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17 Nov 2021, 2:44 pm by Cynthia Marcotte Stamer
  As a part of this work, she has continuously and extensively worked with domestic and international health plans, their sponsors, fiduciaries, administrators, and insurers; managed care and insurance organizations; hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing, utilization management, management services… [read post]
30 Sep 2021, 4:50 pm by Cynthia Marcotte Stamer
  As a part of this work, she has continuously and extensively worked with domestic and international health plans, their sponsors, fiduciaries, administrators, and insurers; managed care and insurance organizations; hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing, utilization management, management services… [read post]
13 Dec 2019, 1:49 pm by Cynthia Marcotte Stamer
Ten former National Football League (NFL) players face prosecution for their alleged roles in a nationwide health care fraud scam that Justice Department prosecutors allegedly defrauded the Gene Upshaw NFL Player Health Reimbursement Account Plan (the “Plan)” by submitting more than $3.9 million in false and fraudulent claims between June 2017 and December 2018. [read post]
1 Jan 2020, 10:35 am by Cynthia Marcotte Stamer
The $65,000 payment and corrective action plan commitments West Georgia Ambulance, Inc. [read post]
26 Apr 2017, 6:14 pm by Cynthia Marcotte Stamer
A new Department of Health and Human Services Office of Civil Rights (OCR) CardioNet Resolution Agreement and Corrective Action Plan  (Resolution Agreement) settling OCR charges of violations of the Privacy and Security Rules of the Health Insurance Portability & Accountability Act against remote cardiac monitoring provider CardioNet provides important lessons for health plans, health insurers telemedicine and other healthcare providers, healthcare clearinghouses (Covered… [read post]
7 Feb 2019, 3:03 pm by Cynthia Marcotte Stamer
Health plans and their employer and other sponsors, fiduciaries, administrators and other service providers, as well as health care providers, health care clearinghouses and their business associates (“Covered Entities”) should reconfirm the adequacy of their Health Insurance Portability and Accountability Act (“HIPAA”) compliance and risk management in light the U.S Department of Health and Human Services Office of Civil Rights (“OCR”) February 7, 2019… [read post]
30 Apr 2019, 10:23 am by Cynthia Marcotte Stamer
Health plans must deliver electronic protected health information (“ePHI”) to electronic applications or software (“apps”) used by plan members, and are responsible under the Health Insurance Portability & Accountability Act (“HIPAA”) Privacy and Security Rules for the security of electronic protected health information (“ePHI”) on apps they sponsor or provide, according to new guidance from the Department of Health & Human Services… [read post]
15 Dec 2018, 7:41 am by Cynthia Marcotte Stamer
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors;  managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international hospitals, health care systems, clinics, skilled… [read post]
13 Jul 2018, 10:37 pm by Cynthia Marcotte Stamer
A flurry of activity in the House Ways & Means Committee and other Congressional committees over the past few weeks signals the advisability of keeping a close eye on health care and health benefit reform proposals this Summer in anticipation of both the Fall health benefit enrollment and renewal season and the mid-term November Congressional elections. [read post]
8 Jan 2019, 12:38 pm by Cynthia Marcotte Stamer
Interoperability will be a key priority for the Office of the National Coordinator for Health Information Technology (“ONC”) going forward. [read post]
10 May 2017, 3:14 pm by Cynthia Marcotte Stamer
Healthcare providers, health plans, healthcare clearinghouses and their business associates (Covered Entities) can’t disclose the name or other protected health care information about a patient in press releases or other announcements without prior authorization from the patient. [read post]
3 Feb 2020, 8:21 am by Cynthia Marcotte Stamer
Defined benefit and other plan sponsors, fiduciaries, administrators, and their legal counsel and other service providers should review a new Pension Benefit Guarantee Final Regulation on Miscellaneous Corrections, Clarifications, and Improvements scheduled for publication tomorrow (February 4, 2020) that will make various key changes to the PBGC’s current regulations on n Reportable Events and Certain Other Notification Requirements, Annual… [read post]
24 Apr 2017, 5:08 pm by Cynthia Marcotte Stamer
Health plans, their fiduciaries and sponsors, health insurers, health care providers, health care clearinghouses (“covered entities”) and their business associates must get and keep your business associate (BA) agreements (BAAs) in place, up- to-date, and readily available for inspection in accordance with the Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule, 45 C.F.R. [read post]
18 Dec 2019, 10:03 am by Cynthia Marcotte Stamer
 In contrast to traditional skilled nursing homes, where residents have access to 24-hour medical care supervised by doctors, assisted living and other non-skilled residential facilities offer more limited medical care, or none at all. [read post]
16 Dec 2019, 3:13 pm by Cynthia Marcotte Stamer
  TX HHSC now administers and provides the services previously provided by DADS as part of its broader operation of state supported living centers; provision of mental health and substance use services; regulation of child care and nursing facilities; and administration of hundreds of other programs for people needing supplemental nutrition benefits, Medicaid and certain other assistance including those previously provided by DADS. [read post]
7 Mar 2019, 4:40 pm by Cynthia Marcotte Stamer
The NPRM maintains overtime protections for police officers, fire fighters, paramedics, nurses, and laborers including: non-management production-line employees and non-management employees in maintenance, construction and similar occupations such as carpenters, electricians, mechanics, plumbers, iron workers, craftsmen, operating engineers, longshoremen, and construction workers. [read post]
26 Jun 2020, 9:16 am by Cynthia Marcotte Stamer
Other COVID-19 Tax Rules & Relief The guidance and relief in Notice 2020-51 highlights only one of a long list of special COVID-19 associated tax rules and relief that could apply to a business, its employees or employee benefit plan participants or both including the following: IR-2020-127, IRS announces rollover relief for required minimum distributions from retirement accounts that were waived under the CARES Act IR-2020-126, IRS extends July 15, other upcoming deadlines for… [read post]
28 Jul 2016, 2:30 pm by Cynthia Marcotte Stamer
Employers, insurers and other health plan sponsors or issuers (health plans), health care providers, healthcare clearinghouses (covered entities) and their business associates should reevaluate the adequacy of their practices and procedures for the protection of electronic protected health information (ePHI) on or accessible through laptops or other mobile devices in light of the $2.75 million penalty and other schooling the Department of Health and Human Services Office for Civil Rights (OCR) just… [read post]
7 Dec 2009, 11:59 am by @ErikJHeels
(Somerville, MA; Rafael Cortes, President) Agape Visiting Nurses, Inc. [read post]