Phone calls are not in themselves HIPAA violations



Phone calls are not in themselves HIPAA violations, as they are covered by the Conduit Exception Rule - Which also covers fax transmissions (paper copies of PHI transmitted by fax). VOIP calls are not excepted and neither are SMS messages.

As has already been mentioned, the HIPAA Privacy Rule still applies and the person to whom PHI is disclosed over the phone must be authorized to receive that information. Care must also be taken to ensure that PHI is not disclosed over the phone when other people are in the vicinity and can hear what is being said.


Not in and of themselves, or else most doctor’s offices and health insurance companies would be unable to do business. However, if someone calls purporting to represent a patient and you give them that patient’s info without verifying their identity and authority, it can be, so a covered entity would still need to be cautious.


Physical and network security measures, as described in HIPAA guidelines, require that business phone systems can process patient health information safely over telephone lines. Consider a common medical office scenario: the administrator on the phone taking patient's medical or billing information writes it down on a piece of paper and, after a busy day of multitasking, misplaces the note or, even worse, shuffles it in with other patient information. The patient's personal information is at risk.
A secure business phone system ensures HIPAA compliance and protects your office from penalties and criminal prosecution. So how do you know the phone system you use in-house is HIPAA compliant?
Among other rules, HIPAA standards require:
  • Access control
  • Audit controls
  • Person or office authentication
  • Transmission security
  • Workstation security
  • Device and media controls
  • Security management process
If you use VoIP, understand that anything transmitted across the web-based platforms is not guaranteed to be secure, and carries a higher risk of violating the recommended guidelines. As such, tools like Skype are generally not recommended. Instead, opt for other secure landline telephone systems that offer audit trails and backup capabilities, breach notifications, and encrypted transmission of voice communications.

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