Notice of Privacy Practices
The Notice of Privacy Practices (NPP) describes how your medical information may be used and/or disclosed as well as your rights and how you my access the information. Please review NPP carefully.
“Protected Health Information” (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present, and future physical or mental health, condition(s), and related health care services. We are required by law to maintain the privacy of protected health information.
We are required to abide by the terms of this Notice of Privacy Practices. We many change the terms of our notice at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices when you call the office and request that a revised copy be sent to you in the main or ask for one at the time of your next appointment. Strengthen Your Health Chiropractic will inform you in a timely manner, if there is a case of a breach of unsecured health information.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Treatment: We may use and/or disclose PHI about you to provide, coordinate, or manage your health care and related services.
Payment: Generally, we may use and give your medical information to other to bill and collect payment for the treatment and services provided to you by us or by another provider.
Healthcare Operations: We may use and/or disclose personal health information in performing business activities called “health care operations”. Examples of the way we use or disclose personal health information about you for “health care operations” include the following:
- Appointment Reminders. We may use and/or disclose health information to contact you as a reminder of your appointments.
- Treatment Alternatives/Benefits. Strengthen Your Family Chiropractic may contact you about treatment alternatives if offers, or other health benefits or services that may be of interest to you.
- Cooperating with outside organizations that assess the quality of the care that Strengthen Your Family Chiropractic provides. These organizations might include government agencies or accrediting bodies such as the Council on Chiropractic Education.
- Reviewing and evaluating the skills, qualifications, and performance of health care providers providing you care.
- Providing training programs for trainees, healthcare providers, and non-healthcare providers (for example, billing clerks or assistants, etc) to help them practice or improve their skills.
- Reviewing activities and using or disclosing protected health information in the event that we sell our business, property or give contraol of our business or property to someone else.
Written Authorization: Other uses and/or disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing, except to the extent that we have taken an action in reliance on the use or disclosure indicated in the authorization.
Uses and/or Disclosures That Will Not Occur Without Your Expressed Written Authorization:
Marketing/Sales: Strengthen Your Health Chiropractic will obtain prior authorization before disclosing PHI in connection with marketing/sales activities in which financial remuneration is received.
Specially Protected Information: Certain types of information such as psychotherapy notes, HIV status, substance abuse, mental health, and genetic testing information require their separate written authorization for the purposes of treatment, payment, or healthcare operations.
Uses and/or Disclosures That Will Not Occur Without Your Expressed Written Authorization:
We may use and/or disclose your PHI in the following instances. You have the opportunity to agree or object to the use or disclosure of all or part of your PHI. If you are not present or able to agree or object to the use and/or disclosure of the protected health information, then we may, using professional judgment, determine whether the disclosure is in your best interest. In this case, only the protected health information that is relevant to your health care will be disclosed.
Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your PHI that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use and/or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.
Emergencies: We may use or disclose your PHI in an emergency treatment situation. If this happens, we shall try to obtain your consent as soon as reasonably practicable after the delivery of treatment.
Communication Barriers: We may use and disclose your PHI if we attempt to obtain consent from you but are unable to do so due to substantial communication barriers and we determine, using professional judgment, that you intend to consent to use or disclosure under the circumstances.
We may use or disclose your PHI in the following situations without your consent or authorization.
Required By Law: We may use or disclose your PHI to the extent that law requires the use or disclosure.
Public Health: We may disclose your PHI for public health activities and purposes to the public health authority that is permitted by law to collect or receive the information.
Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, governmental benefit programs, other government regulatory programs and civil rights laws.
Abuse or Neglect: We may disclose your PHI to an appropriate agency that is authorized by law to receive reports of abuse or neglect of a child, an elderly person or a disabled person. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect, or domestic violence to the governmental entity or agency authorized to receive such information.
Legal Proceedings: We may disclose your PHI in the course of any judicial or administrative proceeding, in response to an order of a court of administrative tribunal (to the extent such disclosure is expressly authorized), in response to a subpoena, discovery request or other lawful process, subject to certain conditions.
Law Enforcement: We many disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. Consistent with applicable federal and state laws, we may disclose your PHI, if we believe that the use or disclosure is necessary to prevent or lesson a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.
Coroners, Funeral Directors, and Organ Donation: We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law.
Research: We may disclose your PHI to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your PHI. Individuals have the option to ‘opt out’ of certain types of research activities.
De-Identified Information: We may use and/or dispose your PHI after it has been altered so that it does not identify you.
Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel. We may also disclose your PHI to authorized federal officials for conducting national security and intelligence activities.
Workers’ Compensation: We may disclose your PHI to comply with workers’ compensation laws and other similar legally established programs.
Inmates: We may use or disclose your PHI if you are an inmate of a correctional facility and your health care provider created or received your PHI in the course of providing care to you.
Business Associate: We may use and/or disclose your PHI to a business associate, who is someone our office has contracted to provide service necessary for your treatment, payment for your treatment and/or health care operations (e.g., billing service, or transcription service). Strengthen Your Family Chiropractic will obtain satisfactory written assurance, in accordance with applicable law, that the business associate and their subcontractors will appropriately safeguard your PHI.
Treatment Coordination/Marketing: Face to face communication directly with the patient, treatment and coordination of care activities, refill reminders or promotional gifts of nominal value do not require authorization as long as the Clinic receives no financial remuneration for making the communications.
Required Uses and Disclosures: If required by law, but such uses or disclosure will be made in compliance with the law and limited to the requirements of the law.
You have the right to revoke any authorization, in writing, anytime.
You have the right to inspect and copy your PHI. With limited exceptions, you may inspect and obtain a copy of PHI about you that is contained in a designated record set for as long as we maintain the PHI. A “designated record set” contains medical and billing records and any other records that our health care provider and the clinic uses for making decisions about you. You must submit a request in writing. Strengthen Your Family Chiropractic may deny the request. Strengthen Your Family Chiropractic may charge a fee for processing costs.
You have the right to request a restriction of your PHI. You may ask us to place additional restrictions on the use or disclosure of any part of your PHI. We are not required to agree to a restriction that you may request. The request must be submitted in writing.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alterative address or other method of contact. We will not request an explanation from you as to the reason for the request. Please make this request in writing.
You have the right to ask us to amend your PHI. You may request an amendment of PHI about you in a designated record set for as long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. The request must be submitted in writing.
You have the right to receive an accounting of certain disclosures we have made, if any, of your PHI. You may request a list of disclosures we have made. This list does not include disclosures for treatment, payment, or healthcare operations, disclosures we may have made to you, to family members or friends involved in your care, or for notification purposes. The right to receive this information is subject to certain exceptions, restrictions, and limitations. The request must be submitted in writing. Strengthen Your Family Chiropractic may charge a fee for processing costs.
You have the right to obtain a paper coy of this notice from us, upon written request, even if you have agreed to accept this notice electronically.
You have the right to restrict disclosures to your health plan when you have paid out-of-pocket in full for health care items or services provided by Strengthen Your Family Chiropractic. The requested restriction must be submitted in writing.