What effect do the “marketing” provisions of the HIPAA Privacy Rule have on Federal or State fraud and abuse statutes? Read More What effect do the “marketing” provisions of the HIPAA Privacy Rule have on Federal or State fraud and abuse statutes?
Must insurance agents that are business associates of a health plan seek a prior authorization before talking to a customer in a face-to-face encounter about the insurance company’s other lines of business? Read More Must insurance agents that are business associates of a health plan seek a prior authorization before talking to a customer in a face-to-face encounter about the insurance company’s other lines of business?
Are health care providers required to seek a prior authorization before discussing a product or service with a patient, or giving a product or service to a patient, in a face-to-face encounter? Read More Are health care providers required to seek a prior authorization before discussing a product or service with a patient, or giving a product or service to a patient, in a face-to-face encounter?
Are prior authorizations required when a doctor or health plan distributes promotional gifts of nominal value? Read More Are prior authorizations required when a doctor or health plan distributes promotional gifts of nominal value?
What are examples of “alternative treatments” that are excepted from the HIPAA Privacy Rule’s definition of “marketing”? Read More What are examples of “alternative treatments” that are excepted from the HIPAA Privacy Rule’s definition of “marketing”?
Can a doctor or pharmacy be paid to make a prescription refill reminder without a prior authorization under the HIPAA Privacy Rule? Read More Can a doctor or pharmacy be paid to make a prescription refill reminder without a prior authorization under the HIPAA Privacy Rule?
Can health plans communicate about health-related products or services to enrollees that add value to, but are not part of, a plan of benefits? Read More Can health plans communicate about health-related products or services to enrollees that add value to, but are not part of, a plan of benefits?
Is it marketing for an insurance plan or health plan to send enrollees notices about changes, replacements, or improvements to existing plans? Read More Is it marketing for an insurance plan or health plan to send enrollees notices about changes, replacements, or improvements to existing plans?
Is it marketing for a covered entity to describe the entities participating in a health care provider network or a health plan network? Read More Is it marketing for a covered entity to describe the entities participating in a health care provider network or a health plan network?
Is it marketing for a covered entity to describe products or services that are provided by the covered entity to its patients, or to describe products or services that are included in the health plan’s plan of benefits of the health plan? Read More Is it marketing for a covered entity to describe products or services that are provided by the covered entity to its patients, or to describe products or services that are included in the health plan’s plan of benefits of the health plan?
