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The healthcare coordinator receives a voicemail message from a patient asking about an insurance claim that is being processed for a procedure. The healthcare coordinator returns the patient's call. Which action demonstrates knowledge of evidence and research about ethical and legal constraints for HIPAA compliance?

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Final answer:

The healthcare coordinator should verify the patient's identity, ensure privacy during the conversation, and limit the discussion to necessary details when returning a call about an insurance claim, to comply with HIPAA regulations.

Step-by-step explanation:

When the healthcare coordinator receives a voicemail message from a patient inquiring about an insurance claim and returns the call, there are strict guidelines under the Health Insurance Portability and Accountability Act (HIPAA) to be observed. To demonstrate knowledge of ethical and legal constraints for HIPAA compliance, the healthcare coordinator should:

  • Verify the identity of the patient before disclosing any information related to health records.
  • Ensure that the conversation does not take place in a public setting where confidential information can be overheard.
  • Limit the information discussed to what is necessary for addressing the patient's query about the insurance claim.

These actions protect patient privacy by adhering to the ethical and legal standards set out by HIPAA, which restrict the unauthorized, nonconsensual release of individually identifiable health information.

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