HIPAA NOTICE OF PRIVACY PRACTICES
As required by the Privacy Regulations Promulgated Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
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.
This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights 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 or condition and related health care services.
Uses and Disclosures of Protected Health Information: Your protected health information may be used and disclosed by our organization, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of the organization, and any other use required by law.
Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.
Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. For example, obtaining approval for equipment or supplies coverage may require that your relevant protected health information be disclosed to the health plan to obtain approval for coverage.
Healthcare Operations: We may use or disclose, as‐needed, your protected health information in order to support the business activities of our organization. These activities include, but are not limited to, quality assessment activities, employee review activities, accreditation activities, and conducting or arranging for other business activities. For example, we may disclose your protected health information to accrediting agencies as part of an accreditation survey. We may also call you by name while you are at our facility. We may use or disclose your protected health information, as necessary, to contact you to check the status of your equipment.
We may use or disclose your protected health information in the following situations without your authorization: as Required By Law, Public Health issues as required by law, Communicable Diseases, Health Oversight, Abuse or Neglect, Food and Drug Administration requirements, Legal Proceedings, Law Enforcement, Criminal Activity, Inmates, Military Activity, National Security, and Workers’ Compensation. Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.
Other Permitted and Required Uses and Disclosures Will Be Made Only with Your Consent, Authorization or Opportunity to Object, unless required by law. You may revoke this authorization, at any time, in writing, except to the extent that your physician or this organization has taken an action in reliance on the use or disclosure indicated in the authorization.
Your Rights: Following is a statement of your rights with respect to your protected health information. You have the right to inspect and copy your protected health information. Under federal law, however, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information.
You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.
Our organization is not required to agree to a restriction that you may request. If our organization believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. You then have the right to use another Healthcare Professional.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively, e.g., electronically. You may have the right to have our organization amend your protected health information. 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.
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. We reserve the right to change the terms of this notice and will inform you by mail of any changes. You then have the right to object or withdraw as provided in this notice.
Complaints: You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint. We are required by law to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to protected health information, if you have any questions concerning or objections to this form, please ask to speak with Dr Hugh Sauer, Compliance Officer.
Associated companies with whom we may do business, such as an answering service or delivery service, are given only enough information to provide the necessary service to you. No medical information is provided.
We welcome your comments: Please feel free to call us if you have any questions about how we protect your privacy. Our goal is always to provide you with the highest quality services. For all inquiries, please contact us at 619-350-8220 or email@example.com
As set forth in the accompanying “Terms and Conditions” section of this Site, which is hereby incorporated by reference herein, this Site contains paid advertisements from third-parties (the “Service Providers”). Pacific Bay Recovery does NOT make any attempt to ensure if any information on this Site which is provided to the Pacific Bay Recovery by advertisers, Service Providers and/or any other third-parties is complete, accurate and/or current.
What type of information does Pacific Bay Recovery collect?
We gather customer information needed to provide superior service and communicate offers on merchandise and/or services which we believe will be of interest to you and to administer our business. In order to best serve you, we may gather information from you in a few instances. Please see Terms and Conditions of use, which are incorporated by reference herein, for other specific terms and conditions which relating to user account management, “opt-out” rules and other similar provisions.
First, when you visit our site, we may collect non-personally identifiable information from you. Through the use of computer “cookies” we collect data, such as your IP address, browser type, domain name, and the specific Site web pages through which you click. This data is collected automatically, and utilized to help us look for trends so that we can improve our Site and your online experience. Additional information regarding computer cookies and how to disable them is described below.
Second, we may ask you to voluntarily provide information in a few circumstances, such as if you sign up for a user account with Pacific Bay Recovery. We will ask you to voluntarily provide certain personally identifiable information, such as, your name, address, telephone number and e-mail address. Other examples of when we may ask you to voluntarily provide personally identifiable information are when you subscribe to our email program or choose to provide us preference information.
Yes. “Cookies” are alphanumeric identifiers that we transfer to your computer’s hard drive through your web browser, to enable our systems to recognize your browser and to provide you with a more complete experience on this Site. Pacific Bay Recovery may store some information on your computer in the form of a cookie or similar file.
The cookies that are configured by us do not contain any personally identifying information, such as your name, or sensitive information, or your credit card number. The cookies allow us to recognize you when you return to the Site and to provide you with a customized experience that we feel will be of value to you. For example, these files allow us to tailor your Pacific Bay Recovery experience to reflect your expressed interests and preferences.
Can I disable these cookies?
Most internet browsers have settings that let you identify and/or reject cookies. These settings are usually located under “Tools” on your browser toolbar. Please take a look at your particular browser for instructions on this function. If you do elect to disable the Pacific Bay Recovery cookie, please note that you may not be able to take full advantage of a personalized experience on this Site.
Can I “opt out” of receiving promotional e-mails from pacificbayrecovery.com?
We may send you e-mails with promotional offers. If you would no longer like to receive e-mailed special event information, daily health tips or other messages from Pacific Bay Recovery, please click the bottom of the email you received and follow the “click here to opt out” instructions. Your e-mail address will be removed from our marketing list. If you still run into problems, please contact us at firstname.lastname@example.org and/or 1-619-350-8220.
No. This policy is subject to change without notice and the changes will become effective immediately.
How do we typically use or share your health information?
We give information about you to your health insurance plan so it will pay for your services. We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research.
We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone’s health or safety
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
We can share health information about you with organ procurement organizations. We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
We can use or share health information about you:
• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Here at Pacific Bay Recovery, we take great pride in protecting the privacy of our customers. If you have any questions about this privacy statement, the practices of this Site, or your dealings with this Site, you can contact us at anytime at 619-350-8220 or contact us at email@example.com