Notice Of Privacy Practices
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.
Pure Home Healthcare may use your health information that is defined as protected health information in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. The Agency has established policies to guard against unnecessary disclosure of your health information.
The following is a summary of the circumstances under which and purposes for which your health information may be typically used and disclosed.
To Provide Treatment.
The Agency may use your health information to coordinate care within the Agency and with others involved in your care, such as your attending physician, Pure Home Health Care, and other health care professionals who have agreed to assist the Agency in the coordination of care. The Agency also may disclose your health care information to individuals outside of the Agency involved in your care including your primary family caregiver, pharmacists, suppliers of medical equipment or other health care professionals.
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To Obtain Payment.
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To Conduct Health Care Operations.
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For Appointment Reminders.
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For Treatment Alternatives.
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When Legally Required.
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When There Are Risks to Public Health.
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To Report Abuse, Neglect Or Domestic Violence.
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To Conduct Health Oversight Activities.
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In Connection With Judicial And Administrative Proceedings.
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For Law Enforcement Purposes.
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To Coroners And Medical Examiners.
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To Funeral Directors.
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For Organ, Eye or Tissue Donation.
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For Research Purposes.
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In the Event of A Serious Threat To Health Or Safety.
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For Specified Government Functions.
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For Worker’s Compensation.
Authorization to use or disclose health information
Other than is stated above, the Agency will not disclose your health information other than with your written authorization. More specifically, most uses and disclosures of psychotherapy notes (where appropriate), uses and disclosures of protected health information for marketing purposes, and disclosures that constitute a sale of protected health information require authorization; and other uses not described above will be made only with your written authorization. If you or your representative authorizes the Agency to use or disclose your health information, you may revoke that authorization in writing at any time.
Your rights with respect to your health information
You have the following rights regarding your health information
Right to request restrictions.
You may request restrictions on certain use and disclosures of your health information. You have the right to request a limit on the Agency’s disclosure of your health information to someone who is involved in your care or the payment of your care. However, the Agency is not required to agree to your request except for requests not to share treatment information with a health plan if you have paid out of pocket and in full. If you wish to make a request for restrictions, please contact the administrator/manager of the Agency. You may send your written request through the professional that admitted you to the Agency or you may mail the request.
Right to receive confidential communications.
Right to inspect and copy your health information.
Right to amend health care information.
Right to an accounting.
Duties of the Agency
The Agency is required by law to maintain the privacy of your health information and to provide to you & your representative this Notice of its duties and privacy practices. The Agency is required to abide by the terms of this Notice as it may be amended from time to time. The Agency reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains. If the Agency changes it Notice, the Agency will provide a copy of the revised Notice to you or your appointed representative.
Right to file a complaint
You or your personal representative have the right to express complaints to the Agency and to the Secretary of the Department of Health and Human Services if you or your representative believe that your privacy rights have been violated. Any complaints to the Agency should be made in writing to the Privacy Officer at the address below or e-mailed to Info@purehomehealthcare.com. The Agency encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.
Contact person
The Agency has designated the Privacy Officer as its contact person for all issues regarding patient privacy and your rights under the Federal privacy standards. Complaints against the provider can be mailed to: ?????
