Medical Billing Forum

General Category => General Questions => Topic started by: asilva03 on January 05, 2012, 06:28:49 PM

Title: Legal Question
Post by: asilva03 on January 05, 2012, 06:28:49 PM
I have a provider that signed a statement with another billing company regarding the billing company's clearinghouse.  The statement basically stated that the billing company's clearinghouse would become the certificate holder for the provider's malpractice insurance.  Why would a billing company's clearinghouse need to be a certificate holder over malpractice insurance?  Is this legal?  Should I inform the provider to speak to his lawyer?

Thanks.

Aleshia
Title: Re: Legal Question
Post by: Michele on January 06, 2012, 05:22:57 AM
I have never heard of that.  I know that NSC has to be listed on the insurance for DME suppliers but I've not heard of a clearinghouse.
Title: Re: Legal Question
Post by: PMRNC on January 06, 2012, 06:26:43 AM
It depends on the billing company on whether or not they are a covered entity or not, the provider should be discussing this with their attorney, yes.  With that said I never ever get involved in any contractual talks with provider's and their former/current billing company, It's never a good idea to act on their behalf, even a simple question may not be so simple. 
Title: Re: Legal Question
Post by: Michele on January 09, 2012, 10:46:15 AM
Even the clearinghouse?  Well you learn something new everyday. 
Title: Re: Legal Question
Post by: PMRNC on January 09, 2012, 02:48:03 PM
Yes there are many billing companies tied in with their own EC which makes them a covered entity, and there are other scenario's where a billing company would be a covered entity.. I'm not saying this is reason why.. just saying this is better left between provider's attorney and the billing company.