WITTMAN ENTERPRISES, LLC HIPAA BUSINESS ASSOCIATE AGREEMENT -2009

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Wittman Enterprises, LLC When requests for information are sent in, they are reviewed for compliance with HIPAA. Attorney requests can no longer be all encompassing, but must be specific. They must also include a medical release signed by the patient. The exception to this is a subpoena from the court. Follow -up on lien accounts occur every 60 days to verify that all information is current and correct, and insure that when a settlement is reached the City will receive the money due on the account in a timely manner. Our computer program g generates invoices on demand, facilitating a one -day turn around on any subpoena request that may be made. Workers' Compensation Claims Wittman Enterprises, LLC bills all workers' compensation insurers. When needed, "Green Lien" paperwork will be filled out and sent to the City for the appropriate signatures. Wittman Enterprises, LLC complies with Workers Compensations Rules and regulations. Follow -up on Open Accounts We follow up on all City accounts insuring the maximum legal reimbursement for our clients. Follow -up procedures used to elicit payment include a customized billing schedule with multiple invoices and telephone contact with the patient, the patient's responsible party, or their insurance company. A data file is established for each patient from which information regarding the transport, billing and payment can be recorded and retrieved, and patient information can be updated. As stated, under "Billing and Verification of Self Pay Accounts" page 15, we have found that our system of invoices, statements, delinquency notices, and individual letters in conjunction with telephone follow up has been most successful. Further, the software automatically updates each individual account detailing date, change, or billing function. All history and noted entries are "write protected" so no alterations can be made. In the course of billing for the City, patients are identified who do not have insurance. If these patients are unable to make one payment in full, they are offered payment arrangements that can be made on a monthly, bi- monthly, or weekly basis. A customer service representative sets up the "Time Pay" within the system and an initial letter is sent to the patient outlining the payment arrangements. The patient signs the arrangement and returns it with the first payment. Follow - up appropriate to the arrangement ensures timely payment and a statement and envelope are released after each payment is received. The minimum "Time Pay" amount accepted by the City is $50, payment arrangements with a lower amount must be submitted in writing for the City's review. All "Time Pay" accounts must be paid off within 1 year of the date of service. In addition to the "Time Pay" option Wittman Enterprises, LLC takes credit card payment on behalf of the City. Patients are able to provide credit card information through correspondence to us, over the phone or via the "Patient Portal." City Of Santa Ana Fire Department 16