Claims Transit


        Compliance & HIPAA Guidelines Manual



        Our OIG and HIPAA Compliance Manual covers information on Office of Inspector General (OIG) 3rd Party Billing Guidelines and comes with a sample plan that can be adapted for any billing service.

        And, because HIPAA Regulations and OIG Guidelines both cover Privacy, we felt it was important to include new HIPAA regulations in this manual. We provide an in-depth look into privacy v. security, electronic records, faxing, and more.

        Here's list of the files you'll find in our Manual

        compliance.doc - The HIPAA &OIG Compliance Manual
        thirdparty.pdf - Third Party Billing Guidelines established by the OIG
        medicare_fraud.pdf - A Medicare document regarding fraud and abuse
        phyoigguide.doc - Physician Billing Guidelines established by the OIG
        Clearinghouse_v3.pdf - WEDI-SNIP White Paper regarding whether a billing service is a clearinghouse or a covered entity
        privacy.doc – HIPAA Final Privacy Regulations
        finaltrans.pdf – Final Transaction Standards
        HR3323.pdf – Delay of HIPAA Transaction Standards &Mandatory Electronic Submission Information
        Privacy Tool Final.pdf – A checklist tool to assist you in making sure you meet the final privacy regulations
        Auth_Rel_Req_physician.doc – Authorization
        Auth_Discl_Requested by Phaysician.doc – Authorization
        Auth_disclosure-Research.doc – Authorization
        Auth_psych_checklist.doc – Checklist to use before releasing psychiatric patient information
        BA_Contract_Sample.doc – Business Associate Agreement
        BA_sample1.doc – Business Associate Agreement
        BA_samples.doc – Business Associate Agreement
        Code_Ethics.doc – To help you develop your own code of ethics
        computer_usage.doc – sample computer usage agreement
        Consent_Checklists.doc – Consent checklist
        Consent_TPO.doc – Consent
        Contract_employee_confid.doc – Employee confidentiality agreement
        Fax_cover.doc – Fax Cover letter
        Fax_misdirected.doc – Mis-directed fax letter
        Faxing_PHI.doc – document on faxing under HIPAA
        TEMPLATE.doc – Business Associate Agreement Template

        Here's what our members are saying about this manual

        "AMBA has a WONDERFUL manual that walks you step by step through new HIPAA regulations and OIG 3rd Party Billing Guidelines. The sample plan can be adapted for any billing business. It's concise and to the point. It's easy to read and I recommend it to anyone that wants to be compliant!" RT, MI

        "I have found this manual to be an excellent source for setting up my own compliance plan - Thank you, AMBA!" JJ, Texas


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