The Office for Civil Rights at the U.S. Department of Health and Human Services (“HHS”), which administers and enforces the HIPAA Security Rule (“Security Rule”), recently issued a Notice of Proposed Rulemaking (NPRM) to strengthen cybersecurity protections for electronic protected health information (ePHI). The proposed rule introduces several new requirements and clarifications that will have […]
Brokers and TPAs may have the obligation to complete the Gag Clause Prohibition Compliance Attestation Submission (“Attestation”) on behalf of their self-funded group health plan clients, pursuant to an agreement with their clients. Although plans are responsible for filing the Attestation, TPAs and brokers may file on behalf of their clients. What is a Gag […]
The Biden-Harris Administration recently issued a proposal to eliminate medical debt from credit reporting. If the proposal becomes law, medical debt will no longer be reported by credit reporting agencies nor be a factor in determining credit scores. A Sweeping Change for Credit Reports Currently, medical debt affects millions of Americans, with 46 million people […]
The Department of Labor (DOL) Wage and Hour Division issued final regulations, effective March 11, 2024. These rules established an economic realities test which will serve as a practical guide for employers in determining whether a worker is an employee or independent contractor under the Fair Labor Standards Act (“FLSA”). [29 CFR part 795]. How […]
IMPORTANT NOTICE: Do Not Consent to Being Balance-Billed Stay protected from surprise medical bills! The No Surprises Act shields patients from balance billing but watch out for exceptions. Don’t waive your protection from NSA or consent to balance billing for non-emergency or emergency care and review all documents carefully. Are you aware of the hidden […]
What you need to know about Broker and TPA Disclosure Obligation. Consolidated Appropriations Act of 2021 Compensation Disclosure Obligation Since the enactment of the Consolidated Appropriations Act of 2021 (the “CAA”), effective December 27, 2021, Brokers and TPAs are required to report compensation received directly, or indirectly, in connection with services provided to health and […]
6 Degrees Health announced today the company has achieved Service Organization Control Type II (SOC 2, Type II) compliance certification. The SOC 2, Type II report is a comprehensive evaluation of how an organization manages data issued by the American Institute of Certified Public Accountants (AICPA) and is the highest security and data protection rating available.
The Biden Administration’s Proposed IDR Rules On October 27, 2023, the Biden Administration released a proposed rule on the No Surprises Act’s (“NSA”) Federal independent dispute resolution (“IDR”) process. The IDR process has been mired in litigation since the enactment of the NSA, which is enforced by the Departments of Health and Human Services (HHS), […]
