Tim McGuinness wrote re Non-compliance model
 
"However, it occurs to me that we are seeing a significant issue emerge that requires
addressing: 
 
What are the actual requirements for legal non-participation in HIPAA?  From
my perspective, I can not see how any modern practice can not engage in some
form of arguably covered transactions which trigger HIPAA covered entity or
business associate status.  Even if they sub-contract the transactions
services, they're still a covered entity per CMS/OCR.   And, as I have
stated before, I think the Privacy and Security Rules are generally a good
steps forward.
 
So, exactly what does a business have to give up to not be covered under
HIPAA?  What I am asking is: should SNIP develop a document that clearly
states what these requirements are?  Until such a document exists, business
people can not objectively evaluate non-applicability from non-compliance.
Nor can they look at the real loss of business that I believe such moves
would entail.
 
I, for one, would be very interested in participating is such a project.  I,
like many, have found it difficult to express to potential covered entities
what their options are in this regard.  So I believe that a
non-applicability implementation guide is ultimately the only way to resolve
this.  Or do we simply leave it up to OCR enforcement and case law to
determine this?
 
*** You could start here......................................................

The following is from Andy Schlafly, Esq., AAPS General Counsel.

Thank you for the latest CMA (California Med Assoc) advisory on HIPAA.  Due to AAPS, CMA is 
finally recognizing that physicians can avoid HIPAA.  The CMA is still 
trying to sell its HIPAA materials, though, which probably distorts its 
thinking.
 
CMA restates the argument that eschewing electronic claims will cause 
delays in payment.  As an AAPS member pointed out, however, that delay is 
just a one-time lapse at the beginning.  There will not be any ongoing loss 
in monthly revenue.
 
Andy Schlafly, Esq. 908-719-8608
AAPS General Counsel
A Voice for Private Physicians Since 1943
 
Perhaps a phone call is in order?
Bill Danby




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