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.
We understand the importance of privacy and are committed to protecting the confidentiality of your Protected Health Information (PHI). This includes medical records requests as well as invoices for the healthcare services we provide.
Should you have any questions about this notice, please contact our privacy officer at (916) 671 3417
Thrive Prosthetics is required by law to maintain the privacy of your PHI. We are also required to provide you with this notice upon request. It describes our legal duties, privacy practices and your patient rights as determined by the Health Insurance Portability and Accountability Act (HIPPA) of 1996. We follow the terms of this Notice
HOW WE MAY DISCLOSE YOUR HEALTH INFORMATION
We use your PHI for treatment, payment, or healthcare operations purposes and for other purposes permitted or required by law. Not every use or disclosure is listed in this Notice, but all our uses or disclosures of your health information will fall into one of the categories listed below. We need your written authorization to use or disclose your health information for any purpose not covered by one of the categories listed. Any authorization you provide may be revoked at any time. If you revoke your authorization, we will no longer use or disclose your health information for the reasons stated in your authorization except to the extent we have already acted based on your authorization. The law permits us to use or disclose your health information for the following purposes:
TREAMENT: Your medical information may be used by our staff members to provide your care. We may share your medical information with other healthcare providers who may provide treatment to you. For example, we would disclose your PHI, as necessary, to the physician that referred you to us or to other health care providers who may be treating you, if necessary.
PAYMENT: Thrive Prosthetics will use your PHI as part of our billing process and may send it to your insurance company or other appropriate parties, including to you, to obtain payment for our services. If you are insured under another person’s health insurance policy (for example, parent, spouse, domestic partner, or a former spouse), we may also send invoices to the subscriber whose policy covers your health services.
HEALTHCARE OPERATIONS: Thrive Prosthetics may use or disclose your PHI for activities necessary to support our healthcare operations, such as performing quality checks on our products, internal audits, or developing reference ranges for our tests.
BUSINESS ASSOCIATES: We may provide your PHI to an outside collection agency to obtain payment when necessary.
APPOINTMENT REMINDER: We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.
NOTIFICATION AND COMMUNITCATION WITH YOUR FAMILY: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, orally or in writing, 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 or disclose your PHI to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location or general condition.
MARKETING AND HEALTH RELATED BENEFITS AND SERVICES: We may contact you to give you information about products or services related to your treatment, case management or care coordination. We will not use or disclose your PHI for marketing purposes without your written authorization.
AS REQUIRED BY LAW: In certain circumstances, federal or state laws may require that we provide your health information to organizations such as:
Public Health Authorities
The Food and Drug Administration
- Health Oversight Agencies
- Military Command Authorities
- National Security and Intelligence Organizations
- Correctional Institutions
- Organ and Tissue Donation Organizations
- Coroners, Medical Examiners and Funeral Directors
- Worker’s Compensation Agents
LAW INFORCEMENT ACTIVITIES AND LEGAL PROCEEDINGS: We may use or disclose your PHI if necessary, to prevent or lessen a serious threat to your health and safety or that of another person. We may also provide PHI to law enforcement officials, for example, in response to a warrant, investigative demand or similar legal process, or for officials to identify or locate a suspect, fugitive, material witness, or missing person.
We may also disclose PHI to appropriate agencies if we reasonable believe an individual to be a victim of abuse, neglect, or domestic violence. We may disclose your PHI as required to comply with a court or administrative order. Finally, we may provide your PHI in response to a subpoena, discovery request or other legal process during a judicial or administrative proceeding, but only if efforts have been made to tell you about the request or to obtain an order of protection for the requested information.
RESEARCH: Under certain circumstances, we may disclose your protected health information 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 protected health information.
YOUR PATIENT RIGHTS.
NOTE REGARDING STATE LAW: For all the above purposes, when state law is more restrictive than federal law, we are required to follow the more restrictive state law.
RIGHT TO INSPECT AND COPY YOUR PHI: You have the right to receive a copy of your PHI that we have created. A reasonable fee may be charged, as allowed by California law
RIGHT TO REQUEST A RESTRICITONOF YOUR PROTECTED HEALTH INFORMATION: You may request that we agree to restriction on certain uses and disclosures of your health information, but we are not required to agree to your request, with the following exception. You have the right to ask us to restrict the disclosure of health information to your health plan for a service we provide to you where you have directly paid us (out of pocket, in full) for that service, in which case we must honor your request.
RECEIVE CONFIDENTIAL COMMUNICATIONS: You have the right to request that we send your health information by alternative means or to an alternative address, and we will accommodate reasonable requests.
RIGHT TO AMMEND YOUR PHI: You may request changes to your PHI and we will accommodate them if we can. However, we are not required to make the requested changes. If we deny your written request to change your PHI we will provide you with a written explanation of the reason for the denial and additional information regarding further actions that you may take.
RIGHT TO AN ACCOUNTING OF DISCLOSURES: You have the right to receive a list of certain disclosures of your health information made by Thrive Prosthetics in the past six years from the date of your written request. Under the law, this does not include disclosures made for purposes of treatment, payment, or healthcare operations.
HOW TO EXERCISE YOUR RIGHTS: You may contact our office by phone, fax, or mail
6620 Coyle Ave, Ste 301
Carmichael Ca 95608
IF NOT RESOLVED BY REACHING OUT TO US: You may reach out to one of the following
17 Technology Circle
Columbia, SC 29203
10461 Mill Run Circle
Owings Mills, MD 21117
COMPLAINTS: If you believe your privacy rights have been violated, you have the right to file a complaint with us. You also have the right to file a complaint with the Secretary of the U.S. Department of Health and Human Service, Office for Civil Rights. Thrive Prosthetics, will not retaliate against any individual for filing a complaint.
Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Bldg.
Washington, D.C. 20201
NOTES: We reserve the right to amend the terms of the Notice to reflect changes in our privacy practices, and to make the new terms and practices applicable to all PHI that we maintain about you, including PHI created or received prior to the effective date of the Notice revision. Our Notice is displayed on our website and a copy is available upon request.
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