The banking industry is thinking about it. Look at this http://mbproject.org/


"Drexler, Deborah" wrote:

> I see what you mean.  But if that's the result the law requires, our not
> thinking about it won't have any effect.  So maybe we *should* think about
> it, just to convince ourselves we are wrong?
>
> -----Original Message-----
> From: St. Clair, James [mailto:[EMAIL PROTECTED]]
> Sent: Wednesday, May 01, 2002 10:39 AM
> To: [EMAIL PROTECTED]
> Subject: RE: Applying HIPAA to Banks? CE versus BA versus "conduit"
>
> I would hesitate to pursue the line of thinking in this thread. As many of
> you are probably aware, the banks already have their own "HIPAA" - the
> Gramm-Leach-Biley Act (GLB). Getting into Banks being HIPAA compliant
> because of CE relationships may in turn force Banks to consider CE partners
> in healthcare to becoming GLB compliant - NOT a road I think any of us wish
> to tread.
>
> Jim St.Clair
> Critical Infrastructure Protection
> Vredenburg
> (703) 412-4611
>
> -----Original Message-----
> From: Leslie C. Bender [mailto:[EMAIL PROTECTED]]
> Sent: Wednesday, May 01, 2002 10:22 AM
> To: 'Drexler, Deborah'; [EMAIL PROTECTED]
> Subject: RE: Applying HIPAA to Banks? CE versus BA versus "conduit"
>
> I don't clearly see banks as clearinghouses (do the functions they
> perform actually rise to the definitional requirements under HIPAA for a
> healthcare clearinghouse?)-- but I can see a number of instances in
> which banks could be "business associates."  Banks can be "business
> associates" particularly if they furnish lock box services,
> handle/receive ACH or other electronic transfers from payers on behalf
> of providers and there is any PHI on checks, correspondence or other
> remittance documentation that accompanies the payments.  Several years
> ago there was a decided trend toward providers using lock box
> arrangements as a cost containment concept and as part of perhaps a
> larger commercial lending arrangement that gave added security to the
> lenders.  Another financing vehicle that would result in the use or
> disclosure of PHI would be the securitization of patient accounts
> receivable when potentially a provider would "sell" its patient accounts
> receivable to a third party financier to raise capital and the third
> party would be responsible for collecting the receivables from patients
> or payers itself.
>
> In the smaller provider market, banks that handle all business banking
> relationships with smaller provider groups and offer cash flow financing
> (an asset or accounts receivable based line of credit) may also require
> periodic receivables agings that potentially contain patient names.
>
> Leslie C. Bender, Esq.
>
> -----Original Message-----
> From: Drexler, Deborah [mailto:[EMAIL PROTECTED]]
> Sent: Monday, April 29, 2002 4:26 PM
> To: [EMAIL PROTECTED]
> Subject: RE: questions on the appropriate way to reply when there are
> errors in a transaction request
>
> At the HIPAA summit in DC I just attended, there was talk of how the
> banking industry is just starting to realize that they have to be HIPAA
> compliant. Apparently banks are often clearinghouses and subject to the
> HIPAA rules.  I didn't really understand much more than that.
>
> Deborah Drexler
> Privacy and Security Officer
> Division of Medical Assistance
> Boston, MA 02111
> 617-210-5372
> [EMAIL PROTECTED]
>
> -----Original Message-----
> From: Meyers, Ed [mailto:[EMAIL PROTECTED]]
> Sent: Monday, April 29, 2002 3:44 PM
> To: '[EMAIL PROTECTED]'; Bill Chessman; [EMAIL PROTECTED];
> [EMAIL PROTECTED]
> Subject: RE: questions on the appropriate way to reply when there are
> errors in a transaction request
>
> Well almost......
>
> The Transaction regulation clearly requires some contractual
> relationship between the CE and the bank.
>
> However, page 50318, Federal Register dated August 17, 2002 states, "The
> administrative simplification provisions of HIPAA do not require
> non-covered entities to use the standards, but non-covered entities are
> encouraged to do so in order to achieve the benefits available from such
> use."
>
> The bank does not have to accept or process HIPAA compliant
> transactions. The bank cannot be out of HIPAA compliance at any time
> because they are not subject to HIPAA.  The bank is subject to GLB
> privacy provisions for the data it has under its control.
>
> You as the CE will be OK if your contract spells out the needed HIPAA
> language.
>
> Edward Meyers
> Security Officer
> Missouri Department of Mental Health [EMAIL PROTECTED]
>
> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
> Sent: Monday, April 29, 2002 2:25 PM
> To: Bill Chessman; [EMAIL PROTECTED]; [EMAIL PROTECTED]
> Subject: RE: questions on the appropriate way to reply when there are
> errors in a transaction request
>
> Would you not have to have a "Chain of Trust" relationship, and a Trust
> Partner Agreement with the Bank in question for all importation
> exchange?  I think so.  Without it, you are liable.  So the simple
> answer is, the bank would have to be HIPAA compliant for all areas and
> systems that receive and use that identified information.  Sounds like a
> new business opportunity for a smart bank!  HIPAA Compliant Banking
> Services!!!  Any Bank VP's listening out there?  Anyone own bank stock
> who wants to write a letter to your bank CEO?
>
> Regards,
>
> Dr. Tim McGuinness, Ph.D.
> Sr. Compliance Specialist & Solutions Architect
> Certified HIPAA Chief Privacy Officer
> DynTek Inc.
> www.dyntek.com
>
> -----Original Message-----
> From: Bill Chessman [mailto:[EMAIL PROTECTED]]
> Sent: Monday, April 29, 2002 1:31 PM
> To: '[EMAIL PROTECTED]'
> Subject: RE: questions on the appropriate way to reply when there are
> errors in a transaction request
>
> This may not be the right place to ask this question (and it might not
> even be reasonable or valid), but since the thread is running here, I
> might as well throw it out:  If an 835 contains patient information
> (even the patient
> name) is sent to an organization not required to be HIPAA compliant,
> isn't it a violation of the patient's privacy rules?  The bank may not
> use the information, but since it's in the transaction, it is visible to
> a
> (theoretically) unauthorized party.
>
> Best regards,
> Bill Chessman
> Peregrine Systems, Inc.
>
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