Source: https://store.aad.org/products/11352
Timestamp: 2018-12-15 05:50:11
Document Index: 553842070

Matched Legal Cases: ['ART 1', 'ART 2', 'art 1', 'art 2', '§ 1395', '§ 1395']

Item # PMECOM
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In this comprehensive Compliance Pack, you will receive guidance on how ensure your practice is compliant by understanding and implementing HIPAA and HITECH, learn how to get ready for an inspection and how to avoid and reduce potential billing fraud.
Get access to customizable templates including model policies and procedures, sample model contracts and cost-revenue models!
Compliance Pack Includes:
Guide to HIPPA and HITECH Table of Contents
PART 1: Step-By-Step Guide to the Privacy Rule
STEP 1: Read the Overview of the Privacy Rule
STEP 2: Select a Privacy Officer
STEP 3: Review and Implement Privacy Officer Responsibilities
Exhibit P1: Privacy Officer Job Responsibilities
STEP 4: Conduct a Walk-Through of the Practice to Identify Privacy Risk Areas
Exhibit P2: Internal Privacy Checklist
STEP 5: Implement a Notice of Privacy Practices
Exhibit P3: Notice of Privacy Practices
STEP 6: Implement a Written Acknowledgement Process
Exhibit P4: Receipt of Notice of Privacy Practices Written Acknowledgement Form
STEP 7: Implement Privacy Policies and Procedures
Exhibit P5: Sample Privacy Policies and Procedures
STEP 8: Implement a Patient Authorization Form
Exhibit P6: Patient Authorization for Practice to Release Protected Health Information
Exhibit P7: Illustrations of Situations Requiring/Not Requiring Authorization
STEP 9: Implement a Form Requesting Restrictions onUses and Disclosures of PHI
STEP 9A: Receipt of Requests for Confidential Communications of PHI
Exhibit P8: Request for Limitations and Restrictions of Protected Health Information (PHI)
STEP 10: Implement a Form to Inspect and Copy PHI
Exhibit P9: Request to Inspect and Copy Protected Health Information
STEP 11: Implement Access Denial Form
Exhibit P10: Patient Denial Letter
STEP 12: Implement a Form to Amend PHI
Exhibit P11: Request for Correction/Amendment of Protected Health Information
STEP 13: Implement a Form to Receive an Accounting of Certain Disclosures of PHI for Non-TPO Purposes
Exhibit P12: Request for an Accounting of Certain Disclosures of Protected Health Information
STEP 14: Implement a Log to Track Disclosures of PHI
Exhibit P13: Log to Track Disclosures of Protected Health Information (PHI)
STEP 15: Implement Patient Complaint Forms
Exhibit P14: Patient Complaint Form
STEP 16: Determine Who Can Use and Disclose PHI
STEP 17: Update or Develop Job Descriptions with Respect to PHI Use and Disclosure
STEP 18: Develop a List of Your Business Associates
Exhibit P15: Listing of Typical Business Associates In Terms of the Privacy Rule
Exhibit P16: A Medical Practice Guide for the Privacy Officer to Identify Business Associates
STEP 19: Implement Business Associate Agreements
Exhibit P17: Business Associate Agreement
STEP 20: Train All Physicians and Staff on Privacy Policies and Notice of Privacy Practices
Exhibit P18: Privacy Policy Training Checklist
STEP 21: Document Physician and Staff Training for Privacy Rule
Exhibit P19: Training Documentation Form for Privacy Rule
STEP 22: Document Physician and Staff Training for Privacy Rule
Exhibit P20: Workforce Confidentiality Agreement
STEP 23: Monitor Compliance with the Privacy Rule
Exhibit P21: Privacy Officer’s Incident Event Log
STEP 24: Breach Notification Requirements
