AAPC Certified Professional Medical Auditor (CPMA) Practice Exam

The answer identifies a specific situation where disclosures can occur without the typical restrictions of the business associate standard under the Privacy Rule. Disclosure to a health plan sponsor for treatment is considered an exception because the Privacy Rule allows health plans to disclose protected health information (PHI) among affiliated entities, such as a health plan sponsor, when necessary for treatment services.

This highlights the broader context of how the Privacy Rule is structured to facilitate continuity of care, ensuring that treatment providers have the necessary information to deliver appropriate care. In this scenario, the relationship between the health care provider and the health plan sponsor is recognized as critical for effective treatment coordination, which is why this type of disclosure can occur without the usual business associate agreement requirements.

In contrast, the other options refer to standard practices that typically do require business associate agreements to ensure compliance with privacy protections. For example, sharing data among multiple business associates, processing payments through insurance, or disclosing health records directly to employers all involve specific legal relationships requiring careful safeguarding of that information, hence they do not fall under the same exception outlined in the Privacy Rule.