HIPAA Guidelines Policy and Procedure Manual

MCN Healthcare’s HIPAA Guidelines Policy and Procedure Manual provides policies and procedures addressing the HIPAA Privacy Rule, the HIPAA Security Rule, Notification of Breach of Protected Health Information (HITECH), and Transactions and Code Sets as mandated by the federal government. Policies and procedures include the changes covered in the Omnibus Final Rule, January 2013.

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Table of ContentsCopyrightDisclaimer
SECTION 01 - PRIVACY
1001 - Uses and Disclosures of Protected Health Information - General Rules1002 - Sale of Protected Health Information1003 - Uses and Disclosures of Protected Health Information - Minimum Necessary and Incidental Disclosures1004 - Uses and Disclosures of Protected Health Information Subject to an Agreed-Upon Restriction1005 - Restriction Agreement - Release of Patient Protected Health Information Consent Form1006 - Disclosures to Business Associates and Subcontractors1007 - Sample Business Associate Agreement Provisions1008 - Deceased Individuals1009 - Personal Representatives1010 - Confidential Communications1011 - Uses and Disclosures Consistent with Notice1012 - Disclosures by Whistleblowers and Workforce Member Crime Victims1013 - Uses and Disclosures - Organizational Requirements1014 - Consent for Uses or Disclosures to Carry Out Treatment, Payment or Healthcare Operations1015 - Patient Consent for the Release of Protected Health Information Form1016 - Disclosure of Protected Health Information During Disaster Relief Efforts1017 - Uses and Disclosures of Protected Health Information for Marketing1018 - Uses and Disclosures for Which an Authorization is Required1019 - Patient Authorization Form - Use and Disclosure of Protected Health Information1020 - Uses and Disclosures for Which an Authorization is Required - Defective Authorization1021 - Waiver of Authorization Form - Example1022 - Uses and Disclosures for Which an Authorization is Required - Compound Authorization1023 - Uses and Disclosures Requiring an Opportunity for the Individual to Agree or to Object1024 - Uses and Disclosures for Which an Authorization or Opportunity to Agree or Object is Not Required1025 - Interpreter Services and Protected Health Information1026 - Authorization for the Use and Disclosure of PHI for Research Purposes1027 - Waiver of Authorization Form - Research Project1028 - Uses and Disclosures of Protected Health Information - De Identifying and Re-Identifying Protected Health Information1029 - De-Identification of PHI with the Safe Harbor Method1030 - De-Identification of PHI with the Expert Determination Method1031 - Uses and Disclosures of Protected Health Information - Minimum Necessary Requirements1032 - Limited Data Set1033 - Data Use Agreement Form1034 - Use and Disclosure of Protected Health Information for Fundraising1035 - Verification of Identity and Authority of Persons Requesting Protected Health Information1036 - Disclosure of Protected Health Information to Law Enforcement Without Individual Authorization1037 - Notice of Privacy Practices for Protected Health Information1038 - Patient Privacy Notice - Sample Handout1039 - Individual's Right to Request Privacy Protection for Protected Health Information1040 - Right to Request Privacy Protection for Protected Health Information - Confidential Communications Requirements1041 - Access of Individuals to Protected Health Information1042 - Amendment of Protected Health Information1043 - Accounting of Disclosures of Protected Health Information1044 - Administrative Requirements1045 - Position Description/Performance Evaluation - (Chief) Privacy/Security Officer1046 - Annual Competency Skills Assessment - (Chief) Privacy/Security Officer1047 - Staff Training1048 - Safeguards1049 - Complaints1050 - Sanctions1051 - Mitigation1052 - Refraining from Intimidating or Retaliatory Acts1053 - Development and Implementation of Protected Health Information Policies and Procedures
SECTION 02 - SECURITY
2001 - Definitions2002 - Implementation Specifications
Administrative Safeguards
2101 - General Security2102 - Employee Training Log for Computer/Fax Stations2103 - List of Computer Stations That Can Create/Transmit Protected Health Information (PHI and ePHI)2104 - List of Fax Machines That Can Create/Transmit Protected Health Information2105 - Maintenance of Computer Software Programs2106 - Administrative Safeguards - Risk Analysis2107 - Inventory of Electronic Protected Health Information and Information Systems List2108 - Administrative Safeguards - Risk Management2109 - Administrative Safeguards - Sanctions2110 - Statement of Adherence - Security Policies and Procedures Signature Sheet2111 - Administrative Safeguards - Information System Activity Review2112 - Administrative Safeguards - Privacy/Security Officer2113 - Administrative Safeguards - Workforce Authorization/Supervision2114 - Administrative Safeguards - Workforce Clearance and Access Authorization2115 - Administrative Safeguards - Workforce Termination2116 - Administrative Safeguards - Isolating Healthcare Clearinghouse Functions2117 - Confidentiality Statement Form2118 - Receipt of Access Code Form2119 - Security Code for Computer Access List2120 - Administrative Safeguards - Security Awareness and Training2121 - Administrative Safeguards - Access Establishment and Modification2122 - Administrative Safeguards - Security Reminders2123 - Administrative Safeguards - Protection from Malicious Software2124 - Administrative Safeguards - Log-in Monitoring2125 - Administrative Safeguards - Password Management2126 - Administrative Safeguards - Security Incident Procedure - Response and Reporting2127 - Security Incident: Confidential Information Form2128 - Security Incident Log2129 - Administrative Safeguards - Contingency Plan2130 - Administrative Safeguards - Data Backup Plan2131 - Administrative Safeguards - Disaster Recovery Plan2132 - Administrative Safeguards - Emergency Operations Plan2133 - Administrative Safeguards - Testing and Revision Procedures2134 - Administrative Safeguards - Applications and Data Criticality Analysis2135 - Administrative Safeguards - Evaluation2136 - Administrative Safeguards - Business Associate/Written Contract or Other Arrangement
SECTION 05 - IDENTIFIER STANDARDS