Form preview

Get the free Business Associate Decision Matrix template

Get Form
Business Associate Decision Matrix This decision matrix will help you determine whether a Business Associate relationship exists with a Vendor. Ask yourself the following questions about your relationship
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign business associate decision matrix

Edit
Edit your business associate decision matrix form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your business associate decision matrix form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit business associate decision matrix online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps below:
1
Log into your account. It's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit business associate decision matrix. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out business associate decision matrix

Illustration

How to fill out business associate decision matrix

01
To fill out a business associate decision matrix, follow these point by point instructions:
02
Identify all the potential business associates that might handle protected health information (PHI).
03
Determine the level of access each business associate might have to PHI.
04
Assess the security measures and safeguards implemented by each business associate to protect PHI.
05
Evaluate the potential risks associated with sharing PHI with each business associate.
06
Consider the specific requirements and obligations outlined in the Health Insurance Portability and Accountability Act (HIPAA) regarding business associates.
07
Assign a risk rating to each business associate based on the assessments made.
08
Determine if any additional risk mitigation measures are needed for specific business associates.
09
Prioritize the business associates based on the level of risk they pose.
10
Make informed decisions on whether to engage or continue working with the business associates based on the risk ratings.
11
Regularly review and update the business associate decision matrix to ensure ongoing compliance with HIPAA regulations.

Who needs business associate decision matrix?

01
The business associate decision matrix is needed by any organization or entity that handles protected health information (PHI) and engages or plans to engage with external business associates.
02
This includes healthcare providers, hospitals, health insurance companies, medical billing companies, and any other entity that performs functions or activities involving PHI on behalf of a covered entity.
03
Additionally, business associates themselves may also find value in using the decision matrix to assess their own compliance and risk management practices.

What is Business Associate Decision Matrix Form?

The Business Associate Decision Matrix is a Word document that should be submitted to the specific address to provide certain information. It must be completed and signed, which can be done manually in hard copy, or using a certain software like PDFfiller. This tool helps to fill out any PDF or Word document right in the web, customize it according to your needs and put a legally-binding electronic signature. Once after completion, user can send the Business Associate Decision Matrix to the relevant receiver, or multiple individuals via email or fax. The editable template is printable as well because of PDFfiller feature and options proposed for printing out adjustment. In both digital and in hard copy, your form will have a organized and professional look. It's also possible to turn it into a template to use it later, there's no need to create a new blank form from the beginning. All you need to do is to edit the ready form.

Template Business Associate Decision Matrix instructions

Prior to start filling out the Business Associate Decision Matrix writable form, it is important to make clear that all required information is well prepared. This part is important, as far as errors may result in undesired consequences. It's always irritating and time-consuming to resubmit the entire word template, not speaking about penalties came from blown due dates. Working with digits requires more focus. At first glance, there is nothing challenging about this. However, there's nothing to make a typo. Experts advise to record all the data and get it separately in a different file. When you have a writable sample, you can just export that data from the file. In any case, it's up to you how far can you go to provide true and legit data. Check the information in your Business Associate Decision Matrix form carefully when filling all required fields. In case of any error, it can be promptly fixed via PDFfiller tool, so all deadlines are met.

Frequently asked questions about Business Associate Decision Matrix template

1. Is this legit to fill out documents digitally?

According to ESIGN Act 2000, Word forms submitted and authorized using an electronic signature are considered legally binding, just like their hard analogs. Therefore you can rightfully fill and submit Business Associate Decision Matrix word form to the institution needed using digital solution that suits all the requirements in accordance with certain terms, like PDFfiller.

2. Is my personal information safe when I complete word forms online?

Of course, it is totally risk-free so long as you use reliable solution for your workflow for those purposes. For instance, PDFfiller provides the following benefits:

  • Your data is stored in the cloud provided with multi-layer encryption. Any document is secured from rewriting or copying its content this way. It's only you the one who controls to whom and how this word file can be shown.
  • Each writable document signed has its own unique ID, so it can’t be faked.
  • User can set extra protection like validation of signers via photo or security password. There's also an option to secure whole directory with encryption. Just put your Business Associate Decision Matrix fillable form and set a password.

3. Can I upload my data to the writable form?

To export data from one file to another, you need a specific feature. In PDFfiller, you can find it as Fill in Bulk. With the help of this feature, you'll be able to take data from the Excel spread sheet and insert it into the generated document.

Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
20 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You can. With pdfFiller, you get a strong e-signature solution built right into your Chrome browser. Using our addon, you may produce a legally enforceable eSignature by typing, sketching, or photographing it. Choose your preferred method and eSign in minutes.
With the pdfFiller Android app, you can edit, sign, and share business associate decision matrix on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!
Complete your business associate decision matrix and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.
Business associate decision matrix is a tool used to evaluate and prioritize potential business associates based on various factors such as risk and compliance.
Any covered entity under HIPAA regulations who uses business associates is required to file a business associate decision matrix.
The business associate decision matrix should be filled out by assessing each potential business associate against predetermined criteria and scoring them based on their level of risk and compliance.
The purpose of the business associate decision matrix is to help covered entities make informed decisions when selecting and working with business associates to ensure data security and compliance with HIPAA regulations.
The business associate decision matrix typically includes information such as the name of the business associate, services provided, security measures in place, compliance history, and risk assessment.
Fill out your business associate decision matrix online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.