Is the audit being done at your request or are you required to submit to the 
audit by the state?

If you are initiating the audit then I'd say you should have a BA agreement.  
If the audit is being imposed on you by the state then I'd say no BA is 
required.  

If the billing infomation you submit to the schools/nursing homes/welfare 
departments are for services you delivered to them, I don't see why a BA 
agreement would be necessary.  You are making a disclosure to obtain 
payment.  Such disclosures are specifically permitted, even if the disclosure 
is to the financially responsible party who is not the same person as the 
subject of the PHI.

BA agreements are only necessary when you have a third party performing a 
covered function on your behalf.

Noel Chang 

--
Open WebMail Project (http://openwebmail.org)


---------- Original Message -----------
From: "Teri Baskett" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Tue, 4 Feb 2003 17:42:31 -0500
Subject: BA Agreement Questions

> I've met with my CFO and our Purchasing Mgr and we've figured out 
> most of our vendor list.  But we had a couple of questions I hoped 
> someone could help with:
> 
> 1.  What do we do about auditors that come on-site to review records 
> for payment/compliance.  If i read this right, if the auditor is a 
> govt agency (Medicaid or Medicare) then we don't need an agreement.  
> But our state contracts with another company to audit our state 
> contract funds.  Do we have to have the BA with that company for that?
> 
> 2.  We have service contract agreements with several schools/nursing 
> homes/welfare depts.  In addition to the treatment piece, we also 
> (of course) submit bills that include patient identifiers (name, SSN,
>  address).  Do we need BA's for those relationships?
> 
> Teri Baskett
> Information Officer
> LifeSpring Mental Health Services
> 
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The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 
on this listserv therefore represent the views of the individual participants, and do 
not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If 
you wish to receive an official opinion, post your question to the WEDI SNIP Issues 
Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
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