HIPAA transactions, security and data protection rules identify five agreements and relationships that can be established between healthcare companies in order to achieve economies of scale and reduce HIPAA`s administrative burden. They are as follows: the transaction rule describes the use of a commercial agreement which is a contract between two parties, which generally concerns each covered unit that exchanges financial and administrative transactions (i.e. receivables, rights control, transfers, etc.). B between a supplier and a clearing house or supplier and a health plan. The transaction rule basically states that agreements cannot circumvent the standards imposed, Williams says. “You can`t say, “We don`t know hipaa.” ” The matching contract is the most well-known of the agreements and contracts identified in HIPAA. It is required by the data protection rule for use between covered companies and counterparties, some of which may be covered companies. It remains to be seen whether the final security rule will require a chain of trust agreements separate from the counterparty contract. If so, the language of the treaty could eventually be part of a trade partnership agreement. Consider each scenario separately to determine whether trade and trade agreements should remain combined or separate, she said. Trading partners are often also trading partners, but not always.
Similarly, trading partners are not necessarily trading partners, Williams says. “A clearing house is a trading partner and a trading partner. But another covered unit, such as a medical practice working closely with a hospital and regularly exchanging information, can be a business partner, but not a business partner,” she explains. And a payer is not necessarily a business partner, but probably a business partner. The transaction rule does not require a trade agreement, but when one of them is used, the rule indicates what should not be included in such an agreement. In practical terms, the commercial contract cannot: the fiduciary chain has been characterized as a contract in which the parties undertake to exchange data electronically and to protect the data transmitted. (The security rule did not specify the nature of these transactions.) The sender and recipient are required to respect the integrity and confidentiality of the information transmitted and to depend on each other. Several bipartisan contracts may be involved in deferring information from the original game to the final host game. For example, a supplier may enter into a contract with a clearing house to submit claims to the clearing house. The clearing house, on the other hand, may enter into a contract with another clearing house or with a payer with respect to the subsequent transmission of these claims. The agreements provide for the maintenance of the same level of security on all links in the chain when information is moved from one organization to another. Trade agreements explain the channels used to transfer secure transactions.
They also list the rules for information exchange, Williams says. “You can`t agree to use formats or codes that don`t meet federal standards,” she says. “But you can describe where the information will be sent and how many days it will take to process the claims.” They can include the network or type of encryption used, as well as the list of people responsible for monitoring transactions, Williams says. Many institutions will develop trade agreements for their top payers, Williams says. “But if there is overlap, you include the provisions in the matching contracts.” A covered company cannot enter into a commercial agreement that: the target company or the OHCA seeking the services must have a contract with the counterparty to determine the authorized and necessary uses and disclosures of health information individually identifiable by the counterparty.