Clinical, Compliance, Ethics & Corporate Integrity - Section 100

New # 100.1  HIPAA POLICIES Book # Resp. Office Resp. Exec. Approval Authority
100.1.1 Uses and Disclosures of Health Information With and Without an Authorization 00-01-15-15:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.2 Facsimile (Fax) Machine Transmittal of Confidential, Sensitive or Protected Health and Other Information 00-01-15-35:00 RBHS OEC& CI CHCO RBHS Chan.
100.1.3 Accounting Disclosures of Health Information 00-01-15-20:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.4 Access of Individuals to Their Protected Health Information 00-01-15-10:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.5 Protected Health Information Breach Notification
rescinded
00-01-15-45:05 RBHS OEC& CI CHCO RBHS Chan.
100.1.6 Protected Health Information - Destruction and Disposal 00-01-15-45:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.7 Request for Amendment of Individual Health Information 00-01-15-25:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.8 Requests for Restriction of Uses and Disclosurers of Protected Health Information 00-01-15-30:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.9 Standards for Privacy of Individually Identifiable Health Information 00-01-15-05:00 OERMEC SVP&CERME&CO RBHS Chan.
100.1.10 Disclosures of Personally Identifiable Health Information to Business Associates New OERMEC SVP&CERME&CO RBHS Chan.
100.1.11 HIPPA Minimum Necessary Requirement New OERMEC SVP&CERME&CO RBHS Chan.
100.1.12 Hybrid Entity Declaration New OERMEC SVP&CERME&CO RBHS Chan.

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New # 100.2  HEALTHCARE COMPLIANCE POLICIES Book # Resp. Office Resp. Exec. Approval Authority
100.2.1 General Statement on Agreements with Referral Sources 00-01-15-60:05 RBHS OEC& CI CHCO RBHS Chan.
100.2.2 Excluded Individuals and Entities 00-01-15-65:00 RBHS OEC& CI CHCO RBHS Chan.
100.2.3 Fair Market Valuation 00-01-15-60:15 RBHS OEC& CI CHCO RBHS Chan.
100.2.4 Professional Services Agreement 00-01-15-60:10 RBHS OEC&CI CHCO RBHS Chan.
100.2.5 Responding to Suspected violations of the Anti-Kickback Statute or for Stark Law Violations that Potentially Implicate the Anti-Kickback Statute 00-01-90-95:00 RBHS OEC&CI CHCO RBHS Chan.
100.2.6 Responding to Suspected Violations of the Stark Law That Do Not Implicate the Anti-Kickback Statute 00-01-90-65:01 RBHS OEC&CI CHCO RBHS Chan.
100.2.7 Focus Arrangements Database Policy and Approval Procedure 00-01-15-60:00 RBHS OEC&CI CHCO RBHS Chan.
100.2.8 Fraud, Waste and Abuse Protection and the Federal Deficit Reduction Act of 2005 00-01-15-55:05 RBHS OEC&CI CHCO RBHS Chan.
100.2.9 Professional Courtesies for Health Services 00-01-15-60:00 RBHS OEC& CI CHCO RBHS Chan.
100.2.10 Reporting Compliance and Ethics Concerns 5.1.2 RBHS OEC& CI CHCO RBHS Chan.
100.2.11 Controlled Substance Policy NEW RHG Pres RBHS Chan. RBHS Chan.

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Legend for Abbreviations

Titles Offices
BOG - Board of Governors Acad. Affairs - Office of Academic Affairs
BOT - Board of Trustees Admin. Fin. - Office of Administration and Finance
EVP Acad - Executive Vice President for Academic Affairs Facil/Capital Plan. - Facilities and Capital Planning
Secy Univ - Office of the Secretary of the University OERMEC - Office of Enterprise Risk Management, Ethics and Compliance Officer
SrVP&CERME&CO - Senior Vice President and Chief Enterprise Risk Management, Ethics and Complaince Officer OIT - Office of Information Technology
SrVP/FA - Senior Vice President for Finance and Administration ORSP - Office of Research and Sponsored Programs
VP Budget - Vice President for University Budgeting Risk Mgmt - Office of Risk Management and Insurance
SrVP/Gen Counsel - Senior Vice President and General Counsel Secy Univ - Office of the Secretary of the University
VP IT - Vice President for Information Technology UHR - University Human Resources
VP UCM - Vice President for University Marketing and Communications UCM - University Communications and Marketing
CHCO - Chief Healthcare Compliance Officer RBHS OEC& CI - RBHS Office of Ethics Compliance and Corporate Integrity
RBHS Chan. - RBHS Chancellor RBHS - Rutgers Boimedical and Health Sciences
RHG Pres. - Rutgers Health Group President RHG - Rutgers Health Group

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