whether the disclosure should be included in the accounting report provided to the patient using the Privacy Rule’s standard. Explain why the disclosure should or should not be included in the accounting report given to the patient. Fill out this Worksheet with your answers. Use this completed Worksheet to record your quiz answers. This quiz has a point value of ten.

Scenario: You are the Release of Information Technician at Sinclair Memorial Clinic (SMC). SMC utilizes Epic, which is an EHR. A request for an accounting of disclosures was received at SMC today (today = the first day/start date of Topic 11). The table below is the list of the recorded disclosures of PHI for this patient. Based on the Privacy Rule’s stipulations, evaluate if the following disclosures should be included in the accounting report given to the patient. Provide reasoning for your answer.

Assessment for Accounting of Disclosures
Released to
Date of Request
Authorized by
Include in Accounting?
Y or N
Provide reason for your answer
Example: Mainville Correctional Prison

Three years ago

Law

N

Disclosure not required for release to correctional institutions

1. POA of patient

Two years ago

Patient

2. Patient

Five years ago

Patient

3. Attorney (Authorization received for release)

One year ago

Patient’s POA

4. Blue Cross

One year ago

TPO

5. Worker’s Compensation

Seven years ago

Law

6. Ohio Dept of Health

Four years ago

Law

7. Subpoena

Five years ago

Court Order

8. Physician

6 months ago

Patient

9. Home Health Agency

6 months ago

Physician referral

10. UHDDS requirements

6 months ago

Law

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