It’s Your Call March 2021


We have a worker who tested positive for covid-19 and is in self-isolation. What is the time frame for healthcare workers to return to work after experiencing mild to moderate symptoms with suspected or confirmed SARS-CoV-2 infection?

A symptom-based strategy is currently recommended which depends on the time of the initial symptom onset, whether the symptoms are improving, and whether the worker is immunocompromised. Workers with mild to moderate illness who are not severely immunocompromised generally return to work after at least 10 days have passed since the symptoms first appeared if symptoms are improving, and when at least 24 hours have passed since the last fever without the use of fever-reducing medications.

A test-based strategy is not recommended except in certain scenarios because it could detect viral shredding resulting in a positive covid-19 test, and this does not necessarily indicate infection. State and local health departments may adopt these recommendations to respond to rapid changes in a particular locale. More information can be found at


____________ is a practice that would likely interfere with the access, exchange, or use of electronic health information (EHI). Fill in the blank.

Information Blocking

The definition of information blocking (45 CFR 171.103) does not include practices that interfere with access, exchange, or use of EHI when they are specifically required by applicable law (see 85 FR 25794).

Total Medical Compliance will continue to provide updates about the 21st Century Cures Act in our newsletters. Please continue to monitor the ongoing changes to see how they will affect HIPAA rules.