COMPLIANCE

Sunday, October 11, 2026

EMR

COMPLIANCE

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Compliance Team


	Arley Tolentino Compliance Support 562.361.4932 562.299.5273 Fax atolentino@argusmso.com

	Joshua Prodigalidad Compliance Support 562.206.1730 562.299.5273 Fax jprodigalidad@argusmso.com

	Jordan Ortiz Compliance Support 562.299.5253 562.299.5279 Fax ExecutiveOffice@argusmso.com

Compliance Contact

Compliance Phone

(562) 217-6330

Compliance Fax

(562) 299 - 5273

Compliance Email
compliance@prohealthpartners.com

Grievances Contact

Grievance Email

Grievances@prohealthpartners.com

Anthem Grievance Forms

Kari’s Law & Ray Baum’s Act Attestation

Resources and attestation provided to remain in full compliance with FCC’s federal laws. ALL managed offices need to complete the Kari’s Law and Ray Baum’s Act Resources and attestation.

Kari's Law & Ray Baum's Act Resources

Kari’s Law & Ray Baum’s Act Attestation Form

Disability and Discrimination

Discrimination Is Against The Law

Business Associate Agreement

Business Associate Guidelines for Physician Offices

B.A.A. Template – Prohealth as Covered Entity

B.A.A. Template – Non-Prohealth Managed as Covered Entity

B.A.A for Argus Billing Office

B.A.A. Template – ProHealth as Business Associate

B.A.A Template – Argus as Business Associate

For assistance with a Business Associate Agreement, please contact:

Peachy Paulino, Chief Integration Officer

(562) 299-5252

ppaulino@argusmso.com

Confidentiality Agreement

Firewall & Security Info

For PH and Managed Offices only. To view & print your office's Firewall information, login to eBridge.

Problems with eBridge? Contact HelpDesk at 562.299.5200, Option 9 or email helpdesk@argusmso.com.

Announcements

MIEC & CGL

MIEC
MIEC Application for Physician ,Surgeons and Podiatrists
MIEC Application for Non-Physician
MIEC Joining a Group Physician, Surgeons and Podiatrists
CGL - Commercial & General Liablity
PH New Location Questionnaire
Non-PH Questionnaire

NEW Argus Academy

HIPAA Manual

HIPAA Manual 2026

HIPAA Mandatory Forms

HIPAA Commonly Used Forms

OSHA Manual

OSHA Manual 2026

OSHA Mandatory Forms

Employee Exposure and Medical Records

CalOSHA Documentation Kit - Emergency Action and Fire Prevention Plan

Sharps Injury Log

Safety Data Sheet

Hazard Communication Safety Data Sheet

Safety Data Sheet Request Letter

Risk Management

How to Dismiss a Patient from Your Practice

View Sample Letter of Termination you need:

Termination Following Hospital Visit - Pediatrics

Termination for Communication Difficulties

Termination for Lack of Compliance

Termination for Non Compliance

Termination for Non Compliance - HMO Patient

Termination for Non Compliance - Pediatrics

Termination for Non Payment of Bill or General Termination

Termination for Patient Violence

Termination for Patient Terminates The Relationship Letter

How Long do we Have to Keep Medical Records

What do I do when I get a Subpoena

Risk Management Policies & Procedures Acknowledgement Form

Risk Management Topics for Physician and Staff

Altering Medical Records

Medical Record Documentation

Contolled Substances Policies Procedures

Controlled Substances Report Form Theft or Loss

Electronic Medical Records

Incapacity Indicators

Informed Consent

OSHA Commonly Used Forms

OSHA – Worksite Hazard Assessment Summary Form

Information on Safe & Comfortable PC Workstation

Emergency Action Plans

Forensic Report Form

Forensic Reporting Instructions

Bloodborne Pathogens Exposure Control Plan

First AID Booklet

Workplace Violence

Employee Survey on Workplace Violence Problems

Hazard Assessment and Correction Record Form

Workplace Violence Incident Log

Work Related Injuries

Appendix A-Form 300 - Log of work-Related Injuries and Illness

Appendix B-Form 300A - Summary of Work-Related Injuries and Illnesses

Appendix C-Form 301 - Injury and Illness Incident Report

Equipment Forms

Patient Safety Exceptions to Using Engineering Controls

Exposure and Incident Forms

Accident and Exposure Investigation Report Form

Consent Form for HBV and HIV Testing

HCP Opinion for HBV

HCP Opinion for Post-Exposure Evaluation

Hepatitis B Vaccine Declination Form

Sharps Injury Log

Sharps Injury Periodic Review

Source Individual Exposure Notice

Sharps Injury Record Form

Other Documentation

ATD Exposure Control Plan

ATD Vaccine Declination Statement

Employee Medical Record

Release of Employee Medical Record Form

Safety Data Sheet Request Letter

Seasonal Influenza Vaccine Declination Statement

Compliance Educational Resources

HIPAA Resources

OSHA and Worksite Hazard Resources

Fraud, Waste, and Abuse (FWA) Resources

To remain in full compliance with Medicare requirements.

