RE: NPP type size?
Hi- the body type for our NOPP is 10 pt - see it on our web site: http://www.wellmark.com/e_business/pdf/T-2601.pdf Marilyn Musser Provider Relations Manager HIPAA-AS Communications Office Wellmark, Inc. phone: 515.248.5588 fax: 515.245.4620 [EMAIL PROTECTED] -Original Message- From: Sherry Neuman [mailto:[EMAIL PROTECTED] Sent: Friday, March 14, 2003 10:55 AM To: WEDI SNIP Privacy Workgroup List Subject:RE: NPP type size? Please reply to all. -Original Message- From: Beth Cole [mailto:[EMAIL PROTECTED] Sent: Friday, March 14, 2003 7:23 AM To: WEDI SNIP Privacy Workgroup List Subject: NPP type size? I've seen several references on various mailing lists to something said at one of the OCR regional conferences regarding the mandated font size of the NPP. What I'm seeing indicates that attendees at the conference were told that in order to comply with other Medicare regulations, the type size had to be no less than 12 point. If we take it to 12 point, our NPP is at 8 pages. If we put it at either 9 or 10 point, it's a 4. So, this is slightly worrisome to us. Can anyone give me a black-letter law or regulation citation on this, or was this someone talking at a conference who didn't know what he was talking about? Thanks! Beth -- Beth Cole Information Services Support Specialist Newman Regional Health Emporia, Kansas --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
RE: PRIVACY: NPP Distribution
Title: PRIVACY: NPP Distribution Hello all-at Wellmark Blue Cross Blue Shield of Iowa, we elected to send the NOPP to our fully-insured contract holders directly. It’s also posted on our website. We took the opportunity of this mailing to include a flyer for members promoting the new on-line self services that we are rolling out to them this spring. Marilyn Musser Provider Relations Manager HIPAA-AS Communications Office Wellmark, Inc. phone: 515.248.5588 fax: 515.245.4620 [EMAIL PROTECTED] -Original Message- From: Deborah Campbell [mailto:[EMAIL PROTECTED] Sent: Monday, March 10, 2003 9:42 AM To: WEDI SNIP Privacy Workgroup List Subject: PRIVACY: NPP Distribution It is a health plans responsibility to distribute the NPP to their subscribers. I have heard that some plans are providing the notice to the groups and asking them to distribute to their employees. This leaves the liability if the groups do not distribute on the plans. I'm trying to get an idea of how many plans are doing it this way. I feel we should mail them out to the subscribers even though it is costly. But I would like to get an idea of the rest of the industry. Thank you! Deborah Campbell Compliance Coordinator Dominion Dental Services, Inc. 115 South Union Street, Suite 300 Alexandria, Virginia 22314 Phn: (703) 518-5000 ext. 3035 Fax: (703) 518-8849 Toll Free: 888-518-5338 Email: [EMAIL PROTECTED] *** The information in this email is confidential and may be legally privileged. It is intended solely for the addressee. Access to this email by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken or omitted to be taken in reliance on it is prohibited and may be unlawful. * --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
Notice of Privacy Practices
Hello - just FYI - Wellmark Blue Cross Blue Shield of Iowa has posted its Notice of Privacy Practices on our website: www.wellmark.com/hipaa/hipaa.htm Some may find it a helpful reference. It is being mailed in the next 2 months to our fully-insured contract holders in IA and SD. Marilyn Musser Provider Relations Manager HIPAA-AS Communications Office Wellmark, Inc. phone: 515.248.5588 fax: 515.245.4620 [EMAIL PROTECTED] - --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-privacy as: archive@mail-archive.com To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
RE: HIPAA-related privacy question (I think)
--- You are currently subscribed to wedi-privacy as: archive@jab.org To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- I am withdrawing my response to the WEDI-SNIP site regarding which entities need to comply with HIPAA-AS privacy and transaction regulations. I didn't have my facts straight. Thank you to Anita, Steve from Ottumwa and others who responded - Marilyn Musser Provider Relations Manager HIPAA-AS Communications Office Wellmark, Inc. phone: 515.248.5588 fax: 515.245.4620 [EMAIL PROTECTED] -Original Message- From: Musser, Marilyn J Sent: Tuesday, October 22, 2002 3:03 PM To: WEDI SNIP Privacy Workgroup List Subject:RE: HIPAA-related privacy question (I think) --- You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- An covered entity is a health plan, practitioner/facility or a clearinghouse. In the case of electronic transactions, an entity may not have to comply with the electronic transaction and code set standards if it is doing EVERTHING BY PAPER; and it could get an automatic extension until Oct. 2003 if it's a small health plan. But it still is considered a covered entity and has to comply with other parts of the law - such as privacy, for example. Marilyn Musser Provider Relations Manager HIPAA-AS Communications Office Wellmark, Inc. phone: 515.248.5588 fax: 515.245.4620 [EMAIL PROTECTED] -Original Message- From: Jan Root [mailto:janroot@;uhin.com] Sent: Tuesday, October 22, 2002 2:18 PM To: WEDI SNIP Privacy Workgroup List Subject:HIPAA-related privacy question (I think) --- You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- Here's an issue I'd like people to think about and perhaps share what they (payers and providers alike) might do. I think it is a non-HIPAA issue, but it seems quite closely related to privacy and liability. I'm not an expert on privacy so I might have taken a mis-step somewhere in my chain of thought: all comments or corrections are welcome! The setting: 1. The provider elects not to do HIPAA transactions and thus is a non-covered entity. 