News & Analysis

February 10, 2016
Medicare Insider

There are 10 newly approved Recovery Auditor issues.

February 9, 2016
Medicare Insider

This week’s updates include FY 2015 Report to Congress; expanding uses of Medicare data by qualified users; and more!

February 3, 2016
Medicare Insider

This week’s note is about modifier –PO and the Bipartisan Budget Act Section 603.

February 2, 2016
Medicare Insider

This week’s updates include OIG Advisory Opinion No. 16-01; required billing updates for rural health clinics; and more!

February 1, 2016
Briefings on HIPAA

Tips from this month's issue

February 1, 2016
Briefings on HIPAA

Submit your HIPAA questions to Associate Editor Nicole Votta at nvotta@hcpro.com and we will work with our experts to provide you with the information you need.

Q: Our front desk receptionist has asked the following question regarding residents who are admitted to our long-term care facility. If someone calls the front desk asking for information on a resident, such as "Is (resident) in your facility?" or "What is their room number?", would this information be considered PHI?

 

A: The answer is not straightforward when it comes to long-term care. It all depends on the care setting. If care is provided in an assisted living facility and the assisted living facility does not provide healthcare services, such as nursing care related to treatment or a clinic on-site, the information is not PHI. On the other hand, if the facility is a skilled nursing facility (SNF) and is providing what HIPAA defines as healthcare, it would be considered PHI. That doesn't mean the receptionist cannot share the information about whether a resident is at the facility or the resident's room number. Similar to a hospital, a long-term care facility could maintain a facilities directory. Unless the resident has specifically requested he or she not be included in the facility directory, you can share whether a resident is at the facility and where the resident is located in the facility. Providing more information would be prohibited. Review the long-term care regulations in the state in your state.

Editor’s note: Chris Apgar, CISSP, president of Apgar and Associates in Portland, Oregon, answered this question. This information does not constitute legal advice. Consult legal counsel for answers to specific privacy and security questions.

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