| Publisher: US Bureau of Labor Statistics | Document: Occupational Outlook Handbook: Medical Records Specialists | As of: May 2025 |
|---|
| Publisher: US Bureau of Labor Statistics | Document: Employer Costs for Employee Compensation | As of: June 2026 |
|---|
| Publisher: US Bureau of Labor Statistics | Document: JOLTS total separations rate, health care and social assistance (JTS620000000000000TSR) | As of: 2025 |
|---|
| Publisher: MGMA | Document: Days in A/R holds steady for most practices, but payer pressure persists in 2026 | As of: July 2026 |
|---|
| Publisher: American Academy of Family Physicians | Document: Practice finances | As of: current |
|---|
| Publisher: SHRM | Document: The real costs of recruitment | As of: 2022 |
|---|
| Publisher: Journal of AHIMA | Document: In Pursuit of Comparable Coding Audit Benchmarks (Stanfill) | As of: January 2019 |
|---|
| Publisher: US Department of Health & Human Services | Document: Business Associates (45 CFR 164.502(e), 164.504(e)) | As of: current |
|---|
| Publisher: US Department of Health & Human Services | Document: Are we required to certify our compliance with the Security Rule? | As of: current |
|---|
| Publisher: US Department of Health & Human Services | Document: Can a CSP store ePHI on servers outside the United States? | As of: current |
|---|
| Publisher: CMS | Document: Medicare Part D application, 2025 contract year: Offshore Subcontract Information and Attestation | As of: 2025 |
|---|
| Publisher: US Code (govinfo.gov) | Document: 42 U.S.C. 1396a(a)(80): no Medicaid payments for items or services to entities outside the US | As of: current |
|---|
| Publisher: Sheppard Mullin (National Law Review) | Document: Texas HHSC Uniform Managed Care Terms 4.11(c): no HHSC information moved or remotely accessed outside the US | As of: 2024 |
|---|
| Publisher: CMS | Document: SMD letter 10-026: Medicaid payments to entities outside the US | As of: 2010 |
|---|
| Publisher: CMS | Document: Medicare Claims Processing Manual, chapter 24, sections 30.1 (EDI enrollment) and 40.2.2.3 (billing services and clearinghouses) | As of: chapter revision April 2025 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.73(b)(3): payment to an agent who furnishes billing and collection services | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 447.10(f): Medicaid payment to a business agent such as a billing service | As of: current to October 2026 |
|---|
| Publisher: KFF | Document: Claims denials and appeals in ACA Marketplace plans in 2024 | As of: March 2026 |
|---|
| Publisher: CAQH | Document: 2025 CAQH Index Executive Report: medical plan adoption of fully electronic transactions | As of: December 2025 |
|---|
| Publisher: Florida Legislature | Document: Florida Statutes 408.051(3): security and storage of personal medical information | As of: 2024 statutes |
|---|
| Publisher: Texas Legislature | Document: SB 1188 (89th Legislature): new Health and Safety Code chapter 183, electronic health records | As of: 2025 |
|---|
| Publisher: Community Behavioral Health (Philadelphia) | Document: Provider Bulletin 26-05: changes to the provider agreement relating to use of offshore resources | As of: March 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Offshore outsourcing of administrative functions by State Medicaid agencies (OEI-09-12-00530) | As of: April 2014 |
|---|
| Publisher: HHS Office of Inspector General | Document: Compliance program guidance for third-party medical billing companies, 63 FR 70138 | As of: 1998 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.44: time limits for filing Medicare claims | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 447.45(d)(1): Medicaid timely claims processing | As of: current to October 2026 |
|---|
| Publisher: Cigna Healthcare | Document: When to file your claims | As of: current (undated page) |
|---|
| Publisher: Aetna | Document: Provider manual state supplement (July 2026 edition), New York claims submission period | As of: July 2026 |
|---|
| Publisher: Texas Medicaid and Healthcare Partnership | Document: Texas Medicaid provider procedures manual: claims filing deadlines | As of: 2026 |
|---|
| Publisher: Illinois Department of Healthcare and Family Services | Document: Timely filing: claim submittal for non-institutional providers | As of: current (undated page) |
|---|
| Publisher: CMS | Document: CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), fact sheet | As of: January 2024 |
|---|
