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HIPAA COMPLIANT CONFIDENTIAL PATIENT SIGN-IN SYSTEM
(HIP01)

HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS WITH ADHESIVE STRIPS
(HIP02) Blue
(HIP02GN) Green
(HIP02BY) Burgundy
(HIP04) Bi-Lingual, English/Spanish

HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS
GENERIC
(HIP03)

HIPAA Employee Training Record
HIPAA Form #101

HIPAA Practice Training Record
HIPAA Form #102

Protected Health Information (PHI) Access Log
HIPAA Form #103

Protected Health Information (PHI)
Disclosure Log
HIPAA Form #104

Patient Request for Amendment of
Health Information
HIPAA Form #105

Patient Requests for Accounting of Disclosures
HIPAA Form #106

Patient Request to Inspect / Review PHI
HIPAA Form #107

Patient Request for Confidential
Communications
HIPAA Form #108

Patient Request for Restrictions on Use
& Disclosure of PHI
HIPAA Form #109

Protected Health Insurance (PHI) Tracking Log
HIPAA Form #110

Authorization to Release Information
HIPAA Form #111

Notice of Privacy Practices
HIPAA Form #120

Notice of Privacy Practices
Spanish Version
HIPAA Form #120S

HIPAA INFORMATION

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CMS/HCFA-1500 FORMS
NEWEST REVISION
laser cut sheets
continuous forms 1 part (with bar code)
continuous forms 1 part (without bar code)
continuous forms 2 part 1st Sheet White,2nd Sheet White
continuous forms 2 part
1st Sheet White,2nd Sheet Canary
snapout forms

HOME HEALTH CARE FORMS
CMS-485 continuous forms
CMS-486 continuous forms
CMS-487 continuous forms

ENVELOPES
Claim Form Envelopes
for CMS/HCFA-1500, UB 92 &UB04 claim forms
Dental X-Ray Envelopes
Patient Valuables Envelopes

UB-04 CLAIM FORMS (NEW)
UB-04 Laser cut sheets
UB-04 Continuous forms

NARCOTIC CONTROL RECORDS

PHYSICIAN'S ORDER SHEETS

LABORATORY MOUNT SHEETS
 

Related HIPAA Links
CLICK HERE
For more informatio about HIPPA
(Health Insurance Portability
and Accountability Act)
 

HIPAA Compliance, Patient Privacy and the Confidential Sign-In System from HIPAA Sign-In.com

  While the patient sign-in sheet is used at the front desks of most clinicians' offices, many doctors do not have a clear understanding of its legal importance. Contrary to what the lay public may believe, it is not just used to track a patient's arrival.¹

  The patient sign-in sheet protects the doctor. This important document proves the patient was in the office on a particular date. This is necessary to avoid any question of fraud from insurance companies, including Medicare and state programs, such as Medicaid. Also, a disgruntled patient may claim that he was billed for services rendered on a day he was not in the doctor's office. A report to a disciplinary board because of such a claim can cause incredible problems.

  Proof of the patient's presence cannot be achieved by any other method that is as simple and low-cost. Office notes, an appointment book with check marks next to a name, or even a signed patient's receipt, are not considered adequate proof, since they can be easily falsified. A sign-in sheet, on the other hand, preserves that patient's handwritten verification and the date of the office visit. To protect the clinician, the patient's signature must appear on a sheet with several other patients' signatures bearing the same date.

  While sign-in sheets are an important part of office documentation, it seems obvious that displaying the day's patient list is a clear violation of a patient's privacy and confidentiality.  In addition, many patients are uncomfortable signing an open sign-in sheet.

  The clinician faces a dilemma: We need the sign-in sheet to protect us, but an open patient sign-in sheet, where patients' names can be viewed by all, violates patient confidentiality and privacy laws.

  Confidential Patient Sign-In Systems from HIPAA Sign-In.com solve this problem and comply with states privacy laws and the new federal HIPAA laws that go into effect April 2003.

  Protecting your patients' privacy with this new generation of sign-in sheets makes will be welcome in your office as a long overdo improvement. They will make your patients more comfortable and show that you care while allowing compliance with federal and state privacy laws.

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