Exhibit P22: Breach Notification Policy
Exhibit P23: Breach Notification Letter
Exhibit P24: Breach Notification Log
Exhibit P25: Model Opt-Out Language
PART 2: Step-By-Step Guide to the Security Rule
STEP 1: Read the Overview of the Security Rule
STEP 2: Appoint a Security Official/Prepare & Implement Job Responsibilities
Exhibit S1: Security Official Job Responsibilities
Exhibit S2: HIPAA Security Rule Standards Matrix and Risk Analysis
STEP 4: Determine if Computer System is Capable of Providing Electronic/Audit Trails; Implement Audit Control Policies & Procedures
Exhibit S3: Sample Audit Trails Policy and Procedures
Exhibit S4: Sample Event Record
STEP 5: Develop Workforce Clearance Procedures and Means of Implementing Clearance Requirements for Employees who Access EPHI
STEP 6: Design and Implement User Identification and Authentication Policies and Procedures for Electronic Information Systems
Exhibit S5: Security Official Job Responsibilities
STEP 7: Implement Automatic Log-Off Processes
STEP 8: Implement Transmission Security/Encryption Technology
STEP 9: Install Protection from Malicious Software; Report Security Incidents
Exhibit S6: Sample Anti-Virus Policies and Procedures
Exhibit S7: Security Incident Report
STEP 10: Implement Firewall Technology
STEP 11: Review and Implement Computer Backup Policies and Procedures
Exhibit S8: Sample Backup Policy and Procedures
STEP 12: Develop Security Incident Policies and Procedures
Exhibit S9: Sample Security Incident Policy and Procedures
Exhibit S10: Sample Security Incident Log
STEP 13: Implement Facility Maintenance Log
Exhibit S11: Facility Maintenance Log
STEP 14: Develop Facility Security and Contingency Plans
Exhibit S12: Sample Contingency Policy and Procedure
Exhibit S13: Contingency Plan Steps
STEP 15: Develop a List of Business Associates and Implement Agreements
Exhibit S14: Listing of Typical Business Associates In Terms of the Security Rule
Exhibit S15: A Medical Practice Guide for the Security Official to Identify Business Associates that Access PHI
STEP 16: Create Computer Workstation Use Policies and Procedures
Exhibit S16: Sample Policy and Procedures on Workstation Use
STEP 17: Document and Train All Physicians and Staff on the Security Policies and Procedures
Exhibit S17: Security Policy Training Checklist
Exhibit S18: Training Documentation Form For Security Rule
STEP 18: Obtain Signed Workforce Confidentiality Agreements from All Physicians and Staff
STEP 19: Monitor Compliance with the Security Rule
STEP 20: Evaluate All Policies and Procedures Periodically
STEP 21: Create Workforce Termination Procedures
Exhibit S19: Sample Workforce Termination Procedures
Exhibit S20: Workforce Termination Checklist
STEP 22: Create Workforce Termination Procedures
Exhibit S21: Sample Sanction Policy
Appendix 2: HIPAA Resources
Appendix 3: Facsimile Transmittal
Appendix 4: Forms Checklist
Appendix 5: Patient Consent Form (OPTIONAL)
Appendix 6: Patient Consent for Use and Disclosure of Protected Health Information (OPTIONAL)
Appendix 7: Determine Whether Your Practice Uses and Discloses PHI for Research Purposes
Appendix 8: Implement a Data Use Agreement
Appendix 9: Determine Whether Your Practice Participates in an Organized Health Care Arrangement (OHCA)
Appendix 10: Addressable Specifications
Appendix 11: Security Standard Scalability Example
CLIA & Maintaining Compliance Table of Contents
I. Section I
CLIA Regulations Related to Quality Assessment
