Compliance Risk Assessment Question"*" indicates required fields Step 1 of 520%HIPAA QUESTIONS1.Do you have signed business associate agreements with all business associates?1. Do you have signed business associate agreements with all business associates?* Yes Noa.Have they been updated after 2016?a. Have the been updated after 2016?* Yes No2.Do you have a secured and encrypted text and email system in place and if not, do you have authorizations from all patients to contact them by standard email?2. Do you have a secured, encrypted text and email system in place and if not do you have authorizations from all patients to contact them by standard email?* Yes No3.Have you completed a security risk assessment and management plan in the past year?3. Have you completed a security risk assessment and management plan in the past year?* Yes No4.Do you store paper medical records in your office?4. Do you store paper medical records in your office?* Yes Noa.Have you documented your risk management plan?a. Have you documented your risk management plan?* Yes No5.Is your Notice of Privacy Practice prominently displayed in your office?5. Is your Notice of Privacy Practice prominently displayed in your office?* Yes NoHAZARD QUESTIONS1.Do you have a current listing of all chemicals stored in your office?1. Do you have a current listing of all chemicals stored in your office?* Yes Noa.Do you have safety data sheets on file for each?a. Do you have safety data sheets on file for each?* Yes Nob.Are they accessible to your staff?b. Are they accessible to your staff?* Yes No2.Have you done Hazard training for your staff?2. Have you done Hazard training for your staff?* Yes Noa.Have they taken a test?a. Have they taken a test?* Yes Nob.Do you have copies of the test?b. Do you have copies of the test?* Yes No3.Do you have an OSHA approved first aid kit?3. Do you have an OSHA approved first aid kit?* Yes No4.Do you have items that come in contact with bodily fluids (including tears / blood / mucus)?4. Do you have items that come in contact with bodily fluids (including tears / blood / mucus)?* Yes Noa.Have you documented risk management plan?a. Do you have sterilization / disposal protocols?* Yes Nob. Are your protocols written?b. Are your protocols written?* Yes No5.Are all your exits properly marked with lighted signs?5. Are all your exits properly marked with lighted signs?* Yes NoFRAUD, ABUSE & OPERATIONAL QUESTIONS1.Have you completed a medical records audit in the last year?1. Have you completed a medical records audit in the last year?* Yes No2.Do you know the 5 Fraud and Abuse laws that you must comply with?2. Do you know the 5 Fraud and Abuse laws that you must comply with?* Yes Noa.Can you name them?a. Can you name them?* Yes No3.Are you displaying the required patient anti-discrimination language at check in?3. Are you displaying the required patient anti-discrimination language at check in?* Yes No4.Are your referral protocols and co-management fees up to date with the 2020 changes?4. Are your referral protocols and co-management fees up to date with the 2020 changes?* Yes No5.Do you have a grievance officer?5. Do you have a grievance officer?* Yes NoHR QUESTIONS1.Do you have an updated employee policy manual that is compliant with current state law?1. Do you have an updated employee policy manual that is compliant with current state law?* Yes Noa.Is it compliant with federal law?a. Is it compliant with federal law?* Yes Nob.Do your employees have access to your employment manual?b. Do your employees have access to your employment manual?* Yes No2.Do you have any employees you pay on a salaried basis?2. Do you have any employees you pay on a salaried basis?* Yes No3.Do you have employees that you pay as independent contractors?3. Do you have employees that you pay as independent contractors?* Yes No4.Do you have current state and federal employee information posters?4. Do you have current state and federal employee information posters?* Yes Noa.Are they posted in a visible space?a. Are they posted in a visible space?* Yes No5.Are your employee files kept in a secure location and backed up?5. Are your employee files kept in a secure location and backed up?* Yes NoName* First Last Phone*Email* 58572
