01. HIPAA & HITECH Compliance Framework
In accordance with Title II of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act:
- Administrative Safeguards (45 CFR § 164.308): Formalized security management process, mandatory employee background investigations, continuous workforce training, and documented incident response procedures.
- Physical Safeguards (45 CFR § 164.310): Zero local workstation storage of unencrypted patient data; restricted biometric facility access; clean-desk policies.
- Technical Safeguards (45 CFR § 164.312): Unique user credentials, automated session logout timeouts, AES-256 bit data-at-rest encryption, TLS 1.3 encryption in transit, and immutable audit logs.
- Breach Notification Protocol (45 CFR §§ 164.400-414): Formal protocol guaranteeing notification to Covered Entity clients within twenty-four (24) to forty-eight (48) hours of any verified security incident.
02. SOC 2 Type II Security Controls
Our cloud infrastructure, CI/CD pipelines, and database environments are modeled after the American Institute of Certified Public Accountants (AICPA) Trust Services Criteria:
- Security: Perimeter firewalls, intrusion detection systems (IDS/IPS), continuous vulnerability scanning, and multi-factor authentication (MFA) with FIDO2 hardware keys.
- Availability: Redundant server clusters, auto-scaling cloud microservices, and geo-replicated data backups providing 99.9% uptime SLAs.
- Confidentiality: Granular role-based access control (RBAC) guaranteeing that staff access only minimum necessary data needed for billing adjudication.
03. European Union General Data Protection Regulation (GDPR)
For clients, website visitors, or practitioners situated within the European Economic Area (EEA) and the United Kingdom, Indiquer RCM complies with Regulation (EU) 2016/679 and the UK Data Protection Act 2018:
- Lawful Basis (Article 6): Data processing occurs strictly under contractual necessity, statutory obligations, or unambiguous explicit consent.
- Data Protection Officer (DPO): A designated DPO oversees European data subject access inquiries.
- Cross-Border Data Transfers: International transfers are protected via European Commission Standard Contractual Clauses (SCCs).
04. India Digital Personal Data Protection Act 2023 (DPDP)
In alignment with the Digital Personal Data Protection Act 2023 enacted by the Parliament of India:
- Consent-Driven Processing (Section 6): Clear, transparent notice given prior to or at the time of seeking consent in clear, plain language.
- Data Principal Rights (Sections 11-14): Direct mechanisms allowing Data Principals to obtain summaries of personal data, request correction or erasure, and register grievances.
- Grievance Redressal Officer: Contact information for our dedicated India Data Principal Grievance Officer is published at our DSAR Portal.
05. United Arab Emirates Personal Data Protection Law (UAE PDPL)
In compliance with Federal Decree-Law No. 45 of 2021 on Personal Data Protection in the United Arab Emirates:
- Data Minimization & Purpose Limitation: Information is collected for defined, clear, and direct healthcare administrative purposes.
- Security Measures: State-of-the-art cryptographic safeguards protecting data against unauthorized access, destruction, or disclosure.
- Data Subject Rights: Seamless channels for individuals to access, rectify, or request erasure of personal data within statutory deadlines.
06. Professional Coding Compliance (AAPC / AHIMA)
Revenue cycle integrity depends on ethical, legally defensible coding. All Indiquer RCM certified coders operate under the AAPC and AHIMA Codes of Ethics:
- Zero Upcoding or Unbundling: We enforce strict algorithmic scrubbing against CMS National Correct Coding Initiative (NCCI) edits and medically unlikely edits (MUEs).
- Medical Necessity Substantiation: Diagnostic codes are only abstracted when clearly substantiated in physician chart documentation.
- False Claims Act (FCA) & Anti-Kickback Statute (AKS): Indiquer RCM maintains a zero-tolerance policy regarding fraudulent billing or abusive practices.
07. Telephone Consumer Protection Act (TCPA)
Patient communication channels, billing statements, and SMS reminders comply with TCPA rules and FCC guidelines. Express prior consent is captured and tracked; instant opt-out keywords (e.g. “STOP”) are automatically honored.
08. Multi-Jurisdictional Regulatory Matrix
| Statute / Standard | Jurisdiction | Scope & Application | Status |
|---|---|---|---|
| HIPAA / HITECH | United States | Patient PHI, EDI 837/835, clearinghouse routing | Certified BAA |
| SOC 2 Type II | Global | Security, availability, and confidentiality audit | Attested |
| GDPR / UK GDPR | European Union / UK | Data protection for European data subjects | Compliant |
| India DPDP Act 2023 | India | Digital personal data protection and principal rights | Compliant |
| UAE PDPL (45/2021) | United Arab Emirates | Federal data protection and consent standards | Compliant |
| CMS NCCI & AAPC | United States | Accredited coding ethics, clean claim scrubbing | Certified |
For formal compliance inquiries, third-party vendor audits, or BAA execution requests, contact our Compliance Office at compliance@indiquerrcm.com.