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4 May 2024, 8:31 pm by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy If you need have questions or need assistance with this or other cybersecurity, health, benefit, payroll, investment or other data, systems or other privacy or security related risk management, compliance, enforcement or management concerns, to inquire about arranging for compliance audit… [read post]
25 Mar 2024, 6:38 am by Cynthia Marcotte Stamer
  While UHG works to remediate and restore the operability and security of the Choice Health tools and systems, health plans, and insurers, their fiduciaries, plan sponsors, and fiduciaries should take timely and prudent steps in response to the breach and resulting disruptions to mitigate the exposure of their health plans, and themselves under HIPAA and ERISA. [read post]
17 Mar 2024, 5:42 pm by Cynthia Marcotte Stamer
Change Healthcare Ransomware Attack On February 21, 2024, a ransomware attack executed by the Blackcat1234 ransomware group took control of and shut down the payment, revenue cycle management and related tools and systems of UHG Subsidiary Change Healthcare. [read post]
8 Jan 2024, 2:10 pm by Cynthia Marcotte Stamer
  Coupled with OCR’s Right of Access Rule settlement agreement with United Health Insurance Group last August, the latest settlement agreement sends a strong message to health plans and other Covered Entities about the risks of failing to deliver protected health information as required by the Right of Access Rule. [read post]
19 Dec 2023, 4:48 pm by Cynthia Marcotte Stamer
Users failing to follow this recommendation risk additional follow-up with certified IDR entities or system errors.   Users also are encouraged to review other previously published guidance, including No Surprises Act (NSA) Independent Dispute Resolution (IDR) Batching and Air Ambulance P [read post]
15 Dec 2023, 8:55 am by Cynthia Marcotte Stamer
The No Surprises Act (“NSA”) Federal Independent Dispute Resolution (“IDR”) portal now is reopened for processing all health benefit disputes covered by the NSA between health care providers, facilities, and providers of air ambulance services (“providers”), and group health plans, health insurance issuers, and Federal Employee Health Benefits Program carriers (“payers”) (collectively, “disputing parties”). [read post]
8 Dec 2023, 10:02 am by Cynthia Marcotte Stamer
  These requirements include the requirements of the Security Rule to conduct and document comprehensive security assessments of risks to sensitive data systems, to implement and enforce detailed security safeguards to protect EPHI and the systems containing that data against these threats, to train and enforce compliance with these safeguards, and other requirements. [read post]
21 Nov 2023, 3:15 pm by Cynthia Marcotte Stamer
A newly-announced settlement agreement and corrective action plan (the “Settlement”) between a prominent New York academic medical center and the U.S. [read post]
10 Nov 2023, 1:35 pm by Cynthia Marcotte Stamer
HFSA, HDHP & MSA, Adoption & Other Adjustments Impacting Cafeteria Plan Elections The Revenue Procedure announces a host of inflation adjustments that could impact employee’s 2024 cafeteria plan and health plan elections. [read post]
9 Nov 2023, 1:48 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites you receive future updates by registering on our Solutions Law Press, Inc. [read post]
9 Nov 2023, 1:07 pm by Cynthia Marcotte Stamer
HFSA, HDHP & MSA, Adoption & Other Adjustments Impacting Cafeteria Plan Elections The Revenue Procedure announces a host of inflation adjustments that could impact employee’s 2024 cafeteria plan and health plan elections. [read post]
5 Nov 2023, 3:10 pm by Cynthia Marcotte Stamer
The CMS waiver programs required DADS to collect and report to CMS applicant and enrollee community and institutional service choice, Level of Care, Plan of Care, waiver provider choice and other waiver program performance data for CLASS and DBMD as part of a required evidentiary report on all §1915(c) waiver programs. [read post]
11 Aug 2023, 10:11 am by Cynthia Marcotte Stamer
” Until then, arbitration of disputes between payers and providers under covered employment based group health plans and individual and group health insurance subject to the law will be delayed. [read post]
4 Aug 2023, 5:55 pm by Cynthia Marcotte Stamer
Group health plans and individual and group health insurance subject the federal No Surprises Act may experience delays in their ability to finalize liability determinations and pay providers for health claims submitted for arbitration under federal surprise billing rules as a result of an August 3, 2023 federal court ruling. [read post]
24 May 2023, 5:16 pm by Cynthia Marcotte Stamer
While MedEvolve’s customers generally were medical practices or other health care providers, self-insured health plans, health insurers and health plan service providers subject to HIPAA as covered entities and business associates often also rely upon third-party systems or services that involve sharing of health plan PHI with or rely upon third party provided servers, technology or other resources to collect and administer health… [read post]
17 May 2023, 11:05 am by Cynthia Marcotte Stamer
EEOC Sues Total Systems Services for Disability Discrimination and Retaliation (March 29, 2023);  EEOC Sues United Labor Agency for Disability Discrimination (February 15, 2023). [read post]