The issue that you raise is ethics.  Frankly, I have been a proponent of
developing a standard of ethics for HIPAA practitioners for a long time.  I
believe that I, and many many others in our industry provide fundamentally
valuable services essential to helping covered entities reach legal
compliance.  Yet, frankly, I have seen very little effort in some sectors to
address this issue.  I have also seen significant abuses.

As a leader in another organization, I, and our other members have developed
a code of ethics with I do believe addresses (at least in a preliminary
fashion) this issue.  I believe that there is nothing wrong with business
relationships, even where commissions are paid for implementations.
However, where such relationships exist, and where a practitioner makes
recommendations for the use of a product or service where the practitioner
benefits, disclosure to the client MUST occur.  Honesty in our business is
an absolute must.  Censure must also occur when it doesn't.  So far, I only
know of one organization that has addressed the issue.  This is not a plug
for that organization, but rather, just an indication that some of us have
seen this issue raised numerous times, and have attempted to address it by
the only means available to us.

The issue, as I see it, is leadership.  Those of us who have been involved
in regulatory compliance for a while understand the difference between
predation, and leadership and mentoring.  We all have to make a living,
since nothing in life is free, but we do so honestly and professionally!
The code that I, and many follow is available here:
http://www.hcco.us/ethics.htm   We also always welcome comment and
suggestions for expansion.

I would also encourage WEDI to add ethics to its Guiding Principals too!

So, I would suggest to the parties of the first and second parts, in their
relationships with the parties of another part, that they demand of the
parties of the third part, to disclose their ethics and their business
relationships in full and in whole part, or simply depart; at least this
then would be an honest and professional good first start, and at least in
my humble opinion, nothing but this could be considered very smart!

To all, have A Happy HIPAA Holiday!  For the race begins in earnest next
month!

Tim McGuinness, Ph.D.
Consulting Specialist in Regulatory Privacy, Security, and Application
Compliance
HIPAA/FDA/CMS-HCFA/ICH/ADA & Section 508/DITSCAP/NIACAP/ISO17799/BS7799
Specialist in Local Government Compliance
[EMAIL PROTECTED]  /  www.timmcguinness.com / www.HIPAAhelpNOW.com  /
www.localGOVERNMENTcompliance.com

Executive Co-Chairman for Privacy,
HIPAA Conformance Certification Organization (HCCO)
www.hcco.us

__________________________________________________________________

Cell: 305-753-4149 Fax: 240-525-1149
Email: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>  - Instant
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-----Original Message-----
From: John Singer [mailto:[EMAIL PROTECTED]]
Sent: Friday, December 20, 2002 11:22 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: Re: Who's on Third?


Wiiliam,

Would giving kickbacks on fees be considered an ethical business decision
for independent third parties?

--

On Fri, 20 Dec 2002 09:51:57
 William J. Kammerer wrote:
>John, you're losing me.  There would a conflict only if a "3rd-Party"
>tester were selling translators, practice management or adjudication
>systems or whatever - or offering remediation services - the very things
>supposedly being tested.   None of Claredi (the Lord Voldemort of HIPAA
>Validation - "He-Who-Must-Not-Be-Named"), Foresight and Edifecs sell the
>types of software they purport to test.  Thus, they can each credibly
>call themselves an "independent 3rd-party," whether they're selling
>hosted testing services or desktop validation software.
>
>William J. Kammerer
>Novannet, LLC.
>Columbus, US-OH 43221-3859
>+1 (614) 487-0320
>
>----- Original Message -----
>From: "John Singer" <[EMAIL PROTECTED]>
>To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
>Sent: Thursday, 19 December, 2002 12:42 PM
>Subject: Re: Who's on Third?
>
>
>William,
>
>You are right. In most of the US the certification is 2nd party as
>currently defined as communities are naming the certifiers and demanding
>to use them. My point was they are not true 3rd parties, nor independent
>because of the underlying motivation of being able to make a software
>sale to the client instead of just being in the business of being an
>independent certifier with no monetary enticement on the backend.
>
>John Singer
>Duluth, MN.
>--
>
>----- Original Message -----
>From: "William J. Kammerer" <[EMAIL PROTECTED]>
>To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
>Sent: Thursday, 19 December, 2002 12:04 PM
>Subject: Who's on Third?
>
>
>The 1st and 2nd parties would be the covered entities testing standard
>transactions.  The testing or certification service is a "3rd party."
>No certification or testing service is self-appointed:  at least one of
>the parties (the "1st" party, usually the payer) has selected (or
>"appointed") the vendor to serve as a proxy for itself in order to vet
>trading partners.
>
>William J. Kammerer
>Novannet, LLC.
>Columbus, US-OH 43221-3859
>+1 (614) 487-0320
>
>----- Original Message -----
>From: "John Singer" <[EMAIL PROTECTED]>
>To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
>
>Sent: Thursday, 19 December, 2002 11:26 AM
>Subject: Re: NCQA Certifies Compliance SNIP Comes Up Short
>
>
>Marcallee,
>
>One of the other major problems is WEDI definition of "third party".
>Third parties as defined currently is incorrect, no such thing as a
>self-appointed third party, that is called 1st party testing and also
>how can you be considered "independent" when you sell software as a
>vendor? You are not independent you are trying to sell your products...
>
>Third party certifier have an organization watching over their shoulder!
>
>
>---
>The WEDI SNIP listserv to which you are subscribed is not moderated. The
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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
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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 
unprofessional communication at any time.

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