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March 04, 2014 at 05:43 AM
Federal regulators are giving benefits groups more time to react to a proposal that could make some self-insured health plans with data standards problems pay fines of up to $40 per covered life per year.
The U.S. Department of Health and Human Services is extending the comment period for the proposal to April 3, from March 3.
The proposal, which appeared in the Federal Register on Jan. 2, would require “controlling health plans” to show they comply with the Health Insurance Portability and Accountability Act standards for three types of electronic plan communications.
The HIPAA transaction standards apply to health plan eligibility information, claim status information and electronic funds transfers and remittance advice.
The normal cap on data standards-related fines would be $1 per day per covered life, up to $20 per year. The $40 cap would apply only when a plan was guilty of misrepresentation of whether or not it was in compliance with the standards.
