Thu.Jan 20, 2022

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May Health Plan Business Associates Disclose PHI Directly to Other Business Associates of the Same Plan?

ThomsonReuters

QUESTION: We are a TPA that administers claims for many self-insured group health plans. We have a business associate contract with each plan. Sometimes, a plan instructs us to send claims information, which includes protected health information (PHI), to another business associate of the plan, such as a claims auditor or a medical reviewer. Can we do this if we do not have a contractual relationship with the other business associate?

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Who is Managing Your Notices?

TaxConnex

Notices are a way for taxing jurisdictions to get in touch with you. Monitoring and responding to notices as well as making the corresponding adjustments or taking the prescribed actions is one of the many pieces of your sales tax compliance process. A very important piece in fact, as ignoring a notice can put you and your business in hot water, opening the door to additional penalties and fees.

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S&P500 Sector Performance

Withum

My contention is that it is very difficult to beat the market and that the nonprofessional investor is best sticking to index funds. There are a lot of reasons for this and also a lot of “definitions” about which index is the right or most appropriate in a given situation. Today I do not want to discuss indexing but rather want to provide information about the performance of the S&P500 index sectors.

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Finding Hidden Income in Divorce

FraudFiles

Divorces and child support cases often focus heavily on financial issues. Whether the parties to a case are of modest means or great wealth, both sides want their own version of what is fair. Unfortunately, this can lead one or both parties to hide income and assets. With the help of a financial expert, counsel can identify income and assets that might otherwise go undiscovered, and hopefully reach an equitable end to a divorce or child support case.

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How to Build the Ideal HR Team

HR doesn’t exist in a vacuum. This work impacts everyone: from the C-Suite to your newest hire. It also drives results. Learn how to make it all happen in Paycor’s latest guide.

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DOL Issues 2022 Adjusted Penalty Amounts

ThomsonReuters

Department of Labor Federal Civil Penalties Inflation Adjustment Act Annual Adjustments for 2022, 87 Fed. Reg. 2328 (Jan. 14, 2022). Available at [link]. The DOL has announced the 2022 annual adjustments to the civil monetary penalties for a wide range of benefit-related violations. As background, legislation enacted in 2015 requires annual adjustments to certain penalty amounts by January 15 of each year (see our Checkpoint article ).

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When and How Do You Know Your Nonprofit Needs To Be Audited?

GrowthForceBlog

7 min read. We’ll cut to the chase: the IRS does not require nonprofit organizations to obtain audits (except in very rare circumstances). But does that mean your organization is totally exempt from audits?

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People!

RitaKeller

“People may hear your words, but they feel your attitude.” – John Maxwell. Many think accounting and being a CPA is a number business. A number career. A career for a math whiz. Wrong! It is a people business. I remember an extremely knowledgeable CPA tax advisor who told me he just loved to work on taxes and figure out challenging situations but when faced with meeting with a client, in person, his stomach began to ache.

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Corporate Tax Professionals Prepare for a Successful 2022

ThomsonReuters

Corporate tax departments get set to take on the new year, and a key challenge is maintaining stability in an environment of continual change and uncertainty. A new Thomson Reuters Checkpoint webinar, titled Practical Year-End Considerations for the Tax Department , addresses: Quick wins will enable tax departments to begin 2022 with momentum and goodwill from stakeholders.

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CMS Guidance Addresses External Review of Claims Involving Surprise Billing Matters

ThomsonReuters

CMS Memorandum: Guidance for States, Plans, and Issuers on State External Review Processes Regarding Requirements in the No Surprises Act (Dec. 30, 2021). Available at [link]. CMS has issued a memorandum providing guidance for group health plans, insurers, and states regarding external review requirements under the No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2021 (CAA) (see our Checkpoint article ).

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HHS Announces Adjusted Annual Limitation on Cost-Sharing for 2023 Benefit Year

ThomsonReuters

Premium Adjustment Percentage, Maximum Annual Limitation on Cost Sharing, Reduced Maximum Annual Limitation on Cost Sharing, and Required Contribution Percentage for the 2023 Benefit Year (Dec. 28, 2021). Available at [link]. HHS has announced the maximum annual limitations on cost-sharing for the 2023 benefit year for non-grandfathered group health plans under the Affordable Care Act (ACA).

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Planning Your Restaurant's Path to Profitability

Speaker: James Kahler, COO of Full Course

Ever wondered where to splurge and where to safely conserve when it comes to operating and growing your restaurant? 🤔 Join James Kahler, COO of Full Course and industry visionary, in this new webinar where he'll talk all about best practices to invest in your restaurant's success! Whether you're a new business or an established restaurant, a seasoned pro or a rookie, you'll learn the keys to sustainable success in this competitive industry.

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HHS 2023 Proposed Payment Parameters Would Prohibit Discrimination Based on Sexual Orientation and Gender Identity

ThomsonReuters

PPACA; HHS Notice of Benefit and Payment Parameters for 2023; Proposed Rule, 45 CFR Parts 144, 147, 153, 155, 156, and 158, 87 Fed Reg. 584 (Jan. 5, 2022). Proposed Rule. Fact Sheet. HHS has proposed regulations that would amend and refine several benefit payment parameters and other Affordable Care Act (ACA) insurance market and Exchange related rules for 2023.

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