| Publisher: eCFR | Document: 42 CFR 422.504(i): MA organization relationship with first tier, downstream and related entities | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 423.505(i): Part D sponsor relationship with first tier, downstream and related entities | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.308(a)(1): security management process, risk analysis | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.312: technical safeguards, unique user identification and audit controls | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.404: notification to individuals | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.406: notification to the media | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.408: notification to the Secretary | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.402: definitions of breach and unsecured protected health information | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 160.402: basis for a civil money penalty | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 160.404: amount of a civil money penalty | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 102.3: adjusted civil monetary penalty amounts | As of: January 2026 |
|---|
| Publisher: Federal Register (HHS) | Document: Notification of enforcement discretion regarding HIPAA civil money penalties | As of: April 2019 |
|---|
| Publisher: US Department of Health & Human Services | Document: Direct liability of business associates under HIPAA (fact sheet) | As of: 2019 |
|---|
| Publisher: US Department of Health & Human Services | Document: Breach notification rule | As of: current |
|---|
| Publisher: Federal Register (HHS) | Document: Modifications to the HIPAA Privacy, Security, Enforcement and Breach Notification Rules (78 FR 5566) | As of: January 2013 |
|---|
| Publisher: HHS Office of Inspector General | Document: Updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs | As of: May 2013 |
|---|
| Publisher: HHS Office of Inspector General | Document: LEIE quick tips and instructions | As of: current |
|---|
| Publisher: US Code | Document: 42 USC 1320a-7a (Social Security Act section 1128A) | As of: 2024 edition |
|---|
| Publisher: eCFR | Document: 42 CFR 455.436: federal database checks | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 438.610: prohibited affiliations | As of: current to October 2026 |
|---|
| Publisher: CMS | Document: Medicare Managed Care Manual, chapter 21, section 50.6.8 (exclusion screening) | As of: text effective July 2012 |
|---|
| Publisher: Texas Medicaid and Healthcare Partnership | Document: Texas Medicaid Provider Procedures Manual, volume 1, section 1.3.1 | As of: September 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: General Compliance Program Guidance | As of: November 2023 |
|---|
| Publisher: US Department of Health & Human Services | Document: Can business associates self-certify or be certified by a third party instead of a contract? | As of: reviewed January 2023 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.314: organizational requirements (business associate contracts) | As of: current to October 2026 |
|---|
| Publisher: US Congress | Document: Public Law 116-321 (HITECH Act section 13412, recognized security practices) | As of: January 2021 |
|---|
| Publisher: Federal Register (HHS) | Document: Considerations for implementing the HITECH Act, as amended (request for information) | As of: April 2022 |
|---|
| Publisher: US Department of Health & Human Services | Document: HIPAA Security Rule crosswalk to the NIST Cybersecurity Framework | As of: 2016 |
|---|
| Publisher: NIST | Document: SP 800-66 Revision 2: implementing the HIPAA Security Rule | As of: February 2024 |
|---|
| Publisher: AICPA & CIMA | Document: System and Organization Controls: SOC suite of services | As of: current |
|---|
| Publisher: Journal of Accountancy | Document: Explaining the 3 faces of SOC | As of: June 2016 |
|---|
| Publisher: ISO | Document: ISO/IEC 27001:2022 information security management systems | As of: 2022 |
|---|
| Publisher: HITRUST Alliance | Document: HITRUST advisory HAA 2023-004: e1 assessment introduction | As of: January 2023 |
|---|
| Publisher: Federal Register (HHS) | Document: HIPAA Security Rule to strengthen the cybersecurity of electronic protected health information (NPRM, 90 FR 898) | As of: January 2025 |
|---|
| Publisher: US Department of Health & Human Services | Document: HIPAA Security Rule NPRM fact sheet | As of: December 2024 |
|---|
| Publisher: reginfo.gov (OIRA) | Document: Unified Agenda entry for RIN 0945-AA22, edition labelled 2026 | As of: 2026 |
|---|
| Publisher: Federal Register | Document: Introduction to the Unified Agenda of Federal Regulatory and Deregulatory Actions, 2026 | As of: August 2026 |
|---|
| Publisher: ISO | Document: ISO: certification | As of: current |
