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Compliance Statutes and Regulations
Federal
Americans with Disabilities Act (ADA)
Centers for Medicare and Medicaid Services
Emergency Medical Treatment and Active Labor Act (EMTALA)
Exclusion Statute
False Claims Act
Federal Anti Kickback Statute
Food and Drug Cosmetic Act (FD&C Act)
Health Care Quality Improvement Act of 1986 (HCQIA)
Health Insurance Portability and Accountability Act (HIPAA)
Office of the Inspector General
OIG's Anti Kickback and Stark Law Comparison
OIG's Fraud and Abuse Law Summary for New Physicians
Physician Self-Referral Law (Stark Law)
State
CA Health and Safety Code
CA Medical Board's "Guide to Laws Governing the Practice of Medicine"
CA Welfare and Institutions Code
CA Business and Professions Code
Department of Health Care Services - Medi-Cal
The Medical Board of California
Billing & Coding Statutes and Regulations
Federal
Professional Fee Billing:
Guidelines for Teaching Physicians, Interns and Residents
CMS/Medicare:
"General Rule" for teaching physician services (42 CFR 415.172), Medicare Carriers Manual, Part 3 - Claims Process, Transmittal 1780 (11/22/2002), Section 15016, Supervising Physicians in Teaching Settings.
Incident To Services
Hospital Billing: IPPS (inpatient), OPPS (outpatient)
Medicare Overpayments
Fact Sheet: Two-Midnight Rule (7/1/2015)
CMS Medicare Learning Network, “Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians”
Centers for Medicare & Medicaid Services (CMS) Medicare Coverage Database (Search for National and Local Coverage LMRPs and NCDs)
Centers for Disease Control and Prevention
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State
Medi-Cal Provider Billing Manual
Privacy Statutes and Regulations
Federal
Office for Civil Rights (OCR) –
Guidance regarding methods for de-identification of protected health information in accordance with HIPAA Privacy Rule
Communicating with the Patient's Family Members and Friends
Disclosures for Public Health Activities
Emergency Situations: Preparedness, Planning and Response
"HIPAA Privacy in Emergency Situations", November 2014
OCR Decision Tree:
"At a Glance - May I disclose protected health information for public health emergency preparedness purposes?"
HIPAA Privacy Rule and Sharing Information Related to Mental Health
Research
FERPA & HIPAA
U.S. Department of Health and Human Services and the U.S. Department of Education.
"Joint Guidance on the Application of the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to Student Health Records".
State
State of California Department of Justice, Office of the Attorney General, Privacy Laws
California Office of Health Information Integrity (CalOHII),
Privacy Laws, Civil Penalties for Unauthorized Access, Use, or Disclosure of Medical Information – Civil Code 56.36
CalOHII,
California Health Information Law Identification (CHILI) search tool
Human Subject Research Statutes and Regulations
International
Nuremburg Code
Declaration of Helsinki
Belmont Report
International Conference on Harmonization (ICH) Good Clinical Practices (GCP)
OHRP Compilation of International Issues
Federal
Federalwide Assurance for the protection of Human Subjects
Office of Human Research Protection
(OHRP)
45 CFR Part 46 (The Common Rule)
Food and Drug Administration
(FDA)
21 CFR 50 Human Subjects Protections (Informed Consent)
21 CFR Part 56 Institutional Review Boards
21 CFR Part 312 Investigational New Drug Application
21 CFR Part 812 Investigational Device Exemptions
Good Clinical Practice
State
Search
California Legislative Information
about human subject research
California Health and Safety Code
(HSC)
Protection of Human Subjects in Medical Experimentation Act (Sections 24170-24179.5)
Use of State Death Data Records (Sections 102231-102232)
Experimental Use of Drugs and Consent for Minors Provision (Sections 11151-111545)
Confidentiality of Research Records involving AIDS Patients (Sections 120975-121023)
Confidentiality of Records involving Hereditary Disorders (Sections 124980)
California Civil Code (CIV)
Data Repositories under California Civil Code 1798.24
Information Practices Act