CPB Certified Professional Biller Certification Practice Exam

What constitutes a breach of confidentiality in healthcare?

1. Providing care without consent

2. Unauthorized release of patient information to a third party

3. Failing to document patient records

4. Insufficient patient follow-up

The correct answer is: Unauthorized release of patient information to a third party

The correct choice highlights a fundamental aspect of healthcare privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. A breach of confidentiality occurs specifically when there is an unauthorized release of patient information to a third party. This means that confidential health information is shared without the explicit consent of the patient, violating the trust that is essential in the healthcare provider-patient relationship. Maintaining confidentiality is crucial because it ensures that patients feel safe sharing sensitive information with their healthcare providers. When patient information is disclosed without authorization, it can lead to a range of negative consequences for the patient, including potential stigma, discrimination, and emotional distress. Therefore, safeguarding patient information and ensuring it is only shared with authorized individuals or entities is a primary responsibility of healthcare professionals. The other options, while relevant to healthcare practices, do not directly constitute a breach of confidentiality in the same clear way. Providing care without consent typically pertains to the concept of informed consent rather than confidentiality issues. Failing to document patient records and insufficient patient follow-up are important aspects of healthcare quality but are not specifically related to the unauthorized release of information.