Policies and Procedures

Compliance Policies and Procedures

• HIPAA Glossary
• Compliance Misconduct and Sanction Policy and Procedure
• Document Retention and Destruction Policy and Procedure
• Gifts and Business Courtesies from Vendors Policy and Procedure
• 5.1.02 Compliance Training and Education
• 5.1.03 Conflict of Interest
• 5.1.10 Section 1557 – Grievance Policy and Procedure
• 5.1.15 Emergency Medical Treatment and Active Labor Act (EMTALA) Policy
• 5.1.19 Identification, Quantification and Repayment of Overpayments Policy
• 5.1.21 Government Exclusion from Participation Policy
• 5.1.22 Risk Assessment Policy
• 5.1.27 Non-Monetary Compensation (Business Courtesies) and Incidental Medical Staff Benefits Policy
• 5.1.02 Compliance Training and Education Procedure
• 5.1.19 Identification, Quantification and Repayment of Overpayments Procedure
• 5.1.21 Government Exclusion from Participation Procedure
• 5.1.22 Risk Assessment Procedure
• 5.1.27 Non-Monetary Compensation (Business Courtesies) and Incidental Medical Staff Benefits Procedure 

Privacy Policies and Procedures

• Direction and Investigation of Privacy Complaints Policy and Procedure
• Disclosures by Whistleblowers Policy and Procedure
• HIPAA Privacy Training Policy and Procedure
• Minimum Necessary for Use and Disclosure Policy and Procedure
• Mitigation of Inappropriate Use or Disclosure of Protected Healthcare Information (PHI) Policy and Procedure
• Notice of Privacy Practices Policy and Procedure
• Patient Request Not to be Listed in Facility Directory Policy and Procedure
• Safeguards for Sensitive Information PHI and ePHI Policy and Procedure
• HIPAA Business Associate Agreement Policy and Procedure
• Patients Right to Request Amendment to PHI Policy and Procedure
• Fax Policy and Procedure
• Accounting of Disclosures Policy and Procedure
• Uses and Disclosures of PHI With and Without Authorization Policy and Procedure
• Chief Privacy Officer Policy and Procedure
• Validation of Patient Authorization Policy and Procedure
• Request for Restriction on Uses and Disclosures of PHI Policy and Procedure
• Permissive Disclosures of PHI for Legal and Public Health Purposes Policy and Procedure
• Patients Right to Access Their Protected Health Information Policy and Procedure
• Breach Notification Policy and Procedure
• Deidentification Summary Health Information and Limited Data Sets Policy and Procedure
• Designated Record Sets Policy and Procedure
• Uses or Disclosure of PHI for Fundraising Policy and Procedure
• Personal Representatives and Communication with Patient Families Policy and Procedure
• Uses and Disclosures of PHI for Marketing Purposes Policy and Procedure
• Uses and Disclosures for Treatment Payment and Healthcare Operations Policy and Procedure
• Research Authorizations Policy and Procedure
• Affiliated Covered Entity Designation Policy and Procedure
• 5.2.12 Patient Right to Request Privacy Protection for Protected Health Information Policy
• 5.2.12 Patient Right to Request Privacy Protection for Protected Health Information Procedure