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TO: BMC Medical Staff Members FROM: Karla Seaborne, HIPAA Privacy Officer SUBJECT: HIPAA Privacy Rule Organized Health Care Arrangement / Provider Portal In accordance with the Health Insurance Portability
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How to fill out the 2013 HIPAA-OHCA Physician Agreementdocx:

01
Start by downloading the 2013 HIPAA-OHCA Physician Agreementdocx form from a trusted source or obtain it directly from the relevant governing authority.
02
Open the document using a compatible software program that allows you to edit Word documents.
03
Carefully read through each section of the agreement to familiarize yourself with its content and requirements.
04
Begin filling out the form by providing your personal information, such as your name, address, contact details, and any other requested information.
05
Make sure to accurately enter any credentials, licenses, or certifications that are relevant to your profession as a physician.
06
Pay close attention to the sections that outline the terms and conditions of the agreement, including any obligations or responsibilities that you need to adhere to.
07
If applicable, include any additional information or attachments that may be required, such as proof of malpractice insurance or documents related to your practice.
08
Double-check all the information you have entered for accuracy and completeness before finalizing the document.
09
Once you are satisfied that all the necessary information has been provided, save the document to your computer or the desired location.
10
Print out a hard copy of the agreement and have it signed by all parties involved, ensuring that all necessary signatures and dates are included.
11
Keep a copy of the fully executed agreement for your records, and distribute copies to any relevant parties, as required.

Who needs the 2013 HIPAA-OHCA Physician Agreementdocx:

01
Physicians: Any licensed physician who is involved in providing healthcare services, and needs to comply with the requirements of the 2013 HIPAA-OHCA regulations, may need to fill out this agreement.
02
Healthcare organizations: Entities such as hospitals, clinics, and medical practices may require their employed or affiliated physicians to complete the 2013 HIPAA-OHCA Physician Agreementdocx as part of their compliance measures.
03
Government agencies: Regulatory bodies overseeing healthcare compliance may require physicians to fill out this agreement to monitor and enforce HIPAA-OHCA regulations.
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