What happens if a fax goes out over an IP Network (Internet)?

Regards,

David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030

-----Original Message-----
From: Heiert, David [mailto:[EMAIL PROTECTED]] 
Sent: Tuesday, March 19, 2002 11:49 AM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: RE: Covered entities

How does this statement possibly exclude faxes??

They do use dialup phone lines...

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, March 19, 2002 10:56 AM
To: [EMAIL PROTECTED]
Subject: RE: Covered entities



The Rule folks, excludes faxes from being considered electronic media.

"...Electronic media means the mode of electronic transmission. It
includes
the Internet (wide-open), Extranet (using Internet technology to link a
business
with information only accessible to collaborating parties), leased
lines,
dialup lines, private networks, and those transmissions that are
physically
moved
from one location to another using magnetic tape, disk, or compact disk
media."


Marsha

Verizon Information Technologies Inc.
Managed Care Division
Phoenix, AZ
Phone - 602.678.6042
Fax   - 602.678.6331
E-mail - [EMAIL PROTECTED]


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                      "Bill Bernath"

                      <Bill.Bernath@bcb        To:
<[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>,

                      snc.com>
<[EMAIL PROTECTED]>,
<[EMAIL PROTECTED]>                                     
                                               cc:

                      03/19/02 05:45 AM        Subject:  RE: Covered
entities                                                     
 

 





Got to disagree here folks - a fax is not an electronic transmission.
It
cannot be decoded or encrypted.  The net effect of a fax is the same as
leaving an letter delivered through the USPS face up on your desk.  - b

Bill Bernath
Blue Cross Blue Shield of North Carolina
Privacy Office
(919) 765-7006
[EMAIL PROTECTED]


>>> "Hopper, Gene" <[EMAIL PROTECTED]> 03/18/02 05:56PM >>>
I would think that if it is the intent of HHS to prevent the
unauthorized
disclosure of personal health information, faxes would be covered.

Faxes are certainly an electronic method of transmitting data, and the
most
insecure one available at that.  How do you know where the fax went
(e.g.:
transposed numbers, wrong fax numbers used) or who picked the fax up,
whether or not the fax is in an unsecured area.  Generally speaking all
the
security features (receipting, access authorizations, etc.) built into
other
forms of electronic transmissions (even e-mail, for crying out loud) are
missing.

Some folks are saying for faxes to be secure you must call the people
you
are faxing to, verify the fax number, tell them you are sending a fax,
fax
the document, and finally call them back to ensure that it has arrived
and
the authorized person has the fax in hand (I guess you send out search
parties if they don't)

-----Original Message-----
From: Donna Kinney [mailto:[EMAIL PROTECTED]]
Sent: Monday, March 18, 2002 1:57 PM
To: 'Leah Hole-Curry'; '[EMAIL PROTECTED]'
Subject: RE: Covered entities


My only question in this regard is about faxes.  Does the rule contain
specic language which makes it clear that faxes are not "electronic
form"
or
does faxing a claim or an EOB or an attachment automatically make you a
covered entity?

-----Original Message-----
From: Leah Hole-Curry [mailto:[EMAIL PROTECTED]]
Sent: Monday, March 18, 2002 11:34 AM
To: [EMAIL PROTECTED]
Subject: Re: Covered entities


Noel and Max,

You are both correct.
The definition of a covered entity related to providers is as follows
(at 160.103): Covered Entity means:... a health care provider who
transmits any health information in electronic form in connection with a
transaction covered by this subchapter.

This definition is in Part 160 of the regulation - the general
regulatory provisions.  Unless HHS changes this part of the regulation,
providers that don't transmit standard transactions by electronic means
(or have someone do it on their behalf) are not covered by any of the
administrative simplification regulations - transactions, privacy, etc.

The risk for such providers, who are bound to be a very small minority,
is that if health information is not kept private, and it damages an
individual, the individual may sue under general state law and use HIPAA
as an industry standard of care that the provider failed to follow.
Whether this will hold result in liability is an open question.

Leah Hole-Curry
Fox Systems, Inc.
602-708-1045

>>> "Max Bumbalough" <[EMAIL PROTECTED]> 03/18/02 10:25 AM >>>
Noel,

I asked that question at the SNIP Conference in Chicago early last year
and
was told that if a healthcare provider does NOT electronically transmit
any
of the covered transactions, then they will not have to comply with the
Privacy & Security Regulations.

However, a HC Provider will not be excluded from complying with the
Privacy
& Security rules by merely using a billing service/company to transmit
electronic transmissions.

Has anyone else heard anything different?

Max Bumbalough
HIPAA Consultant
GovConnect, Inc.
(800)565-4873 x230
[EMAIL PROTECTED]




>From: Noel Chang <[EMAIL PROTECTED]>
>To: [EMAIL PROTECTED]
>Subject: Covered entities
>Date: Mon, 18 Mar 2002 10:44:45 -0600
>
>Has anyone seen any further clarification from DHHS on who must comply
>with the Privacy Rule?
>
>The way I interpret the final rule published in December of 2000, and
>the guidelines published in July of 2001, the only health care
providers
>that must comply are those who electronically conduct one or more of
the
>ten covered transactions.  I have encountered a specialist who does not
>accept any insurance, they are a cash only operation.  As such they do
>not file any claims or deal with eligibility, etc.  By my reading they
>would appear to not be a covered entity and therefore are not required
>to comply with the Privacy Rule.
>
>I keep seeing information from various sources (not DHHS or OCR,
>however) that make very broad statements such as "HIPAA applies to
>everyone" or "there are no HIPPAA free records".  I can understand what
>they mean by these statements in certain context but I think they are a
>little too broad and misleading.  Does anyone else agree that a
doctor's
>office who is not electronically conducting a covered transaction is
>therefore not a covered entity for the purposes of the Privacy Rule?
If
>you do not agree, can you cite where is the requirement that such an
>office comply with the Privacy Rule?
>
>Thanks,
>
>Noel Chang
>
>
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>To be removed from this list, go to:
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