Free Quote for Web Development in the Alcohol Drug Treatment and Mental Health Industry. Is your current website activity in your health provider business HIPAA compliant?

The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) require the Department of Health and Human Services (HHS) to adopt national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. To date, the implementation of HIPAA standards has increased the use of electronic data interchange. Provisions under the Affordable Care Act of 2010 will further these increases and include requirements to adopt:

• operating rules for each of the HIPAA covered transactions
• a unique, standard Health Plan Identifier (HPID)
• a standard and operating rules for electronic funds transfer (EFT) and electronic remittance advice (RA) and claims attachments.

Is your treatment facility a HIPAA covered entityDownload the PDF chart to determine if you’re a covered entity

Please answer the following questions to the best of your ability. Your responses will be used in our evaluation of your “online presence” to be discussed during further consultations. All submitted information will be kept confidential. If you have any questions or comments, contact us at 949-429-0061

First Name (required)

Last Name (required)

Business Name(required)

Current Business Website URL(required)

Business Email Address:(required)

Business Phone Number



Please tell us the services you're interested in:

Are you interested in a re-design of an existing site or a new website?
 Re-design New Website



If you selected "New Website", what is the purpose of your website?
 New Internet Presence Informative - Online Brochure Online Store Online Subscriptions and Payments Educational, Training or Instructional Other



If you selected Other, please explain



Do you already have domain name and hosting account?
 Yes  No



Will you need assistance managing and/or updating your website content?
 We will manage ourselves We will pay for updates as needed We will use a Content Management Solution



Will there be a requirement for application development and/or custom software/web programming?



If you selected Other, please explain



Would you like more information about our search engine optimization and submission services?
 Yes No



Your Message



Please provide a few more details about your project requirements and estimated production schedule to help us provide you with the best possible recommendations. (Please respond to any questions that may apply to your current project).



If you have an existing website please provide the URL (i.e. www.mediaquestweb.com).



Are there specific websites that you like or would like to emulate? If so, please provide URLs and describe the aspects/features that you like.



Website URL:



Features you like:




Website URL:



Features you like:




Website URL:



Features you like:



Approximately how many pages/sections will your website contain?



What is your estimated project start date and target date for completion?



What is your approximate budget for this project?



How did you hear about us?
 Search Engine Word of Mouth Email Press Release Other



When would be the best time in the next seven days to schedule a free 30-45 minute phone consultation?




captcha

Please enter code above into the field below.