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HEALTH INSURANCE PORTABILITY

AND ACCOUNTABILITY ACT (HIPAA)

 

TABLE OF CONTENTS

POLICIES, NOTICES AND FORMS CONCERNING DISCLOSURES

 

Policy # 101 Notice of Privacy Practices

Form: 101A Notice of Privacy Practices

 

Policy #102 Permitted Uses and Disclosures to Carry Out Treatment, Payment &

Health Care Operations (TPO)

 

Policy #103 Uses & Disclosures Based on Public Policy Which Do Not Require

 Authorization

Form: 103A Notice Regarding Disclosures to Employers

 

Policy #104 Uses & Disclosures of Protected Health Information to Persons Involved

With the Patient

Form: 104A Opportunity for Patient to Object to Organizations

Use Of Protected Health Information for Certain Purposes

 

Policy #105 Incidental Uses and Disclosures of Protected Health Information

 

Policy #106 Obtaining Patient Authorization for Uses and Disclosures Other Than

Treatment, Payment & Health Care Operations (TPO)

Form: 106A Authorization to Use and Disclose Protected Health Information

Form: 106B Written Notice of Revocation of Authorization to Use and Disclose

Protected Health Information

 

Policy #107 Verification of Identity and Authority

Policy #108 Disclosures of De-Identified Information

 

PATIENT’S RIGHTS REGARDING HIS OR HER PROTECTED HEALTH INFORMATION

 

Policy #109 Minimum Necessary Requirements

 

Policy #110 Mitigation of Improper Disclosures

 

Policy #111 Right to Access Protected Health Information

Form: 111A Access Request

Form: 111B Denial of Access

 

Policy #112 Right to Request Restrictions on Certain Uses and Disclosures

 

 

Policy #113 Amendment of Protected Health Information

Form: 113A Request for Amendment of Protected Health Information

Form: 113B Acceptance of Request for Amendment of PHI

Form: 113C Denial of Request for Amendment of PHI

 

Policy #114 Accounting of Disclosures of PHI

Form: 114A Request for an Accounting

 

Policy #115 Personal Representatives of Patients

 

Policy #116 Review and Resolution of Complaints

 

 

MISCELLANEOUS; OTHER COMMUNICATION MATTERS

 

Policy #117 Electronic Communications from Patients & Electronic Signatures

Form: 117A Agreement on the Use of Electronic Mail for Patient Communications

 

Policy #118 Electronic Mail & Electronic Signatures/Electronic Communications

Concerning Patient Orders Within the Organization

 

Policy #119 Special Communication Requirements

 

Policy #120 Uses & Disclosures of Psychotherapy Notes

 

 

STAFF

 

Policy #121 Overview of HIPAA Compliance Program

 

Policy #122 Training of Workforce Members on OrganizationProcedures With Respect to PHI

Form: #122A Training of Workforce Member Certification of Training and Agreement of Compliance

Form: #122B Training Log

 

Policy #123 Glossary of Defined Terms Used in HIPAA Policies and Procedures

 

BUSINESS ASSOCIATES

 

Policy #124 Contracts with Business Associates

Practice Aid: Evaluating Third Parties for Determination of Need for Business

Associate Contract(s)

Form: 124A Privacy Addendum Business Associate Contract Provisions