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From what I understand from the video and the regulation definition under Health Care Operations there are many ways for the provider to share the data without consent (page 2: https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/coveredentities/sharingfortpo.pdf).
Is that the first hurdle you were mentioning? I'm just trying to understand where is the restriction of the second hurdle if in 164.506 it says an entity can use the data:
Trying to understand the distinction add have another TIL moment, not aeguing against the comment
I mean to a degree this makes sense. It might very much be medically required to share such data.
How to, for example, prosecute a doctor for quackery if you cannot get access to the cases they worked on? So for oversight, someone overseeing it needs to be able to know drtaiks about the cases, too.
Hypothetically, they can ask for consent from patients, with some form that allows investigative agencies to access contact information of patients for such cases. I think there are other options other than sending it without consent and even the knowledge of the patients.
I guess personally I'd even be fine with not being asked, though now that you mention it, I'd like to at least know.
But then again, to some extend that's how it works here. My insurance knows about everything, but I need to allow doctors to access or modify my file, and then only portions of it. Like my general doctor can do a lot of stuff, but obviously my dentist can only do dental and radiology stuff.