Perhaps look at this upside down.
If you were the elderly person and participated in the program only to
find out that your PHI had been disclosed, likely you would go after the
pharmacist first but also the group that facilitated this program since
they were the ones to select this pharmacist and
I would lkie to call an
entity that would be a CE if they did a single electronic transaction that a
standard has been established for a "Potential Covered Entity" (PCE) and avoid
all the repeated verbiage.
The opinions expressed here are my own and not necessarily
Medicare reimburses for the Bad Debt of providers, under certain circumstances,
subject to a cost report audit. SEE CFR 412.115(a) and CFR 413.80.I think it is
mostly deductibles and coinsurance. So that the provider is held harmless to
revenue loss by the failure of benes to pay
The first question is: Is what is being transmitted Protected
Healthcare Information? If not all the rest is moot. If what is
being transmitted is strictly the financial data (This merchant charged this
person this much), it probably isn't PHI, but just money.
If it is you must do
I have two questions regarding amendment of the medical/billing record. 1. Do we
have to amend info kept prior to the deadline? (The disclosure log specifically says
you do not, but nothing on the amendment. What about all those places that have info
on microfilm?) and 2. When a patient
I don't see these POS terminals being affected by HIPAA if in fact
they are doing a financial transaction...ie patient is making a
payment for services rendered(paying the co-pay with a credit card).
Now, there is a network of POS terminals that do eligibility checks
and referrals etc..these
Just a clarification. These non-financial POS terminals would
have to use standard transactions (such as 270/271, 278, etc.) to do their job
when a standard is available.
The opinions expressed here are my own and not necessarily the opinion of
Douglas M. WebbComputer
I recently participated in the development of Internet-based online systems with a major health plan. It should be noted that there may be a qualification regarding the requirement to use standard transactions (such as 270/271, 278, etc.) with online systems, i.e. the format portion of
1) It depends what you say in your NPP, but HIPAA does not mandate that a CE
include past information (i.e., PHI created prior to the compliance date)
2) HIPAA does NOT require a written request from the individual
I hope that this helps.
Your questions are always welcome.
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