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When a third-party payer requests copies of patient information related to a claim, what must the billing and coding specialist ensure is included in the patient's file?

a) Social security number
b) Credit card information
c) Medical history
d) Authorization for release of information

User Majom
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Final answer:

The billing and coding specialist must ensure that the patient's file includes an Authorization for release of information when a third-party payer requests information, in adherence to HIPAA standards.

Step-by-step explanation:

When a third-party payer requests copies of patient information related to a claim, the billing and coding specialist must ensure that the patient's file includes an Authorization for release of information. This is necessary to comply with the Health Insurance Portability and Accountability Act (HIPAA), which protects patient privacy and governs the disclosure of health records. Furthermore, only the minimum necessary information should be provided in order to balance the costs of treatments, patient quality of life, and risks to individual privacy. This is particularly essential in maintaining legal standards and patient confidentiality in many complex health care scenarios.

User Xilconic
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