Notice of HIPAA Privacy Rules
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Behavior, Attention, and Developmental Disabilities Consultants, LLC and its providers must by law keep your health information private and give you notice of its legal duties and privacy practices for your health information.
I. How Behavior, Attention, and Developmental Disabilities Consultants, LLC May Use or Disclose your Health Information
In certain situations, which will be described in Section Il below, we must obtain your written authorization in order to use and/or disclose your protected health information (PHI). However, we do not need any type of authorization from you for the following uses and disclosures of your PHI (including, if any, your HIV/AIDS related, genetic information, sexually transmitted disease or tuberculosis information):
1. Treatment. We use and disclose PHI to physicians, nurses and other health care personnel who provide you with health care services or are involved in your care. In addition, we may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may also disclose PHI to other providers involved in your treatment.
2. Payment. We may use and disclose PHI to obtain payment for services that we provide to you. For example, disclosures to claim and obtain payment from your health insurer, HMO or other company that arranges or pays the cost of some or all of your healthcare to verify that your payer will pay for health care. You should be aware if you are not the policy holder, certain information may be disclosed to the policy holder by the insurance carrier.
3. Healthcare operations. We may use and disclose PHI for our healthcare operations, which include internal administration and planning and various activities that improve the quality and cost effectiveness of care that we deliver to you. For example, we may use PHI to evaluate the quality and competence of our physicians, licensed psychologists, licensed professional counselors, and other provider types. We may disclose PHI to our administrative staff to conduct medical reviews, needs assessment, and to check quality control of services available. We may also provide PHI to your other healthcare providers when such PHI is required for them to treat you, receive payment for services they render to you, or conduct certain health care operations, such as quality assessment and improvement activities, reviewing the quality and competence of healthcare professionals, or healthcare fraud and abuse detection or compliance.
4. Information provided to you. Behavior, Attention, and Developmental Disabilities Consultants, LLC allows you to look at your medical records. You must make the request in writing. If we do not have your PHI but we know who does, we will tell you how to get it.
5. Notification and communication with family. We may disclose PHI to a family member, your personal representative or any other person identified by you responsible for your care about where you are, your general condition, or if you die. If you are able and can agree or object, Behavior, Attention, and Developmental Disabilities Consultants, LLC will give you a chance to object prior to making this notification. If you are unable or cannot agree or object, our health professionals will use their best judgment in telling your family and others.
6. Required by law. As required by law, we may use and disclose you PHI.
7. Public health. We may disclose your PHI to public health authorities for purposes related to: preventing or controlling disease, report child abuse or neglect, reporting domestic violence, reporting to the Food and Drug Administration problems with products and reactions to medications, and reporting disease or infection exposure.
8. Health oversight activities. We may disclose your PHI to health agencies during the course of audits, investigations, inspections, licensure and other proceedings.
9. Judicial and administrative proceedings. We may disclose your PHI in the course of any administrative or judicial proceeding.
10. Specialized government functions. We may disclose your PHI for the military, national security, correctional institutions and government benefits purposes.
11. Law enforcement. We may disclose your PHI to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena and other law enforcement purposes.
12. Deceased person. We may disclose your PHI to coroners, medical examiners and funeral directors.
13. Research. We may disclose your PHI to those doing research that we have approved.
14. Public Safety. We may disclose your PHI to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public.
15. Worker's compensation. We may disclose PHI to comply with worker's compensation laws.
16. Provider's Incapacity or Death. We would disclose PHI to a designated provider in the event of incapacitation or death of your provider. The other licensed professional will then be able to supply patients with copies upon receiving and an appropriate signed medical records release, or transfer records to a provider chosen by the patient or guardian.