Business Associate Agreement Decision Tree
General provision. The data protection rule requires that a covered entity receive satisfactory assurances from its counterparty that the counterparty adequately protects the protected health information it receives or creates on behalf of the entity concerned. Satisfactory assurances must be made in writing, either in the form of a contract or other agreement between the covered entity and the counterparty. What is a business associate? “counterparty”: a person or organization that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of a covered company or that provide services to a covered business; An insured company staff member is not a business partner. A covered health care provider, health plan or health care clearinghouse may be a counterpart to another insured company. The data protection rule lists some of the functions or activities and related services that make an individual or organization a business partner when the activity or service involves the use or disclosure of protected health information. The types of functions or activities that can make an individual or organization a counterpart include payment or health transactions, as well as other functions or activities governed by administrative simplification rules. Exceptions to the Business Associate Standard. The data protection rule contains the following exceptions to the Business Associate standard.
See 45 CFR 164.502 (e). In these cases, an insured company is not required to enter into a counterparty contract or other written agreement until protected health information can be disclosed to the individual or legal person. Counterparties` functions and activities include: processing or managing receivables; Data analysis, processing or management Checking usage Quality assurance Settlement of accounts Benefit management Practice management and reassessment. The services provided by trading partners are: legal; actuarial; Accounting; The council data aggregation Administration From an administrative point of view Accreditation and financially.