Discussing bills with patient's spouse

Am I HIPAA compliant when I discuss a patient's billing account with a spouse without a completed release of information form?

Jul 8th, 2009 - Nonni 52

Hipaa

Is the spouse listed as a contact person on the patient info sheet or demographics?

Jul 14th, 2009 -

Hipaa

No, the spouse is not

Jul 15th, 2009 - Nonni 52

PHI release

Then I would ask for a release of PHI to be signed by the patient to cover your bases