ALL employees, including physicians need to complete

Fraud, Waste, and Abuse (FWA) Resources annually.

Once this Resources is complete, send signed form to

compliance@prohealthpartners.com or fax to

(562) 299 - 5273.

Fraud, Waste, and Abuse (FWA) Resources Materials

Argus Medicare – Fraud, Waste, and Abuse Resources

ProHealth Argus Compliance Plan (click to view)

Mandatory Lobby Postings

Code of Conduct and Conflict of Interest Resources

CODE OF CONDUCT

Code of Conduct Policy

Code of Conduct Resources

Conflict of Interest Resources

Conflict of Interest Attestation Form and Questionnaire

Cultural & Linguistic Competency Resources

ALL employees, including physicians need to complete Cultural and Linguistic Competency Resources annually.

Cultural and Linguistic Competency Resources

The Non-Discrimination notices below are required to be posted and displayed in ALL physician offices.

Cultural Notice: Non - Discrimination

Cultural Notice: Non - Discrimination (Spanish Version)

Audit Procedure – Operator/User Activity on CareTracker System

This will guide you how to conduct an audit for employees who are using the CareTracker system in your location.

Procedure to Audit Operator Activity – Manual Procedure (if not using Spher)

Audit Summary Sheet - Required to document each audit

Form SF-1090: Operator Log Audit Incident Report Form

HIPAA Technical Security Safe Guards Information

HIPAA Compliance Team

	Peachy Paulino Privacy Officer, Systems Management 562.299.5252 562.299.5250 Fax ppaulino@argusmso.com

	Christine Yoshioka Security Official, EMR Specialist 562.299.5225 562.299.5276 Fax cyoshioka@argusmso.com

	Nelson Gomez Security Official, Information Technology 1.562.299.5200 nelson@comteksystems.net

	Arley Tolentino Security Official 562.361.4932 562.299.5273 Fax atolentino@argusmso.com

HIPAA Manual and Forms

A complete manual of all policies and procedures for office compliance with federal HIPAA privacy and security regulations. Includes all forms currently in use.

REMOTE ACCESS

Remote Access By Staff Authorization-GoToMyPC (ProHealth)

Remote Access By Staff Authorization-GoToMyPC (Managed-Billing)

FORMS & LOGS

HIPAA Form PDF PF-1000 Notice of Privacy Practices English

HIPAA Form PDF PF-1000 Notice of Privacy Practices Spanish

HIPAA Form SF 1010 Non-Patient Visitor Sign in Form

HIPAA Form PF-2000 Acknowledge Receipt NPP English

HIPAA Form PF-2000 Acknowledge Receipt NPP Spanish

HIPAA Form PF-3000 Authorization for Use & Disclosure English

HIPAA Form PF-3000 Authorization for Use & Disclosure Spanish

HIPAA Form PF-4000 Accounting Log of Disclosures

HIPAA Form PF-5000 Authorization to Communicate English

HIPAA Form PF-5000 Authorization to Communicate Spanish

HIPAA Form PF-6000 HIPAA Records Destruction

HIPAA Form PF-7000 Verification of Identity

HIPAA Form PF-8000 HIPAA Incident Report

HIPAA Form PF-9000 Patient Privacy Complaint

HIPAA Form SF-1010 Non-Patient Visitor Sign In Log

HIPAA Form SF-1080 Temp Access Float Pool Log

HIPAA Form SF-1090 Operator Incident Report

HIPAA Form SF-1100 Facility Access Control Log

HIPAA Form SF-1105 Change Management Tracking Log

Forms–HIPAA Compliance & Waivers

GOTOMYPC Waiver: Remote Access

IP Address Compliance Waiver: Remote Access

IP Address and Mobile Devices Compliance Waiver

Redundant Internet Waiver

Overriding of Charges on Hold – Authorization

HIPAA – Static IP Waiver for Internet (Offices who opted "no" to Static IP)

Disclaimer – Argus Purchasing Equipment on Behalf of Physicians/Clients

HIPAA/HITECH Privacy and Security Requirement

Website ADA Accessibility & Cookie Compliance

OSHA Manual and Forms

OSHA is the main federal agency charged with the enforcement of safety and health legislation. The United States Occupational Safety and Health Administration (OSHA) is an agency of the United States Department of Labor. Its mission is to prevent work-related injuries, illnesses, and occupational fatality by issuing and enforcing standards for workplace safety and health.

Reporting Violence Against Patients

Medical Waste Guidelines

Violence in the Workplace