Quick References

General Compliance

• AMA Code of Medical Ethics
• California Political Reform Act
• CMS Open Payments
• HHS Office of the Inspector General - Compliance Resources
• NIH: Financial Conflict of Interest
• PhRMA Code on Interactions with Health Care Professionals
• UC Ethical Values and Conduct
• UC Whistleblower

Research Compliance

• Center for Medicare and Medicaid Services (CMS) Clinical Trial Policy – Includes National Coverage Determination for Routine Costs in Clinical Trials, 310.10
• ClinicalTrials.gov
• Department of Health & Human Services HIPAA Privacy Rule
• Department of Health & Human Services Office of Research Integrity
• HIPAA Privacy Rule for Researchers FAQ ›
• HIPAA Privacy Rule — National Institutes of Health ›
• Medicare National and Local Coverage Database
• Medicare Benefit Manual - Includes information about services that are a benefit of Medicare
• Managed Care Benefit Manual (PDF) - Includes information about Medicare Advantage Patients
• Noridian Investigational Device Exemption – Requirements and Forms for submitting IDE
• Office of Research Integrity
• Office for Human Research Protection

Billing and Coding Compliance

• Centers for Medicare & Medicaid Services - Internet Manuals
• Health Data Insights RAC-Info
• Medicare Learning Network (MLN)
• MLN Guidelines for Teaching Physicians, Interns, and Residents (PDF)
• National Center for Health Statistics: Fiscal Year 2017 release of ICD-10-CM
• Noridian Medicare Contractor
• University of California Ethics, Compliance & Audit Services ›
  
• OIG Supplemental Compliance Notice, 2005 ›
  
• OIG Compliance Program Guidance for hospital, 1998 ›

Privacy

• Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Health Information Privacy — U.S. Department of Health & Human Services
• U.S. Department of Health and Human Services HIPAA FAQs for Professionals
• U.S. Department of Health and Human Services Summary of the HIPAA Privacy Rule

• American Hospital Association (AHA),"Guidelines for Releasing Patient Information to Law Enforcement"
• California Hospital Association, California Hospital Association, "Quick Reference Guides for Hospital Staff"