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Offshore or Not? – Ep 312 

 July 9, 2021

By  Donna Grindle

Offshore services are a popular option for many businesses. The ability to work around the clock from different sides of the planet is one thing but the cost savings are the primary driving force for this solution. When it comes to HIPAA Business Associates, though, there are a lot of variables that must be considered when deciding whether to offshore or not.

 

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In this episode:

Offshore or Not? – Ep 312

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HIPAA Say What!?!

[06:53] CISA – Bad Practices

CISA recently released a new site designed to list the things you should NOT do. There is good reasoning there. If you can’t get people to pay attention to best practices, what about just avoiding the bad practices.

We like the concept and review it a bit before getting down to the topic of the day.

Lack of disapproval implies approval. Donna Grindle
[22:47]The rest of the episode is a HIPAA Say What topic. What does HIPAA say about using offshore services? If you hire folks in other countries can you let them have access to PHI or not?

It all started with a question posted in a MSP forum asking David to respond.

Offshore or Not?

[24:21] From an MSP perspective, this is a huge question these days, but it also applies to transcription companies. There’s a lot with transcription and medical records and billing and coding companies doing this or considering it. There are so many vendors in health care that want to you know, it’s what was it we were just talking about

The big question we should all address no matter what industry is about your data. No matter who wants offshore services you still have to figure out how much they will have access to in order to do that job. Sure, it may be cheaper labor. Your payroll goes down because you’re outsourcing overseas, but at the same time. What happens to my data when a vendor elects to use that option?

What does HIPAA say about offshore outsourcing?

[26:31]Let’s get it really clear here, HIPAA never addresses this citation specifically. That means you need to treat it like anything else – a risk analysis..

The use of services outside the US must take into consideration that HIPAA is a US law. Other countries are not obligated to follow HIPAA laws. As a BA you do have separate but equal liability. However, what are the chances of OCR pursuing a case outside the US when you were the one that hired them. Well, let’s just say minimal.

There are many ways to address these issues but there better be a solid contract in place. You really need a lawyer to handle these more than normal.

Once you do start offshore data you must have regular as well as random audits of all access done from those locations. Managing these partners should be part of your own policies and procedures.

It gets even more tricky when the vendor of your vendor has offshore staff yet you are completely unaware of it until you start asking very important questions about the services and how they are managed.

Tune in to the podcast to catch the rest of the conversation.

It seems like offshore services are a great opportunity for smaller organizations as well as larger ones. The most important thing you can do is try to understand where your data is stored, who has access to it,

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<h2 style=”text-align: center; font-weight: bolder; line-height: 90%;”>HIPAA is not about compliance,</h2>

<h2 style=”text-align: center; font-weight: bolder; line-height: 90%;”>it’s about patient care.<span id=”tm”>TM</span></h2>

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