Medical billing clerks must balance patient confidentiality with accessing necessary medical information to complete insurance claims. While doctors and nurses are authorized to view records, billing clerks require access to procedure and diagnosis codes. Managers must provide training to prevent unauthorized access while allowing staff to do their jobs. Strict confidentiality policies and access controls are needed to safeguard celebrity and other patients' private health records. Medical employees must walk a tightrope between these competing duties of patient privacy and insurance billing.

1. The Tight Rope Act of A Medical
Billing Clerk
Billing Vs. Confidentiality

2. • What training could managers use to avoid
medical staff from viewing patients medical
records without authorization.
• Managers must understand that a certain
amount of staff for billing purposes will see
medical records for payment from medical
insurance companies.

3. There are doctors and nurses that
have authorization with no question,
but what about support staff of a
hospital especially as a staffer you
need information, the CPT code and
ICD9 diagnosis code, in order to fill out
claims for payment as this is the
patient’s privacy. As an employee, you
have signed your letter of
confidentiality.

4. Privacy of Actors
• Many actors are not self-paid and do rely on
medical insurance to pay for their hospital stay
• In the article, Report: Over 120 UCLA Hospital
Staff Saw Celebrity Health Records where their
medical records were read. Published August 06,
2008, this is not unusual, but there is also a lax of
security because only certain departments would
have the access codes to these records, many
new codes should be developed and safeguards
added.

5. Confidentiality
• Confidentiality how does this effect the
employee what steps must be taken for the
safeguard of the patient and the steps the
employee must take to do their job, he/she
must walk a tight rope.