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rescinded		 00-01-15-45:05 RBHS OEC& CI CHCO RBHS Chan.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 n/a OERMEC SVP&CERME&CO RBHS Chan.
100.1.11 HIPPA Minimum Necessary Requirement n/a OERMEC SVP&CERME&CO RBHS Chan.
100.1.12 Hybrid Entity Declaration n/a 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 n/a RHG Pres RBHS Chan. RBHS Chan.
100.2.12 Notice of Non-Discrimination for Language and Interpretation Services under the Affordable Care Act (ACA) Section 1557 n/a EVP/HA EVP/HA EVP/HA
New# 100.3 CLINICAL, HEALTH, SAFETY, AND PATIENT CARE Book # Resp. Office Resp. Exec. Approval Authority
100.3.1 Immunization Policy for Covered Individuals n/a EVP/HA EVP/HA EVP/HA
100.3.2 Tuberculosis Surveillance 00-01-40-42:00 40.3.3 RBHS Chan. RBHS Chan. RBHS Chan.
100.3.3 Housestaff Immunizations and Health Requirements 00-01-40-45:00 RBHS Chan. RBHS Chan. EVP/HA & RBHS Chan.

 

New # 100.4  INVESTIGATIVE POLICIES AND PROCEDURES Book # Resp. Office Resp. Exec. Approval Authority
100.4.1 Preservation of and Access to University Data and Property n/a UEC SrVP&CERME&CO Pres.

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

 

 

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