Notice of Privacy Practices Acknowledgment review
HIPAA NPP acknowledgment under 45 C.F.R. § 164.520(c)(2)(ii).
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What it checks
Acknowledgment of receipt language
Acknowledgment must affirm receipt of the Notice of Privacy Practices.
Critical · HC-019
Date of receipt
Acknowledgment should include the date of receipt.
Critical · HC-020
Signature of individual / personal representative
Acknowledgment should be signed by the individual or a personal representative with authority recital.
Critical · HC-021
Good-faith-effort failure recital (if applicable)
If acknowledgment was not obtained, the form should document the good-faith effort and the reason.
Warning · HC-022
Statement of right to a copy of the NPP
Acknowledgment should state the individual's right to a copy of the NPP.
Warning · HC-023
Covered entity identification
Acknowledgment must identify the covered entity.
Warning · HC-024
Retention by covered entity
Acknowledgment template should reflect the § 164.530(j) 6-year retention requirement.
Warning · HC-025
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