Member Portal: Policies and Procedures

SoNE Policies and Procedures

SoNE HEALTH Policies and Procedures

SoNE Departmental Policies are below:

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SoNE Code of Conduct
SoNE Supplier Code of Conduct
SoNE Integrity Compliance Program
Excluded Individuals Entities and Others Convicted of Health Care Related Criminal Offenses
Integrity and Compliance Training and Education
Integrity and Compliance Reporting
Responding to Government Investigations
Fraud Waste and Abuse Information Requirements
Financial Relationships with Physicians and Other Referral Sources
Procedure for Financial Relationships with Physicians and Other Referral Sources
Access and Use of Physician and Other Provider Referral Information
Physician-Owned Distributorships
Notification of Investigations or Legal Proceedings
Correction of Errors Related to Federal and State Health Care Program Payments
Procedure for Correction of Errors Related to Federal and State Health Care Program Payments
SoNE HEALTH ACO LLC- Prohibited Referrals and Arrangements
SoNE HEALTH ACO LLC – Participant Terminations
SoNE HEALTH ACO LLC – Record Retention
SoNE HEALTH ACO LLC- Avoidance of At-Risk Beneficiaries 
SoNE HEALTH ACO LLC- Fraud Waste and Abuse
SoNE HEALTH ACO LLC- Compliance Reporting System
SoNE HEALTH ACO LLC – Compliance Training
Privacy Compliance Program
Administration of Privacy Compliance
Use and Disclosure of Protected Health Information
Faxing of Protected Health Information and Sensitive Business Information
Minimum Necessary Use or Disclosure of PHI
Restrictions on the Use or Disclosure of Protected Health Information for Fundraising Activities
Restrictions on the Use or Disclosure of Protected Health Information for Marketing Activities
Individual Rights Regarding Agree Object with Respect to Protected Health Information
Individual Rights Regarding Records Contained in a Designated Record Set
Individual Rights Regarding Restrictions Confidential Communications
Workforce Educational Awareness and Training Related to the Privacy of PHI
Privacy and Security Incident Management and Response Involving Protected Health Information
Breach Notification and Response
Identity Theft Prevention Program
Verification of Individuals Requesting Access or Disclosure of Protected Health Information
Business Associate Agreements
Limited Data Sets and De-Identified Data
State Law Preemption
Refraining from Retaliatory Acts or Intimidating Acts Against Individuals
Appropriate Personal Access and Use of Health Information




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Questions/Concerns? 

Contact Steve Melinosky, Chief Comliance and Privacy Officer with any questions or concerns; she can be reached via email.