|---|
| Publisher: reginfo.gov (OIRA) | Document: Unified Agenda entry for RIN 0945-AA22, Spring 2025 edition | As of: Spring 2025 |
|---|
| Publisher: Ohio Department of Medicaid | Document: Medicaid provider agreement for managed care organizations, Article XIII (Rev. 7/2025) | As of: July 2025 |
|---|
| Publisher: Virginia Department of Medical Assistance Services | Document: Medallion 4.0 managed care contract, SFY23, sections 5.2 and 10.8 | As of: July 2022 |
|---|
| Publisher: Virginia Department of Medical Assistance Services | Document: Cardinal Care managed care contract, January to June 2025 amendment, section 14 | As of: 2025 |
|---|
| Publisher: TennCare (State of Tennessee) | Document: TennCare business associate agreement form TC-0151 (Rev. 7/24), section 4.4.2, as attached to a TennCare contract | As of: July 2024 revision (the October 2025 revision carries the same section) |
|---|
| Publisher: eCFR | Document: 42 CFR 438.602(i): entities located outside of the U.S. | As of: current to October 2026 |
|---|
| Publisher: US Office of Personnel Management | Document: FEHB Program Carrier Letter 2026-04: offshore contracting | As of: August 2026 |
|---|
| Publisher: Healthcode | Document: About Healthcode: statistics block | As of: page modified September 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 160.103: definitions (workforce, business associate, subcontractor) | As of: current to October 2026 |
|---|
| Publisher: Federal Register (HHS) | Document: Standards for privacy of individually identifiable health information, final rule (65 FR 82462) | As of: December 2000 |
|---|
| Publisher: Federal Register (HHS) | Document: Standards for privacy of individually identifiable health information, final rule (67 FR 53182) | As of: August 2002 |
|---|
| Publisher: eCFR | Document: 42 CFR 2.11: definitions (records, qualified service organization, third-party payer) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 2.12 and 2.20: applicability and relationship to State law | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 2.31 and 2.33: consent and uses and disclosures with consent | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 2.3 and 2.4: civil and criminal penalties, complaints | As of: current to October 2026 |
|---|
| Publisher: Federal Register (HHS) | Document: Confidentiality of substance use disorder patient records, final rule (89 FR 12472) | As of: February 2024 |
|---|
| Publisher: US Department of Health & Human Services | Document: HHS OCR: Part 2 (confidentiality of substance use disorder patient records) | As of: reviewed September 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 423.568: standard timeframe for coverage determinations | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 423.570 and 423.572: expediting and timeframe for expedited determinations | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 423.582 and 423.590: redetermination request and timeframes | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 422.568: standard timeframe for organization determinations (Medicare Advantage) | As of: current to October 2026 |
|---|
| Publisher: Cornell Legal Information Institute (US Code) | Document: 42 USC 1396r-8(d)(5): prior authorization programs for covered outpatient drugs | As of: current |
|---|
| Publisher: eCFR | Document: 42 CFR 438.3(s)(6): covered outpatient drug prior authorization in managed care | As of: current to October 2026 |
|---|
| Publisher: Federal Register (CMS) | Document: Interoperability and prior authorization final rule (CMS-0057-F), 89 FR 8758 | As of: February 2024 |
|---|
| Publisher: eCFR | Document: 42 CFR 423.160: standards for electronic prescribing (including prior authorization transactions) | As of: current to October 2026 |
|---|
| Publisher: Federal Register (CMS) | Document: CMS-0062-P: patient protection and affordable care act interoperability standards (proposed rule, 91 FR 19890) | As of: April 2026 |
|---|
| Publisher: US Department of Health & Human Services | Document: May a business associate block or terminate access to protected health information? (OCR FAQ 2074) | As of: reviewed 2022 |
|---|
| Publisher: US Department of Health & Human Services | Document: Sample business associate agreement provisions | As of: reviewed 2013 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.524: access of individuals to protected health information | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.528: accounting of disclosures | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.316: documentation (Security Rule) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.80: prohibition of reassignment of claims by suppliers | As of: current to October 2026 |
