Claudia, In your message you neglected to also note that providers who only submit paper claims, but use a billing service that conducts transactions electronically, would still be covered under HIPAA. One cannot avoid HIPAA compliance via the use of a business associate.
David F Walter "Claudia J. Egan" wrote: > > It's not a myth, however, that if a provider does not submit claims > electronically, that provider need not comply with the Transaction Rule or > Privacy Rule under HIPAA. By requiring electronic transmission to Medicare, > the Act pushes all participating providers over the size limit to electronic > submission, and thus, to compliance with the Privacy Rules and Transaction > Rules. I don't know if there was a large practice that was planning to > continue paper processing, but the Act forecloses the option! > > -----Original Message----- > From: Sadauskas, Thomas, CON, OASD(HA)/TMA > [mailto:[EMAIL PROTECTED]] > Sent: Monday, February 11, 2002 10:57 AM > To: '[EMAIL PROTECTED]' > Subject: RE: Compliance tools > > I think he may have gotten this confused with the provisions of the recent > H.R. 3323, Administrative Simplification Compliance Act. > > The Act includes a reference granting a waiver for a "small provider of > services or supplier" from having to submit Medicare claims electronically. > > The term "small provider of services or supplier" is defined as: > > A provider of services with fewer than 25 full-time equivalent employees or > a physician , practitioner, facility or supplier (other than provider of > services) with fewer than 10 full-time equivalent employees. > > This "loophole" ONLY applies to the electronic submission of Medicare > claims. > > Perhaps this is how "Urban Myths" begin. > > Tom Sadauskas, FHFMA, CHE, CPA > Northrop Grumman Information Technology > 703-575-0119 Fax - 703-575-0215 > [EMAIL PROTECTED] > > -----Original Message----- > From: Leah Hole-Curry [mailto:[EMAIL PROTECTED]] > Sent: Monday, February 11, 2002 11:02 AM > To: [EMAIL PROTECTED] > Subject: RE: Compliance tools > > Could you cite a page or provision number for reference? You are > probably reading in another subchapter of HIPAA, perhaps related to the > portability portion of the act, not the administrative simplification > part. > > Leah Hole-Curry > Fox Systems, Inc. > > >>> [EMAIL PROTECTED] 02/11/02 06:23 AM >>> > I am the compliance and billing manager for a group of 28 physicians. I > was > reading in the Administrative Simplification Act that a 25 full-time > employee or less organization need not comply to the act. Our > organization > fit in the 25 or less category. Did anyone else see, read, or have more > information about this loophole? > > -----Original Message----- > From: mbt [mailto:[EMAIL PROTECTED]] > Sent: Friday, February 08, 2002 1:22 PM > To: [EMAIL PROTECTED] > Subject: Compliance tools > > I need recommendation on evaluation tools for Transaction Standards > and > Code Sets to determine compliance. I would prefer free off the web if > possible and links to suggested products for purchase. > > Margaret Taylor > > President > > CIAGA, LLC > > ---------------------------------------------------------------------------- > -- > > Do You Yahoo!? > Send FREE Valentine eCards with Yahoo! Greetings! > ********************************************************************** > To be > removed from this list, send a message to: [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** > To be removed from this list, send a message to: > [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** > To be removed from this list, send a message to: > [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** > To be removed from this list, send a message to: > [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** > To be removed from this list, send a message to: > [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** > To be removed from this list, send a message to: [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
