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How does our organization become a member?

     Any healthcare provider or other covered entity can become a WorkGroup member if there is an active WorkGroup in their area.  Listed below are the active WorkGroupsSimply complete the following application and submit it, or contact us directly.  We will send you a confirmation and statement for the Membership Fee.  That's all that's required.

     Members of sponsoring associations may be entitled to substantial discounts.  Before applying, every organization should check with its association.  If your association isn't a sponsor, it might want to become one.  Click here for a list of sponsors.

Membership Fees (Annual)  
 
Membership Class Criteria 1 2 3 4 5 6
Physicians/Other Practitioners No. of Practitioners 1-5 6-10 11-20 21-50 51-100 >100
Hospitals No. of staffed beds  - 0-50 51-100 101-200 201-300 >300
Ambulatory Surgery Centers No. of Operative Suites - 1-3 >3 - - -
Hospice Agency Average number of per diem patients - 0-50 51-100 101+ - -
Home Health Agencies Average number of per diem patients - 0-50 51-100 101-150 151+ -
Business Associates & Vendors Service Area Type - - Local In-State Regional Multi-State Consultants
 
Membership Fee   $375 $575 $875 $1,375 $2,500 $3,750
          Membership Fees are billed annually.

 

Active WorkGroups

     If there isn't an active WorkGroup in your area, and you are interested in one, click here for more information.

State

City

Louisiana

North (Monroe, Shreveport and Alexandria, alternating)

Southeast (Baton Rouge and New Orleans, alternating)

Southwest (Lafayette and Lake Charles, alternating)


 

 

Membership Application


       We would like to become HIPAA Privacy WorkGroup members.  Please contact the following as soon as possible:

 

 

Name:     
Business:  
Address:  
 
City:   State: Zip Code:
Telephone:   Fax: 
E-mail:   

 

 


 

Our organization is a member of the this WorkGroups Sponsor:

 


 

Billing:  Memberships are billed on an annual basis.

 


                                                                          

 

Type of Business:  Physician office or clinic:
 (Check one)       Number of physicians in clinic:         
      Hospital:
          Number of staffed beds:                   
 

 Ambulatory Surgery Center:  

          Number of Operative Suites              
  Hospice Agency
         Average number of per diem patients 
 Home health agency:
     Average number of per diem patients 
  Business Associate & Vendors:
          Service Area/Type                        
 Other healthcare provider (specify):  
 Insurer or self-insured
 Other (specify):