|---|
| Publisher: CMS | Document: Medicare Claims Processing Manual, chapter 1, section 30.2 (payment to an agent) | As of: Rev. 13725, April 2026 |
|---|
| Publisher: CMS | Document: Medicare Program Integrity Manual, chapter 10: enrollment sections 10.4 to 10.6, including 10.6.8 (billing agencies) | As of: Rev. 13717, July 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Compliance program guidance for individual and small group physician practices (65 FR 59434) | As of: October 2000 |
|---|
| Publisher: CMS | Document: Comprehensive Error Rate Testing (CERT) program | As of: page modified August 2026 |
|---|
| Publisher: AAPC | Document: Medical coding credential verification | As of: current |
|---|
| Publisher: AHIMA | Document: Credential verification portal | As of: current |
|---|
| Publisher: eCFR | Document: 45 CFR 164.302: applicability (Security Rule) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.514: other requirements relating to uses and disclosures (minimum necessary) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.530: administrative requirements (training, sanctions) | As of: current to October 2026 |
|---|
| Publisher: US Department of Health & Human Services | Document: Security Series paper 1: Security 101 for covered entities | As of: revised 2007 |
|---|
| Publisher: US Department of Health & Human Services | Document: OCR resolution agreement and corrective action plan: Doctors' Management Services | As of: reviewed October 2023 |
|---|
| Publisher: eCFR | Document: 28 CFR Part 202: preventing access to U.S. sensitive personal data and government-related data by countries of concern or covered persons | As of: current to October 2026 |
|---|
| Publisher: Federal Register (DOJ) | Document: Preventing access to U.S. sensitive personal data and government-related data by countries of concern or covered persons, final rule (90 FR 1636) | As of: January 2025 |
|---|
| Publisher: DOJ National Security Division | Document: Data Security Program: frequently asked questions | As of: updated September 2025 |
|---|
| Publisher: DOJ National Security Division | Document: Data Security Program: compliance guide | As of: April 2025 |
|---|
| Publisher: CISA | Document: Security requirements for restricted transactions, E.O. 14117 implementation | As of: January 2025 |
|---|
| Publisher: American Medical Association | Document: 2025 AMA Prior Authorization Physician Survey (1,000 practicing physicians) | As of: May 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 160.103: definition of State (includes Puerto Rico) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.410: notification by a business associate (60 calendar days) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.504(e): business associate contracts | As of: current to October 2026 |
|---|
| Publisher: AJMC (Chou, Kumar, Rivera-Hernandez) | Document: Medicare Advantage in the US mainland and Puerto Rico | As of: February 2026 |
|---|
| Publisher: US Bureau of Labor Statistics | Document: OEWS annual mean wage, medical records specialists, Puerto Rico (series OEUS720000000000029207204) | As of: May 2025 |
|---|
| Publisher: US Bureau of Labor Statistics | Document: OEWS annual mean wage, medical records specialists, United States (series OEUN000000000000029207204) | As of: May 2025 |
|---|
| Publisher: Wellcare (California) | Document: Offshore Subcontracting Attestation for Participating Provider, form 25-1301 | As of: December 2025 |
|---|
| Publisher: Ontario Ministry of Health | Document: Resources for physicians: claims submission | As of: April 2026 |
|---|
| Publisher: Government of Ontario (e-Laws) | Document: Personal Health Information Protection Act, 2004, sections 6(1), 17(1) and 50(1) | As of: current to September 2026 |
|---|
| Publisher: Office of the Privacy Commissioner of Canada | Document: Guidelines for processing personal data across borders | As of: 2009 |
|---|
| Publisher: Commission d'accès à l'information du Québec | Document: Privacy impact assessment before communicating personal information outside Quebec | As of: current |
|---|
| Publisher: Job Bank, Government of Canada | Document: Wages: medical administrative assistants (NOC 13112) | As of: 2023-2024 |
|---|
| Publisher: Information Commissioner's Office | Document: International transfers: a guide | As of: January 2026 |
|---|
| Publisher: Information Commissioner's Office | Document: When is a contract needed between a controller and a processor? | As of: current |
|---|
| Publisher: Healthcode | Document: The Clearing Service | As of: current |
