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BAA with your online software/clearinghouse?

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Christy:
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!

PMRNC:

--- Quote ---Do you have a BAA signed with your online billing software/clearinghouse?
--- End quote ---

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


--- Quote ---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?
--- End quote ---

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.

Christy:
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!

PMRNC:

--- Quote ---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?
--- End quote ---

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.

Christy:
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!

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