Designated Record Set

Staff confidentiality of Protected Health Information (PHI)

Minimum Necessary

Authorizations for Use and Disclosure

Disclosures of PHI for Treatment, Payment and Operations; Data Use Agreements and Limited Data Sets

Review of HIPAA Notice of Privacy Practices

Posting and availability of Notice of Privacy Practices

Notice of Privacy Practices

Privacy of Confidential HIV Information

Uses and disclosures of PHI – Special Circumstances

Privacy of Mental Hygiene Information

Privacy of Psychotherapy Notes

Breaches of PHI

Access of Individuals to PHI

Amendment of PHI

Requests for Additional Privacy Protections

Confidential Communications

Fundraising Activities

Use and Disclosure of PHI for Marketing Activities

Accounting of Disclosures

Privacy Rights of Minors

PHI and Email

Business Associates and Business Associate Agreements

148 - Report on Actions Taken Procedure

149 - Investigative Reports Procedure

150 - Investigative Summaries Procedure

150 Procedure

Abuse Prevention Procedure

After-Hours Administrative Notification Procedure

Event Report Documentation Procedure

Guidelines for Appointment Refusal - Event Documentation

HIPAA and Missing Person Protocol addendum

Incident Notification Procedure

IRMA - CHOICES Procedure

Minor Notable Occurrence Procedure

Missing Person Protocol v2 519

Preliminary Assessment Procedure

Reportable Incident - Abuse and Neglect Procedure

Reportable Incident - Significant Procedure

Requests for Incident Report Information Procedure

Response to Investigation Procedure

Serious Notable Occurrence Procedure

Special Review Committee Procedure

Corporate Compliance Plan

Corporate Compliance Policies

Board Resolution Regarding Compliance

Deficit Reduction Act

Communication of Compliance Activities to the Board of Directors

Responsibilities of the Board of Directors Regarding Compliance

Compliance-related Training and Communication

Code of Conduct

Background Checks

Criminal History Record Checks

Exclusion Checks

Anti-kickback, Inducement and Physician Arrangements

Conflict of Interest

Staff Performance, Incentives and Discipline

Preventive Risk Assessment and Annual Compliance Activity Planning

Agency-wide Service Delivery Standards

Medical Clinical Necessity and Utilization Review

Accurate and Timely Documentation of Services

False Claims

Internal Monitoring & Auditing

Non-Compliance Detection and Response, and Confidential Communications

Classification of Compliance Concerns and Investigations

Risk Appetite Assessment of Compliance Matters

Unsupported Claims and Repayment Financial Adjustments

Employee Response to Governmental Investigations

Political Contributions and Lobbying

Vendor Management

New Government Initiatives related to Compliance

Auditing/Monitoring of the Compliance Program

Whistleblower Policy