|---|
| Publisher: Clinical Coding & Schedule Development group | Document: The CCSD Schedule | As of: current |
|---|
| Publisher: Ontario Ministry of Health | Document: OHIP billing number registration: registered third party billing agencies | As of: November 2024 |
|---|
| Publisher: Ontario Ministry of Health | Document: INFOBulletin 4656: physicians submitting claims to OHIP | As of: August 2015 |
|---|
| Publisher: Clinical Coding & Schedule Development group | Document: Who needs a licence to use the CCSD Schedule | As of: current |
|---|
| Publisher: eCFR | Document: 42 CFR 405.942 and 405.950: time to request and decide a redetermination | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.962 and 405.970: time to request and decide a reconsideration | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.1014 and 405.1016: time to request an ALJ hearing and OMHA's decision period | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.1100, 405.1102 and 405.1132: Medicare Appeals Council review and escalation to court | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.1130 and 405.1136: judicial review in federal district court | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.1006: amount in controversy required for an ALJ hearing and judicial review | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.980: reopening of initial determinations and redeterminations | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.910: appointed representatives | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 405.1018: submitting evidence before an ALJ hearing | As of: current to October 2026 |
|---|
| Publisher: Federal Register | Document: Medicare Program; Medicare Appeals; Adjustment to the Amount in Controversy Threshold Amounts for Calendar Year 2025 | As of: September 2024 |
|---|
| Publisher: Federal Register | Document: Medicare Program; Medicare Appeals; Adjustment to the Amount in Controversy Threshold Amounts for Calendar Year 2026 (90 FR 55869) | As of: December 2025 |
|---|
| Publisher: Federal Register | Document: Medicare Program; Medicare Appeals; Adjustment to the Amount in Controversy Threshold Amounts for Calendar Year 2027 (91 FR 58681) | As of: September 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 162.923: requirements for covered entities (standard transactions and business associates) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 162.925: additional requirements for health plans | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR Part 162, subparts K to R: standards for claims, eligibility, referral authorization, claim status and remittance | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 45 CFR 164.500(b): a clearinghouse's Privacy Rule duties when it acts as a business associate | As of: current to October 2026 |
|---|
| Publisher: Federal Register (HHS) | Document: Health insurance reform: standards for electronic transactions, final rule (65 FR 50312) | As of: August 2000 |
|---|
| Publisher: CMS | Document: Guidance letter GL-2022-03: business associates and the Administrative Simplification requirements | As of: March 2022 |
|---|
| Publisher: US Department of Health & Human Services | Document: Is a software vendor a business associate of a covered entity? | As of: reviewed December 2022 |
|---|
| Publisher: Federal Register (HHS) | Document: Administrative Simplification: adoption of standards for health care claims attachments transactions (91 FR 14350) | As of: March 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.520: effective date of billing privileges | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.521: request for payment (retrospective billing) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.516: responsibility for reporting changes | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.515: requirements for reporting and revalidation | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.535: revocation of enrollment | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 424.540: deactivation of billing privileges | As of: current to October 2026 |
|---|
| Publisher: Federal Register (CMS) | Document: Calendar year 2027 home health prospective payment system proposed rule (91 FR 41216) | As of: July 2026 |
|---|
| Publisher: CMS | Document: Revalidations (renewing your enrollment) | As of: page modified July 2025 |
|---|
| Publisher: CMS | Document: PECOS fact sheet | As of: December 2024 |
|---|
| Publisher: eCFR | Document: 45 CFR 162.410: implementation specifications for covered health care providers (NPPES changes) | As of: current to October 2026 |
|---|
