Tag Archives: HIPAA

Health Plans Have an Extra Year to Prepare for ICD-10—And They Might Need It

Group health plans with 50 or more participants, including self-insured plans, must be able to conduct electronic transactions in accordance with HHS standards and operating rules.  One of the more challenging aspects of the electronic transaction rules has been the transition to the new International Classification of Diseases, 10th Revision (ICD-10) codes for health claims.… Continue Reading

Health Plan I.D. Application Deadline Is Approaching

Group health plan sponsors and administrators focused on compliance with ACA’s shared responsibility rules might not be aware that another compliance deadline is looming.   By November 5, 2014, most group health plans must apply to the Centers for Medicare & Medicaid Services (CMS) for a unique health plan identifying number.  (Please visit the “Deadlines” page … Continue Reading

Two HIPAA Settlements Follow Stolen Laptops

Recently, HHS Office of Civil Rights (OCR) announced that it has entered into settlement agreements with two entities following enforcement actions, both arising from stolen laptops that were not encrypted in accordance with the Security Rule. According to HHS, an unencrypted laptop was stolen from a physical therapy center in Springfield, Missouri.  The center was … Continue Reading

Dust Off HIPAA Policies and Procedures Before HHS Comes Knocking

Employers should be aware that the Department of Human Services (“HHS”) is stepping up its enforcement of requirements for covered entities, such as group health plans, to adopt and implement policies and procedures for protecting and securing protected health information in accordance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).  As our … Continue Reading

EEOC Holds Hearing on Workplace Wellness Programs

The Equal Employment Opportunity Commission held a hearing this week on “Wellness Programs Under Federal Equal Employment Opportunity Laws.”  Amy Moore testified at the hearing on behalf of long-time Covington client The ERISA Industry Committee (“ERIC”), a non-profit association committed to the advancement of the employee retirement, health, and other benefit programs of America’s largest … Continue Reading

New HIPAA / HITECH Rule Requires Health Plan Changes

The HIPAA / HITECH omnibus rule published in the Federal Register late last week includes a number of changes that will require action by employers, health plans, and business associates in the coming months.  The new requirements take effect on March 26, although group health plans and business associates have until September 23, 2013, to … Continue Reading

HHS Releases Guidance on HIPAA De-Identification Standard

The U.S. Department of Health and Human Services (HHS) recently released guidance on methods for de-identification of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule.  The guidance, which was required under Section 13424(c) of the Health Information Technology for Economic and Clinical Health (HITECH) Act, answers questions … Continue Reading

Proposed Regulations Will Permit Greater Incentives for Participation in Wellness Programs

On November 26, 2012, the IRS and Departments of Labor and Health and Human Services published in the Federal Register proposed regulations that would permit group health plans to provide greater incentives for participation in wellness programs.  The proposed regulations include a welcome implementation of statutory changes that were made by the Affordable Care Act, … Continue Reading
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