HIPAA - Health Insurance Portability and Accountability Act of 1996

Overview:
What is HIPAA?
Who does HIPAA affect?
What will HIPAA change?
Administrative simplification
Fraud and abuse
Insurance reform
HIPAA companion legislation
Other HIPAA regulations
Our progress
Contact us

Down ArrowTitles:
List of titles
 

Details:
Administrative simplification
Insurance reform provisions
Certificates of creditable coverage

Other Resources:
HIPAA information on the Web

HIPAA FAQs:
Frequently asked questions -- general
Frequently asked questions -- privacy
HIPAA myths

For Trading Partners:
EDI sign-up and trading partner information

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HIPAA titles

HIPAA is a legislative act made up of five titles as described below:

  • Title I, "Health care access, portability and renewability," employers and health plans must allow a new employee's medical insurance coverage to remain continuous without regard to pre-existing conditions.

  • Title II, "Preventing health care fraud and abuse; administrative simplification; medical liability reform" defines new requirements for privacy and security of individually identifiable patient information.

  • Title II, "Administrative simplification," Subtitle F reduces the administrative component of health care costs through the implementation of electronic data interchange (EDI) standards primarily by embracing ASC X12N transaction formats.

  • Title III, "Tax-related health provisions" standardizes the amount you can save per person in a pre-tax medical savings account.

  • Title IV, "Application and enforcement of group health plan requirements" broadened information on insurance reform provisions and provide detailed explanations.

  • Title V, "Revenue offsets" are regulations on how employers can deduct company-owned life insurance premiums for income tax purposes.

For detailed information on the titles, click here.

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