
| Quick Reference to HIPAA Compliance, 2013-2014 Edition by Pamela Sande, Joan Vigliotta List Price: $399.00   Eligible for Free Standard Shipping on U.S. Prepaid Orders Imprint: Aspen Publishers ISBN: 9781454825739 Paperback: 452 pages Publication Cycle: Updated annually Last Updated: 8/20/2012
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Quick Reference to HIPAA Compliance is a guide for human
resources managers and employee benefits professionals who administer
employer-sponsored health plans, health care providers, and anyone who needs
to understand and comply with all the regulations under the Health Insurance
Portability and Accountability Act of 1996 (HIPAA).
It provides essential information in an easy-to-use format, and includes
practical tools such as:
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Charts
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Checklists
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Sample notices
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Worksheets
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Flowcharts
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And more!
The 2013-2014 Edition includes the following:
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An enhanced section summarizing major points of national health care reform,
including changes effective from 2010 through 2014 and information regarding
the recent Technical Release, May 8, 2013, requiring employers to notify
employees of the public exchanges
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Updated requirements imposed by the American Recovery and Reinvestment Act of
2009 (ARRA), to reflect that U.S. Department of Labor (DOL) published final
rules in 2013 on the HIPAA privacy, security, enforcement, and breach
notification rules under the Health Information Technology for Economic and
Clinical Health Act (HITECH) and the Genetic Information Nondiscrimination Act.
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Analysis of HITECH rules requiring changes to the notice of privacy practices,
including specific requirements when posting a notice on a website
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Refreshed Job Aids providing the Model Certificate of Group Health Plan
Coverage and Model Notice of Enrollment Rights
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Discussion of increasing responsibilities for business associates
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Discussion of increased enforcement efforts and increased penalties by HHS
View the Highlights for this title.
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1. OVERVIEW
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2. REQUIREMENTS IMPOSED BY HITECH
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Business Entities
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Security Breach Notice Requirements
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Individuals' Rights
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Marketing
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Increased Penalties
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HHS Audits
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Effective Dates
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3. COVERED PLANS
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Group Health Plans
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Exempt Plans
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Excepted Benefits
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4. LIMITATIONS ON PREEXISTING CONDITION EXCLUSIONS
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Six-Month Look-Back Rule
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Maximum Length of Preexisting Condition Exclusion
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Enrollment Definitions
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Creditable Coverage Rules
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Standard Method
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Alternative Method
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Certifying Coverage; General Rules
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Exhibit: Job Aid for Deadlines for Providing Certificates
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Certifying Coverage; Form and Content Requirements
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Exhibit: Job Aid for Certificate Content Checklist
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Exhibit: Job Aid for Model Certificate of Group Health Plan Coverage
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Exhibit: Job Aid for Model Certificate for Categories of Benefits (Alternative
Method)
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Certifying Coverage; Procedural Requirements
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Demonstrating Creditable Coverage
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Determination, Notice of Creditable Coverage
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Exceptions to Preexisting Condition Exclusions
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Special Enrollment Periods for Individuals Who Lose Other Coverage
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Special Enrollment Periods for Dependents
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Exhibit: Job Aid for Notice of Enrollment Rights; Model Description
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HMO Affiliation Periods
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5. NONDISCRIMINATION RULES
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Nondiscrimination in Eligibility
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Nondiscrimination in Benefits
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Nondiscrimination in Premiums or Contributions
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Special Rules and Exceptions
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Multiemployer and Multiple-Employer Plans
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6. REPORTING AND DISCLOSURE REQUIREMENTS
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Notice to Employees
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SPD Requirements
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7. RULES FOR GROUP HEALTH INSURERS
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Guaranteed Renewability Requirements
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Guaranteed Availability Requirements
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Disclosure Requirements
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8. HIPAA PRIVACY AND SECURITY REQUIREMENTS
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Overview and Compliance Dates
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Covered Entities
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Effect of HIPAA on Fully Insured Plans
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Business Associates
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Protected Health Information
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Disclosure of PHI
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Plan Document Requirements
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Privacy Notice
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Individual's Rights to PHI
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Administrative Requirements for Covered Entities to Ensure Privacy
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Enforcement and Penalties
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The Security Rule
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How Does the Plan Sponsor Comply—A Practical Roadmap
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Exhibit: Checklist to Determine Compliance with HIPAA Privacy Rule
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Exhibit: Checklist to Determine Compliance with HIPAA Security Rule
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9. PENALTIES FOR NONCOMPLIANCE
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IRS Penalties; Corrections and Waivers
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IRS Penalties; Minimum and Maximum Amounts
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10. HIPAA AND OTHER LAWS
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State Insurance Laws and ERISA Preemption
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Consolidated Omnibus Budget Reconciliation Act
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Exhibit: Job Aid: Life Events Compliance Checklist
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Health Flexible Spending Accounts
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11. FREQUENTLY ASKED QUESTIONS
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Covered Plans
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Portability Requirements
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Nondiscrimination Rules
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Privacy Rules
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12. REGULATIONS, NOTICES, AND OTHER GOVERNMENT PUBLICATIONS
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Notice of Changes Under HIPAA to COBRA
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HIPAA Final Rules, Privacy Standards
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HIPAA Final Rules, Portability
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HIPAA Final Rules, Administrative Simplification Enforcement
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HIPAA Final Rules, Nondiscrimination and Wellness Benefits
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American Recovery and Reinvestment Act of 2009, Privacy
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Health Breach Notification, Proposed Rules
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HIPAA Proposed Rules, Privacy Under HITECH
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HIPAA Final Rules, Modifications to Privacy and Other Rules Under HITECH
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DOL Technical Release 2013-02
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13. OTHER MAJOR HEALTH PLAN LAWS
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Consolidated Omnibus Budget Reconciliation Act
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Mental Health Parity Act
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Newborns' and Mothers' Health Protection Act
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Women's Health and Cancer Rights Act
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Children's Health Insurance Program Reauthorization Act
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National Health Care Reform

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