tci Medicare Compliance & Reimbursement - 2004 Issue 21

Health Plans: Not All Group Plans Are Exempt From HIPAA

Only some provisions are mitigated for fully insured plans.Group health plans may not need to satisfy all of the requirements of the privacy rule if they are fully insured, according to the HHS Office of Civil Rights, since the mainstay of responsibility belongs to the health insurance issuer or health maintenance organization contracted by the plan. "Fully insured group health plans that do not create or receive protected health information other than summary health information and enrollment or disenrollment information are not required to have or provide a notice of privacy practices," OCR explains.However, despite...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!