This seminar is designed for human resource professionals, attorneys, health and safety managers, business owners and managers, third party claims administrators, insurance claims representatives, risk managers, rehabilitation specialists, occupational health nurses, and medical office managers.
This day long seminar is designed to demystify the new complex mandates of the Health Insurance Portability and Accountability Act as it relates to the protection of employees private medical information. This seminar will also provide valuable information for employers who are facing an ever expanding maze of laws limiting employers’ rights and increasing their obligations to employees who cannot, will not or should not work.
Topics to be discussed include:
• HIPAA Privacy Regulations
• Introduction To Workers’ Compensation In Texas
• HIPAA Privacy Issues Involving Workers’ Compensation Opt-Out Plans In Texas
• Defending Workers’ Compensation Claims In Texas, A New Era!
9:00 a.m. - 11:25 a.m. (Break 10:30 a.m. - 10:45 a.m.)
I. HIPAA Privacy Regulations
A. Background And Overview Of The Regulations
B. The Relationship Between A Covered Entity And Business Associate
C. A Review Of The Worker’s Compensation Exemption
11:25 a.m. - 12:35 p.m.
II. Introduction To Workers’ Compensation In Texas
A. What Is Workers’ Compensation And How Did We Get Here? (History Of Workers’ Compensation In Texas)
B. How Does It Work? (Fighting About Benefits/Resolving Disagreements)
C. Recent Developments In Workers’ Compensation Legislation
12:35 p.m. - 12:50 p.m.
III. Question And Answer
12:50 p.m. - 1:50 p.m.
Lunch (On Your Own)
1:50 p.m. - 3:00 p.m.
IV. HIPAA Privacy Issues Involving Workers’ Compensation Opt-Out
Plans In Texas
A. Status Of Workers’ Compensation Opt-Out Plans As “Health Plans” Under HIPAA
B. HIPAA Administrative Requirements
C. Administrative Issues With Workers’ Compensation Opt-Out Plans
3:00 p.m. - 3:15 p.m.
3:15 p.m. - 4:15 p.m.
V. Defending Workers’ Compensation Claims In Texas, A New Era!
A. Notice Of Injury
B. Investigation Of Claims
C. Defense Of Claims
D. Filing Controversions/TWCC-21’s/Downs
E. Filing Suite In District Court
F. Discovery In District Court
G. Non-Jury And Jury Trials In District Court
H. Administrative Violations
4:15 p.m. - 4:30 p.m.
VI. Question And Answer