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DATE:                                 HIPAA Risk Analysis

          MEDBILL                                    Provider
                                                     :
     COMPLIANCE GROUP, INC

           Excellence In Practice Management

Proud To Be in Partnership With You!

                                   Time for A Review:

With the Federal to put more healthcare records online, data breach
after data breach spanning healthcare, military, retailers, and universities
have become common. One must ask the question, what’s the root cause?

HIPAA Provider Risk Analysis                                                                                        IN
                                                                                    YES NO PROGRESS
Risk Management
                                                                                     Check Yes, No or In Progress:
   Has an initial Risk Analysis been conducted to assess potential risks and
   vulnerabilities?
   Are Risk Analysis preformed and conducted on a regular basis, or when
   changes occur?
   Have threat sources been identified and classified?

Response and Reporting Procedures

  Has a compliance Officer and/or its designee established a process for
  confidentially reporting a potential occurrence(s)?
  Has your practice established criteria for what constitutes a security incident?
  Are security breach(S) or threats thereof analyzed with remedial action?

Policies and Procedures

 Has a Compliance Plan and procedures guidelines been developed?
 Has a Compliance Security Management Process Plan been documented?
 Does your practice Security Policies and Compliance Plan undergo an annual or
 other periodic review?
 Has your practice selected a compliance Officer for your HIPAA Plan?

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