2. The provider sends paper claims to a payer. 3. The payer sends a paper EOB to the provider. The payer is disclosing PHI to a non-covered entity (the provider). 4. Covered entites are allowed to disclose PHI for TPO to 'health care providers' Issue: Because the provider is a non-covered entity (NCE), and, hence, is not subject to the Privacy Rule, are payers going to include in their NCE provider-payer contracts some kind of stipulation that the NCE provider protect PHI? (I don't think you can use a business associate contact to do this: The provider cannot be a business associate because they are not performing any of the payer's covered entity functions, yes?.) Are payers, in essence, going to say to their NCE provider contingency "Hey, you need to protect this information to the same level I do (i.e., as if you were a covered entity)"? I would assume that payers would like providers to share some of the risk of handling PHI. If the provider is a covered entity, then HIPAA covers that. If the provider is not a covered entity, then what? Stray thought: Probably one of the major differences for CE and NCE providers is that if there were a breech of privacy involving a NCE provider the matter would not go to the Secretary of HHS (assuming it got that far). Instead it would go to a state (?) court and state laws would apply, both state privacy laws and state contract violation laws (?). Mostly I'm interested in hearing in how payers are going to handle their non-covered-entity providers from a liability perspective. It seems like all payers who allow submission of paper claims, will be faced with this question. Maybe I'm all wet and there's no issue here at all! I don't know if there are any NCE providers on this list serve (??) but if there are, from the provider perspective, are NCE providers going to be willing
RE: HIPAA-related privacy question (I think)
--- You are currently subscribed to wedi-privacy as: archive@jab.org To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- An covered entity is a health plan, practitioner/facility or a clearinghouse. In the case of electronic transactions, an entity may not have to comply with the electronic transaction and code set standards if it is doing EVERTHING BY PAPER; and it could get an automatic extension until Oct. 2003 if it's a small health plan. But it still is considered a covered entity and has to comply with other parts of the law - such as privacy, for example. Marilyn Musser Provider Relations Manager HIPAA-AS Communications Office Wellmark, Inc. phone: 515.248.5588 fax: 515.245.4620 [EMAIL PROTECTED] -Original Message- From: Jan Root [mailto:janroot@;uhin.com] Sent: Tuesday, October 22, 2002 2:18 PM To: WEDI SNIP Privacy Workgroup List Subject:HIPAA-related privacy question (I think) --- You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- Here's an issue I'd like people to think about and perhaps share what they (payers and providers alike) might do. I think it is a non-HIPAA issue, but it seems quite closely related to privacy and liability. I'm not an expert on privacy so I might have taken a mis-step somewhere in my chain of thought: all comments or corrections are welcome! The setting: 1. The provider elects not to do HIPAA transactions and thus is a non-covered entity. 2. The provider sends paper claims to a payer. 3. The payer sends a paper EOB to the provider. The payer is disclosing PHI to a non-covered entity (the provider). 4. Covered entites are allowed to disclose PHI for TPO to 'health care providers' Issue: Because the provider is a non-covered entity (NCE), and, hence, is not subject to the Privacy Rule, are payers going to include in their NCE provider-payer contracts some kind of stipulation that the NCE provider protect PHI? (I don't think you can use a business associate contact to do this: The provider cannot be a business associate because they are not performing any of the payer's covered entity functions, yes?.) Are payers, in essence, going to say to their NCE provider contingency "Hey, you need to protect this information to the same level I do (i.e., as if you were a covered entity)"? I would assume that payers would like providers to share some of the risk of handling PHI. If the provider is a covered entity, then HIPAA covers that. If the provider is not a covered entity, then what? Stray thought: Probably one of the major differences for CE and NCE providers is that if there were a breech of privacy involving a NCE provider the matter would not go to the Secretary of HHS (assuming it got that far). Instead it would go to a state (?) court and state laws would apply, both state privacy laws and state contract violation laws (?). Mostly I'm interested in hearing in how payers are going to handle their non-covered-entity providers from a liability perspective. It seems like all payers who allow submission of paper claims, will be faced with this question. Maybe I'm all wet and there's no issue here at all! I don't know if there are any NCE providers on this list serve (??) but if there are, from the provider perspective, are NCE providers going to be willing sign payer-provider contracts that sitpulate that they protect PHI (and are subject to fines if they don't)? Thanks in advance for your thoughts. Jan Root, Ph.D. UHIN Standards Manager --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Dir
