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How To Use Our Kits

You can use our kit to identify areas based on the governed rules, mandated questions, and mandated rules published by HIPAA, CMS, and OCR to protect your organization.

Use this kit as a Guide and Checklist and perform your own private organizational mandatory OCR, HIPAA, CMS, internal audit using the real government standards, governed rules, mandated questions, and mandated rules. While the author has made every effort to ensure the accuracy of information, the reader is ultimately responsible for the interpretation and application of materials included below.

Important Note:
An internal audit should be complete in all organizations once a year using this kit to add protection to your patients, Data, PHI, HIPAA, and CMS components. 

Perform your mandatory audit using the administrative, physical, and technical safeguard mandates within. This book may be revised periodically without prior notice.
INSTRUCTIONS FOR NOTES AND RECOMMENDATIONS, AND COLUMNS IN THE KIT.

Focus on process improvement to get the most out of an Internal Audit. Many companies understand that it should be a requirement to complete an Internal Audit as a form of protection for the organization and the patients. An Internal Audit can be much more effective when it looks at the processes more often and more thoroughly. At best, the Internal Audit can be used as internal protection and force companies to focus on helping to improve the processes, maintain compliance, and add and obtain more value out of the audits. 

Consistent internal audits not only help with efficiency, but save time and money in the process. If used properly, the Internal Audit process can be the best way to have an inside set of eyes take a close look at your process to help identify areas for improvement and that need to be address before your organization is audited by the government. These efforts can help you streamline your process to run the company better, faster, and more efficiently. Below are main steps in the Internal Audit process. Below are explanations on how to complete an internal audit and how this Kit makes your mandatory audits easier. 

1. Put an audit team together and make sure each one has a separate copy of this kit to make notes during your internal audit. 

2. Conducting the Audit. Use this kit  and document and identify areas base on the governed rules, mandated questions, and mandated rules published by HIPAA, CMS, and OCR to protect your organization.

3. Reporting on the Audit. Communicate and document all or any areas of weakness that need to be addressed, but will also be interested in knowing if any areas exist that might be improved. This includes identifying not only the non-conforming areas of the process, but also the positive areas and potential improvement areas. 

4. Interview personnel based on your audit planning and checklist questions. Ask employees and Listen to what they tell you and see if their explanations match the defined mandatory processes in this book. 

5. Observe operations during the internal audit. Aid your own understanding of the process by watching it being performed. See if the observed practices comply with requirements.  

6. Review documents and records. Ask the persons being interviewed what documents and records are used in their work based on the governed rule, mandated question, and mandated rule that applies (i e HIPAA, CMS, and OCR). You may find documents, records, and forms beyond those identified in your audit.  See if the documents are adequately controlled and available for use. Refer to the documents and records to help you follow the work being shown. Verify the records described in the documents are being properly collected and controlled based on the governed rule that applies (i e HIPAA, CMS, and OCR).

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Cyber Security Protection Kit LLC
P.O.Box 3388
Federal Way, Washington 98063

Phone: 253-293-5226
Email: request@enduserrequest.info