| Publisher: CAQH (DataSpring) | Document: CAQH resources: attestation and directory confirmation | As of: current |
|---|
| Publisher: CAQH (DataSpring) | Document: General terms of service (effective September 29, 2026) | As of: September 2026 |
|---|
| Publisher: Office of Management and Budget (reginfo.gov) | Document: Information collection 202603-0938-001 (Form CMS-855I) | As of: October 2026 |
|---|
| Publisher: CMS | Document: Medicare Advantage Risk Adjustment Data Validation program | As of: page modified March 2026 |
|---|
| Publisher: CMS | Document: Payment year 2024 RADV audit methods and instructions | As of: August 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 422.310: risk adjustment data | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 422.311: RADV audits (report, appeal and burden of proof) | As of: current to October 2026 |
|---|
| Publisher: eCFR | Document: 42 CFR 422.504(l): certification of risk adjustment data | As of: current to October 2026 |
|---|
| Publisher: Federal Register (CMS) | Document: Policy and technical changes to the Medicare Advantage and Part D programs for years 2020 and 2021, RADV final rule (88 FR 6643) | As of: February 2023 |
|---|
| Publisher: US District Court, Northern District of Texas (govinfo.gov) | Document: Humana Inc. v. Becerra, order vacating and remanding the 2023 RADV rule | As of: September 2025 |
|---|
| Publisher: US Court of Appeals for the Fifth Circuit | Document: Opinions listing | As of: read October 17, 2026 |
|---|
| Publisher: CMS | Document: Calendar year 2024 Medicare Advantage Rate Announcement | As of: March 2023 |
|---|
| Publisher: CMS | Document: Calendar year 2025 Medicare Advantage Rate Announcement | As of: April 2024 |
|---|
| Publisher: CMS | Document: Calendar year 2026 Medicare Advantage Rate Announcement | As of: April 2025 |
|---|
| Publisher: CMS | Document: Calendar year 2027 Medicare Advantage Rate Announcement | As of: April 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Medicare Advantage industry segment-specific compliance program guidance | As of: 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Audit A-07-24-01214: Medicare Advantage risk adjustment diagnosis codes | As of: September 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Audit A-05-24-00010: Medicare Advantage risk adjustment diagnosis codes | As of: September 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Audit A-03-22-00004: Medicare Advantage risk adjustment diagnosis codes | As of: March 2026 |
|---|
| Publisher: HHS Office of Inspector General | Document: Audit A-07-22-01207: Medicare Advantage risk adjustment diagnosis codes | As of: March 2026 |
|---|
| Publisher: Information and Privacy Commissioner of Ontario | Document: Frequently asked questions: Personal Health Information Protection Act | As of: September 2015 |
|---|
| Publisher: Information Commissioner's Office | Document: Are we making a restricted transfer? | As of: January 2026 |
|---|
| Publisher: Information Commissioner's Office | Document: Adequacy regulations: is the restricted transfer covered by adequacy regulations? | As of: updated July 2026 |
|---|
| Publisher: European Data Protection Board | Document: Guidelines 05/2021 on the interplay between Article 3 and Chapter V of the GDPR | As of: February 2023 |
|---|
| Publisher: European Commission | Document: Adequacy decisions | As of: page modified July 2026 |
|---|
| Publisher: European Commission | Document: Standard contractual clauses (SCC) | As of: page modified June 2026 |
|---|
| Publisher: EUR-Lex | Document: Regulation (EU) 2016/679 (GDPR), Articles 28 and 44 to 49 | As of: current |
|---|
| Publisher: Office of the Australian Information Commissioner | Document: APP guidelines, chapter 8: cross-border disclosure of personal information (v1.3) | As of: October 2025 |
|---|
| Publisher: Australian Government (legislation.gov.au) | Document: Privacy Act 1988: APP 8, section 16C and Schedule 1 | As of: compilation of June 2026 |
|---|
| Publisher: Australian Government (legislation.gov.au) | Document: Privacy Regulations 2025 | As of: in force November 2025 |
|---|
| Publisher: Australian Government (legislation.gov.au) | Document: My Health Records Act 2012, section 77 | As of: compilation of July 2026 |
|---|
| Publisher: Office of the Privacy Commissioner (New Zealand) | Document: Sending personal information overseas | As of: current |
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| Publisher: Office of the Privacy Commissioner (New Zealand) | Document: Working with third-party providers: understanding your privacy responsibilities | As of: November 2024 |
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