Medical Billing Compliance and HIPAA Resources

What’s included in these resources

All five are free downloads — one PDF guide, three editable Word documents and one Excel workbook. Each one downloads directly.

Before you use these: the Word and Excel templates contain bracketed fill-in fields such as practice name, dates and the compliance officer’s name, plus sample rows in the exclusion log. Replace them with your own details before putting a document into use.

Fraud & Abuse Prevention Guide

covers the Stark Law on physician self-referral and the Civil Monetary Penalties Law, the 60-day deadline for reporting and returning an overpayment, setting up confidential reporting without retaliation, and the OIG hotline

HIPAA Risk Assessment Template

the annual assessment required by the HIPAA Security Rule at 45 CFR § 164.308(a)(1), in seven sections: purpose, scope, a risk identification matrix, a safeguard checklist, gap analysis and action plan, breach history review, and certification sign-off

OIG Exclusion Check Log Template

a four-sheet workbook — instructions, monthly check log, annual summary and exclusion action log — for recording LEIE searches at exclusions.oig.hhs.gov, with result codes for clear, excluded, pending and re-check needed, and guidance to check at hire, then monthly and annually

Billing Compliance Policy Template

an eleven-section written policy covering who it applies to, handling patient information, insurance verification, claim submission, denials, training requirements, whistleblower protection, consequences, and approval signatures

Audit Response Letter Template

a seven-part letter running from sender and auditor details through the main response, enclosed documents, what to do if you found an error or overpayment, and the closing — with fields for NPI, Tax ID or EIN, and the audit reference number

These resources are general educational material, not legal advice. Compliance obligations vary by organization and change over time — check them against the rules that apply to you.