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New HIPAA Certification Requirement and Other New Health Plan 'To Do' Tasks Under HIPAA Standard Transaction Rules (PDF)
Groom Law Group via American Benefits CouncilLink to more items from this source
[Guidance Overview]
Feb. 5, 2014
10 pages. "Some of these new rules ... place responsibilities directly on the health plan, even if it normally looks to a third party to conduct its standard transactions. For example, the health plan must register for its own Health Plan Identifier number to be used in standard transactions. And ... the health plan must obtain a certification that its standard transactions are being conducted under the required Transaction Rules -- even for transactions conducted by its business associates.... Under the proposed rules, by December 31, 2015, health plans will be required to obtain the certification from an outside organization and then file an attestation with HHS that it has obtained the necessary certification. Plans may be penalized $1 per covered life per day (up to a maximum cap) for failure to file the required certification."

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