The patient with human immunodeficiency virus (HIV) wishes his diagnosis to remain confidential. The patient’s insurance company calls to ask questions about the diagnosis prior to releasing payment for his medical treatment. Which response by the nurse is appropriate?

Provide the information needed to the insurance company for them to authorize payment. The Health Insurance Portability and Accountability Act (HIPAA) states that personal health information (PHI) may be disclosed for health payment purposes without the express written consent of the patient unless the patient has expressly requested restrictions in writing on how the hospital discloses his/her PHI. The nurse does not categorically refuse to give information to the insurance company nor does the nurse require that the insurance company obtain this information in person. Express written consent is not required to release the patient’s PHI to his insurance company for the purposes of payment.

The patient with human immunodeficiency virus (HIV) wishes his di...

NCLEX Practice
Categories
Management of Care
View Question

Category: Management of Care
Difficulty: 3

Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality Infection

Want help? View the answer with rationale.

Additional Management of Care Questions

The nurse is the first responder to a motor vehicular accident involving the injury of a 40-year-old male. Which action is the highest priority?

Question Type: Multiple Choice - Select One
Difficulty: 6

The nurse is supervising the care of the patient who is alert but has increased intracranial pressure following head trauma. Which action by the unlicensed assistive personnel (UAP) prompts the nurse to intervene immediately?

Question Type: Multiple Choice - Select One
Difficulty: 6

A nurse is discussing a patient’s clinical case with the treating physician and they enter a public hospital elevator. Which action by the colleagues is the most appropriate?

Question Type: Multiple Choice - Select One
Difficulty: 1

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Management of Care Questions

Nursing Careers

Nursing Degrees

NCLEX