CLIA Regulations Related to Quality Control
CLIA Regulations Related to Proficiency Testing
CLIA Regulations Related to Patient Test Management
II. Section II
Exhibit I: CLIA Application for Certification
III. Section III
Model Laboratory Procedure Manual for Dermatology Practices
Form 1: Microscope Use Protocol
Form 2: Microscope Maintenance Record
Form 2: Microscope Maintenance Record (Example)
Form 3: Cryostat and Microtome Use Protocol
Form 4: Cryostat / Microtome Maintenance Record
Form 4: Cryostat / Microtome Maintenance Record (Example)
Form 5: Refrigerator Use Protocol
Form 6: Refrigerator Maintenance Record
Form 6: Refrigerator Maintenance Record (Example)
Form 7: Fume Hood Use Protocol
Form 8: Fume Hood Maintenance Record
Form 8: Fume Hood Maintenance Record (Example)
Form 9: Thermostat-Controlled Water Bath Use Protocol
Form 10: Water Bath Maintenance Record
Form 10: Water Bath Maintenance Record (Example)
Form 11: Drying / Microwave Oven Use Protocol
Form 12: Drying / Microwave Oven Maintenance Record
Form 12: Drying / Microwave Oven Maintenance Record (Example)
Form 13: Thermostat-Controlled Paraffin Embedding Station / Automated Stainer / Automated Fixation, Dehydration, and Paraffin Embedding Processor Use Protocol
Form 14: Thermostat-Controlled Paraffin Embedding Station / Automated Stainer/ Automated
Fixation, Dehydration, and Paraffin Embedding Processor Maintenance Record
Fixation, Dehydration, and Paraffin Embedding Processor Maintenance Record (Example)
Form 15: pH Meter Use Protocol
Form 16: pH Meter Maintenance and Calibration Record
Clinical Laboratory Improvement Amendments (CLIA) 5
Form 16: pH Meter Maintenance and Calibration Record (Example)
Form 17: Repair and Service Companies — Laboratory Equipment
Form 18: Room and Temperature Log Sheet
Form 18: Room and Temperature Log Sheet (Example)
Procedure and Form 1: Ectoparasites
Procedure and Form 2: Potassium Hydroxide (KOH) Examination of Skin, Hair, or Nails
Procedure and Form 3: Vaginal Wet Preparation/Potassium Hydroxide (KOH) Examination
Procedure and Form 4: Tzanck (Cytodiagnostic) Smear
Procedure and Form 5: Fungal Culture/Dermatophyte Test Medium (DTM)
Procedure and Form 6: Staining Procedures
Procedure and Form 7: Cytodiagnosis of Molluscum Contagiosum
Procedure and Form 8: Microscopic Hair Shaft Evaluation
Procedure and Form 9: Histopathology
Procedure and Form 10: Histopathology — Mohs Surgery
IV. Section IV
Model Quality Assessment Plan
General Laboratory Quality Systems
Specimen Identification And Integrity
Preanalytic Quality Systems
Specimen Collection, Submission, Handling, And Referral
Environment, Instruments, Reagents, Materials, And Supplies
Maintenance And Function Checks
Calibration/Calibration Verification
Postanalytical Systems
V. Section V
VI. Section VI
Preparing for and Responding to a Laboratory Survey
Part 1: Preparing for a Laboratory Survey
Part 2: Responding to a Laboratory Survey
VII.Section VII
Compliance Manual A Guide for Dermatology Practices
An OIG Compliance Glossary: Abbreviations and Definitions
OIG Compliance vs. HIPAA Compliance
Office of the Inspector General (OIG) Compliance — Voluntary
HIPAA Privacy and Security Compliance — Mandatory
Exhibit 1 Some Questions Compliance Professionals Should Ask as They Prepare for Health Care Reform
Exhibit 2 Understanding Program Exclusions
Exhibit 3 Commonly Used Anti-Kickback Statute Safe Harbors
Exhibit 4 Physician Self-Referral Law (42 U.S.C. § 1395NN): Commonly Used Physician Self-Referral Law Exceptions
