Medical Billing Forum

HIPAA => HIPAA => Topic started by: Christy on July 24, 2013, 01:19:59 PM

Title: BAA with your online software/clearinghouse?
Post by: Christy on July 24, 2013, 01:19:59 PM
Do you have a BAA signed with your online billing software/clearinghouse?

What if you use online software/clearinghouse set up by and in the provider's name? Does the billing company still need a BAA with them?

thanks!
Title: Re: BAA with your online software/clearinghouse?
Post by: PMRNC on July 24, 2013, 02:02:27 PM
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Do you have a BAA signed with your online billing software/clearinghouse?

In many cases web based/clearinghouse = Covered Entity, so yes, BAA would be required.

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What if you use online software/clearinghouse set up by and in the provider's name? Does the billing company still need a BAA with them?

This is how I do it, provider holds all software/systems licensing, agreements, etc. Much neater that way for me. You will want to have a BAA with your Provider / Client who is the covered entity.
Title: Re: BAA with your online software/clearinghouse?
Post by: Christy on July 24, 2013, 02:09:03 PM
thanks, Linda-

so if the software is in the provider's name...THEY need a BAA with the software and WE need a BAA with the provider only, even if we use their software, correct?

thanks!
Title: Re: BAA with your online software/clearinghouse?
Post by: PMRNC on July 24, 2013, 02:12:28 PM
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so if the software is in the provider's name...THEY need a BAA with the software and WE need a BAA with the provider only, even if we use their software, correct?

Basically yes.. If you will be utilizing their system you will want to adhere to their compliance plan and be SURE your login credentials meet HIPAA requirements. You won't need to have a BAA with the vendor/clearinghouse, that would be between the provider and the vendor/clearinghouse. IT Is just critical that you adhere to compliance procedures in dealing with login/access.

Outside of the software and overall you will want to have a BAA with your provider. There are some billing companies that can be classified as covered entities but most are BAA's.
Title: Re: BAA with your online software/clearinghouse?
Post by: Christy on July 24, 2013, 02:15:14 PM
thanks again, Linda!

I use Metrofax and will be signing a BAA with them, as that is how I receive PHI. Do my providers have to sign a BAA with my Metrofax account as well because THEIR patient's PHI is being transmitted that way?

trying to get all my ducks in a row! thanks!
Title: Re: BAA with your online software/clearinghouse?
Post by: PMRNC on July 24, 2013, 02:23:16 PM
I really could not tell you because I always require original signatures on all my contracts/agreements. No digital signing or fax signing. Just my own cover my ass procedure. You will want to cover your use of Metrofax in your BAA with the provider, they should be made aware of the relationship and BAA.
Title: Re: BAA with your online software/clearinghouse?
Post by: Christy on July 24, 2013, 02:25:45 PM
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You will want to cover your use of Metrofax in your BAA with the provider, they should be made aware of the relationship and BAA.

good point!

should I mention my use of Carbonite and the BAA I hold with them also in my BAA with the doctors?

very enlightening!  thanks!
Title: Re: BAA with your online software/clearinghouse?
Post by: PMRNC on July 24, 2013, 03:15:33 PM
I disclose it all.. just to cover my butt :)
Title: Re: BAA with your online software/clearinghouse?
Post by: Christy on July 24, 2013, 04:39:59 PM
smart woman! ;)