Presentation is loading. Please wait.

Presentation is loading. Please wait.

Donna Eden Office of General Counsel, HHS

Published byΤρίτωνος Κοντολέων Modified over 6 years ago

Similar presentations

Presentation on theme: "Donna Eden Office of General Counsel, HHS"— Presentation transcript:

1 Donna Eden Office of General Counsel, HHS Donna.Eden@hhs.gov
HIPAA Update Donna Eden Office of General Counsel, HHS OGC/HHS

2 Update Issues Transactions modifications Other regulations
Covered entities Clarifications OGC/HHS

3 Transactions Modifications
Modifications published…. 600 + comments received Finals out as soon as possible OGC/HHS

4 Other Regulations Finals in process: NPRMs in preparation: Security
National Provider Identifier NPRMs in preparation: National Payer Identifier Attachments ASCA Waivers and Exclusions Next Transactions modifications OGC/HHS

5 Covered Entity Statute applicable to three groups: Function, not name
Plans Providers Clearinghouses Function, not name Possible to have multiple functions Choice only for PROVIDERS OGC/HHS

6 Covered Entity Questions
Status applicable to all HIPAA regulations Flow charts coming! Hybrid entity status See clarification in Privacy Rule modifications Either component or parent may file ASCA plan OGC/HHS

7 Small Health Plans HIPAA gives one year extension to small health plans for compliance with standards Definition at 45 C.F.R : annual receipts of $5 million or less. Meaning of receipts for ERISA group health plans Fully insured Self-funded Mixed OGC/HHS

8 Small Provider Not initially defined by HIPAA Defined by ASCA
Institutional provider with fewer than 25 FTEs Practitioner with fewer than 10 FTEs Applies ONLY for waiver from ASCA requirement to file Medicare claims electronically after October 16, 2003 Because not needed! Note: terms “provider” and “practitioner” here have their limited Medicare, not broader HIPAA, definitions Still not applicable to broader HIPAA universe; still no exemption for “small providers” from HIPAA requirements OGC/HHS

9 Clarifications More than privacy and transactions
More than Medicare and Medicaid HIPAA and: Financial activities ERISA plans Fraud and abuse FERPA OGC/HHS

10 Questions? New FAQ site: OGC/HHS

Download ppt "Donna Eden Office of General Counsel, HHS"

Similar presentations

Tamtron Users Group April 2001 Preparing Your Laboratory for HIPAA Compliance.

Tamtron Users Group April 2001 Preparing Your Laboratory for HIPAA Compliance.
HIPAA AWARENESS TRAINING

HIPAA AWARENESS TRAINING
1 The Health Insurance Portability and Accountability Act (HIPAA) A guided tutorial for GVSU employees.

1 The Health Insurance Portability and Accountability Act (HIPAA) A guided tutorial for GVSU employees.
1 Health Insurance Portability and Accountability Act of 1996 IS&C Expo October 16 & 17, 2002 John Wagner Governor’s Office of Technology.

1 Health Insurance Portability and Accountability Act of 1996 IS&C Expo October 16 & 17, 2002 John Wagner Governor’s Office of Technology.
Chapter 6 Federal Regulation of Pharmacy Practice.

Chapter 6 Federal Regulation of Pharmacy Practice.
HIPAA Privacy Training Your Name Here. © 2004 MHM Resources Inc.2 HIPAA Background Health Insurance Portability and Accountability Act of 1996.

HIPAA Privacy Training Your Name Here. © 2004 MHM Resources Inc.2 HIPAA Background Health Insurance Portability and Accountability Act of 1996.
 5010 Purpose and Requirements  County Testing  Implementation & Schedule Constraints.

 5010 Purpose and Requirements  County Testing  Implementation & Schedule Constraints.
1 Student Health Director Briefing Frequently Asked Questions HIPAA May 23, 2012.

1 Student Health Director Briefing Frequently Asked Questions HIPAA May 23, 2012.
Health Insurance Portability and Accountability Act (HIPAA)HIPAA.

Health Insurance Portability and Accountability Act (HIPAA)HIPAA.
HIPAA Administrative Simplification Final Rule for Transactions Code Sets Stanley Nachimson

HIPAA Administrative Simplification Final Rule for Transactions Code Sets Stanley Nachimson
ITEC 6324 Health Insurance Portability and Accountability (HIPAA) Act of 1996 Instructor: Dr. E. Crowley Name: Victor Wong Date: 2 Sept. 2004.

ITEC 6324 Health Insurance Portability and Accountability (HIPAA) Act of 1996 Instructor: Dr. E. Crowley Name: Victor Wong Date: 2 Sept
HIPAA Basics David H. Chin, MPA, CHC, CHPC, RHIA Director of Privacy Paula Bistak, DMH, RN,MS,CIP, CHRC.

HIPAA Basics David H. Chin, MPA, CHC, CHPC, RHIA Director of Privacy Paula Bistak, DMH, RN,MS,CIP, CHRC.
House Bill 2437 Health Carrier Access Payment Commissioner Kim Holland Oklahoma Insurance Department.

House Bill 2437 Health Carrier Access Payment Commissioner Kim Holland Oklahoma Insurance Department.
HIPAA TRANSACTIONS HIPAA Summit IV 2002 UPDATE. HHS Office of General Counsel l Donna Eden l Office of the General Counsel l Department of Health and.

HIPAA TRANSACTIONS HIPAA Summit IV 2002 UPDATE. HHS Office of General Counsel l Donna Eden l Office of the General Counsel l Department of Health and.
1 VUMC Confidentiality Policy and HIPAA Implications for Clinical Research General Clinical Research Center Skills Workshop March 2, 2007 Gaye Smith Privacy.

1 VUMC Confidentiality Policy and HIPAA Implications for Clinical Research General Clinical Research Center Skills Workshop March 2, 2007 Gaye Smith Privacy.
PricewaterhouseCoopers Transaction Compliance Date Extension & Privacy Standards NPRM Audioconference April 19, 2002 HIPAA Administrative Simplification.

PricewaterhouseCoopers Transaction Compliance Date Extension & Privacy Standards NPRM Audioconference April 19, 2002 HIPAA Administrative Simplification.
Company LOGO Data Privacy HIPAA Training. Progress Diagram Function in accordance Apply your knowledge Learn the Basics Orientation Evaluation Training.

Company LOGO Data Privacy HIPAA Training. Progress Diagram Function in accordance Apply your knowledge Learn the Basics Orientation Evaluation Training.
State of Iowa Enterprise HIPAA Compliance

State of Iowa Enterprise HIPAA Compliance
Copyright Fleisher & Associates 20021 A HIPAA PRIMER FOR PUBLIC HEALTH PEOPLE CPHA-N Conference 2003 January 30, 2003 Presented by: Steven M. Fleisher,

Copyright Fleisher & Associates A HIPAA PRIMER FOR PUBLIC HEALTH PEOPLE CPHA-N Conference 2003 January 30, 2003 Presented by: Steven M. Fleisher,
Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Portability and Accountability Act (HIPAA)

Similar presentations

Ads by Google