HIPAA Glossary · Privacy Rule concepts

TPO

Also: treatment, payment, and healthcare operations

The three purposes for which PHI may be used and disclosed without patient authorisation.

Context

The workhorse permission at §164.506. Treatment covers care coordination between providers; payment covers billing, eligibility, and claims; healthcare operations covers quality, training, credentialing, audits, and business planning. Most routine healthcare runs on TPO. Uses beyond TPO generally need either a specific permission in the rule or a signed authorisation.

Related terms

  • Authorisation — The signed, specific permission required for uses and disclosures beyond what the Privacy Rule permits.
  • Minimum necessary — The standard requiring uses, disclosures, and requests to be limited to the least PHI needed for the purpose.

Where this fits

This is one of 50+ terms in the HIPAA Glossary. For how HIPAA is structured end-to-end, see the Security Rule guide and the Privacy Rule guide.

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