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LOGIC Health Management

Compliance & Security

Compliance-ready operating controls for outsourced care management

Designed for provider-led medical organizations that need outsourced care-management to be HIPAA-safe, physician-led, and defensible with payers and regulators.

CPOM‑sensitive, physician‑led model

We operate as your vendor under your existing management and professional‑services agreements. Physicians retain clinical decision-making authority; LOGIC staff execute delegated, protocolized tasks under provider-defined supervision policies.

HIPAA‑safe with BAAs that match your structure

Administrative, technical, and physical safeguards aligned with HIPAA Privacy & Security Rules, plus downstream BAAs with applicable subprocessors, providing transparency into PHI access and handling.

Support for fraud and abuse risk management

Standardized documentation and time tracking help support compliance with the False Claims Act and Anti-Kickback Statute by reducing double-billing, time miscounting, and inconsistent documentation. Final coding and legal decisions remain with your organization.

SOC 2 Type II–aligned security controls

Security, availability, and confidentiality controls mapped to SOC 2, with an evidence pack your security, IT, and audit teams can review.

Audit-ready evidence packages for payer and internal reviews

  • Patient‑level time logs and call summaries by program
  • Consent, one‑provider‑per‑month, and supervision status
  • Exportable evidence pack for internal and external audits

Data minimization & retention

  • Minimal‑necessary PHI for each workflow
  • Configurable retention windows and log export
  • Secure deletion and access de-provisioning when LOGIC-managed programs end, per agreed retention policies

Security & privacy controls

Access control & role-based permissions

Role-based access controls with unique user accounts and least-privilege permissions. Access is scoped by role and function to limit PHI exposure and support operational oversight.

Security safeguards via trusted platforms

LOGIC delivers care-management services using established, HIPAA-compliant software platforms. Security and privacy safeguards for PHI are provided by these systems and governed by contractual agreements, including BAAs where applicable.

Vendor & subprocessor risk

Documented subprocessor list, BAA/DPA chain, and annual security reviews so you can show your board exactly how PHI flows.

Program documentation & time tracking

Standardized notes and separate time tracking by program (CCM, RPM, etc.) with one‑provider‑per‑month checks to help reduce billing risk and support audit readiness.

Data retention & access lifecycle

LOGIC operates within client-defined data retention and access policies. Access to PHI is limited to active programs and authorized staff, and access is removed when programs end, in coordination with client systems and vendors.

Operational governance

Care-management workflows, escalation paths, and documentation standards are defined centrally and updated deliberately, with changes reviewed by clinical and compliance leadership before rollout.

Program governance checklist

  • BAA executed (customer ↔ LOGIC), with subprocessors documented
  • Management services / CPOM structure reviewed with counsel and LOGIC's role documented in statements of work
  • Clinical vs operational roles and responsibilities (RACI) approved by medical leadership
  • Access controls (role-based permissions and authentication) enforced for staff accessing PHI, aligned with platform capabilities
  • Staff HIPAA and security training completed and tracked
  • Program coding policies validated with billing/compliance (e.g., CCM, RPM, and related CMS care-management services)
  • Retention windows and log-export approaches agreed with client security and compliance teams
  • Incident response and escalation contacts documented for LOGIC-managed workflows and systems
  • Periodic access and vendor reviews scheduled, aligned with client compliance expectations
  • EMR integration scopes follow the minimal‑necessary principle

Nothing on this page constitutes legal advice or a regulatory certification. LOGIC provides operational controls, documentation, and evidence to support compliance programs; customers remain responsible for regulatory interpretation, coding, and billing decisions in consultation with their legal, compliance, and billing teams.