I think many health plans will share limited (i.e., financial) PHI within a
covered family group. The thought is that this comes within the scope of
510(b). The thinking may be that the family shares e.g. deductibles and out
of pocket maxim mums and so are involved in each other's coverage. I
intro,ask everyone to introduce themselves to the person
sitting next tothem, sharing their
name, dept. etc. Thenask them to share their age,weight, sexually
transmitted diseases, drug addictions
-Original Message-From: Benjamin W. Tartaglia
At a meeting yesterday of our parent organization's privacy officers we had
a discussion I'd appreciate some feedback on. One of the organizations is
a long-term care/retirement facility that indicated they do not bill
electronically. Therefore they are not a covered entity. However, after
Time for a
quick survey. Please reply just to
me. I will post the final results
to the group next Tuesday (Feb 4).
Thanks in advance.
respond with the single number that best describes your organizations use of
Email in relationship to PHI.
External Email is defined as Email
Accreditation is one of the specific qualifying services listed in the
definition of Business Associate in Sec. 160.103.
Darrell Rishel, J.D.
Director of Information Services
Arapahoe House, Inc.
This message is not legal advice or a binding signature.
A provider is a covered entity under HIPAA if the provider sends any of the
HIPAA mandated transactions electronically. Once a provider sends one of
these transactions, he/she is in and must comply with the privacy and
security requirements of HIPAA as well as those for the electronic
The answer is in the covered entity definition found 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
So the transmission must be in connection with a standard transaction
I need some help, please -- it relates to
What level of access, if any, can
aplan sponsor, such as a HR rep or an accountant, have to a health plans
data in order to do their job. I have encountered a few "ERISA experts"
who say the plan sponsor has few rights if any to review
What restrictions does HIPAA
place on "self-insured" health plans regarding intercompany disclosure of health
information? In a company that self-funds and self-administers their employee
health plan, what protections do employees have in ensuring that their private
Is anyone willing to share changes to self-funded benefit plan documents
prompted by HIPAA's Final Privacy Rule? If so, please contact me directly.
Ottumwa Regional Health Center
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