EBIA Weekly Newsletter

HHS Advisory Committee Reiterates Recommendation to Eliminate Mandatory Use of HPIDs in HIPAA Transactions

   August 17, 2017

NCVHS, Findings and Recommendations from the May 3, 2017 NCVHS Standards Subcommittee Hearing on the Health Plan Identifier (June 21, 2017) Available at https://www.ncvhs.hhs.gov/wp-content/uploads/2013/12/2017-Ltr-HPID-June-21-wws-w-sig.pdf CMS has updated its Health Plan Identifier (HPID) webpage with findings and recommendations from a May 2017 hearing of the National Committee on … Read More

Simply Enclosing SPD With Benefit Denial Notice Was Insufficient Claims Procedure

   August 17, 2017

Turner v. Volkswagen Grp. of Am., Inc., 2017 WL 3037803 (S.D. W. Va. 2017) After an individual receiving disability benefits from his former employer’s long-term disability (LTD) plan died, his wife sought benefits under both the LTD plan and the employer’s life insurance plan. Over the years, he had received multiple statements indicating that he … Read More

What Are the Civil Monetary Penalties for Violating the HIPAA Privacy and Security Rules, and Do These Penalties Apply to Business Associates?

   August 17, 2017

QUESTION: Our company is a TPA that serves as a business associate for employer-sponsored group health plans, which are covered entities under HIPAA. Do the civil monetary penalties for a violation of HIPAA’s privacy and security rules apply to business associates as well as covered entities? What are the potential penalties? ANSWER: Final regulations under … Read More