Disclosures

If HPI is transferred for purposes other than TPO (treatment, payment, operations), the HIPAA Privacy Rule requires that the transfer of information (or disclosure) must be documented.   Therefore, which of the following actions require documentation of disclosure?

1.  The physician has diagnosed a patient with Tuberculosis and reports this to the State as required by law.

2.  The clinic sends a copy of the immunization records to the child's school .

3.  Medical records are sent to the District Attorney investigating a case of child abuse.

4.  Records are sent to the specialist scheduled to see the patient next week

5.  Copies of clinic notes are sent to the healthcare plan to determine insurance coverage?