Exhibit 5 Physician Self-Referral Law (42 U.S.C. § 1395NN):
Three Questions to Ask When Analyzing the Physician Self-Referral Law
Stark Law Compliance Tips
Exhibit 6 Comparison Of The Anti-Kickback Statute And Stark Law
Chapter 1 Why Your Practice Should Consider Implementing an OIG Compliance Program
Chapter 2 Medicare Basics for Dermatology Practices — A Refresher Course
Physician Participation in the Medicare Program
Additional Medicare Billing Considerations
Exhibit 7 Out-of-Network Waiver Form
Exhibit 8 Patient Information
Exhibit 9 Sample Beneficiary Letter — Nonparticipation — Elective Surgery
Exhibit 10 Notice to Medicare Patients
Exhibit 11 and Exhibit 12 Advance Beneficiary Notice (ABN)
Exhibit 13 Notice of Noncovered Service to Managed Care Patients
Exhibit 14 Medicare Patient Registration
Chapter 3 Designating a Compliance Officer or Contact
Exhibit 15 Compliance Leader Job Description
Chapter 4 Outlining and Implementing Your OIG Compliance Plan
The Let’s Do It Schedule – Setting the Compliance Program in Motion
Effective Audits Protect Your Practice
Deciding Which Type of Audit to Do First
The Function of Monitoring and Auditing
Exhibit 16 Simple Audits with Sample Surveys
Exhibit 17 Operating an Effective Compliance Program
Exhibit 18 Confidentiality Policy and Confidentiality Statement
Exhibit 19 Sample Job Description
Chapter 5 Implementing Compliance Practice Standards
Who is Going to Write the Procedure for Each Job?
Options to Procedure Writing In-House
Exhibit 20 Sample Office Policy
Exhibit 21 Sample Office Procedure
Exhibit 22 Initials Log
Exhibit 23 Refund Notice
Exhibit 24 Minor Patient Registration Form
Exhibit 25 Patient Demographics
Exhibit 26 Fee Ticket/Encounter Form Completion
Exhibit 27 Charge Entry/Claims Submission
Exhibit 28 Payment Posting
Exhibit 29 Appeals and Reviews
Exhibit 30 Sample Appeal Letter
Exhibit 31 Audit Requests
Exhibit 32 Collection of Copayments, Deductibles and Balance Billing
Exhibit 33 Medical Necessity
Exhibit 34 Coding Documentation
Chapter 6 Conducting Appropriate Compliance Training and Education
Education and Training to Achieve Compliance
Documenting Your Education and Training Efforts
Exhibit 35 MEDICARE MedLearn (MLN)
Exhibit 36 Record of Baseline Testing, Education, and Training
Exhibit 37 Record of Review of Educational Materials
Exhibit 38 In-Service Training Documentation
Exhibit 39 Evaluation of Presentation
Exhibit 40 Medicare Baseline Test
Exhibit 41 Training Policy
Chapter 7 Responding to Detected Offenses and Developing Corrective Action
Taking Corrective Action – The Fix It Plan
Developing a Set of Monitors and Warning Indicators
Exhibit 42 A Sample OIG Compliance Policy
Exhibit 43 Employee Certification
Exhibit 44 Compliance With HHS OIG Fraud Alerts
Exhibit 45 Investigations and Corrective Actions
Exhibit 46 Annual Compliance Audit
Exhibit 47 Compliance Documentation
Exhibit 48 Tips for Success in the OIG Self-Disclosure Protocol
Chapter 8 Developing Open Lines of Communication
Exhibit 49 Suspected Violation(s) Report
Exhibit 50 Training Tool: Compliance is Always a Two-Way Communication
Chapter 9 Enforcing Disciplinary Policy through Well-Publicized Guidelines
The Enforcement Plan
Exhibit 51 Counseling Conference Sheet
Exhibit 52 Non-Employment of Sanctioned Individuals
Exhibit 53 Employee Standards of Conduct and Disciplinary Policy and Action
Chapter 10 Maintaining Your OIG Compliance Program