This Notice Describes HowMedical Information About You May Be Used And Disclosed And How You can Get Access To This Information. Please review It Carefully.
This notice of privacy practicesdescribes how Absolute Quick Care (we) may use and disclose your "protected health information" (PHI) to carry out treatment, payment and/or healthcare operations and for other purposes that are permitted or required by law. tI describes your right to access and control your protected health information. Protected health information is information about you, including demographic information that may identify you and that relates to your past, present or future physical or mental health condition and related healthcare services.
We arerequired to maintain the privacy of your health information and toprovideyou witha notice as toour legal duties andprivacy practiceswith respect to information collected and maintained about you. We are required to abide by the terms of the Notice of Privacy Practices. We may c h a n g e the terms of our notice at any time. any new notice will be given to you upon your reguest a n d will be effective for all PHI we maintain at that time.
How We May Use Or disclose Your Protected Health Information
The following categories describe ways we may use or disclose your protected health information. There are explanations of what we mean for each category of uses and disclosures.
*Treatment, payment and healthcare operations
Federal law permits Absolute Quick Care to use and disclose your PHI without your authorization or consent for the purposes of treatment, payment and healthcare operations.
Wemay disclose PHI to other healthcare providers who are responsible for your medical treatment. For example, we may provide other physicians, upon request, copies of various information to assist him/her in treating you.
We may use or disclose information about you to determine coverage eligibility for insurance plan benefits, obtain copayment/coinsurance amounts and to facilitate payment for the treatment/services you receive from our healthcare providers.
Healthcare operations refer to business functions undertaken by Absolute Quick Care. operations may include referral/specialist, recommending treatment alternatives and or providing information regarding services that may be of interest to the individual. Information may be disclosed for purposes of medical review, legal services, audit services, and fraudabuse detection programs. We will share your protected health information for purposes of claim administration on behalf of your medical insurance plan.
Other uses and disclosures permitted without authorization.
Federal lawa l l o w sAbsolute Quick Care to disclose PHIwithout your authorization or consent in the following ways:
*To you or a personal representative designated by you or desianated by law to act for you.
*To the secretary of Health and Human Services or any employee of HHS as part of an investigation to determine our compliance with Federal Privacy laws.
*To the State Medical Review Board torespond to inquiries/ investigations of our practiceor request audit.
*In response to a court order, subpoena, discovery requestsor other lawful judicial or administrative proceeding.
*As required for law enforcement purposes. For example, to notify authorities of a criminal act.
*As required by law
*As required to complywith Worker's compensation a n dor other similar programs established by law.
Right to Request Restrictionson Uses and Disclosures
You have the right to request Absolute Quick Care to limit its uses and disclosures of PHI in relation to treatment, payment or healthcareoperations. You also have the right to restrict the disclosure of PHI tofamily members or personal representatives. Any such request must be in writing and must state the specific restriction and to whom it applies.
Right to Access Your Protected Health information
You have the right to copies of your PHI following the procedure of Absolute Quick Care. Federal law prohibits you from having access to psychotherapy notes: information for use in a civil, criminalor administrative action or proceeding. fI your request for access si denied you may file a written complaint to:
US Department of Health and Human Services
200 Independence Ave. Sw
Washington, DC 20201
Federal law indicates you read and sign this Notice as notification of your right to an accounting a n ddisclosure rights pertaining to Private Health Information after April 14, 2003.