SUMMARY OF PRIVACY PRACTICES
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines Protected Health Information as any information that is “created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse”; and “relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual.”
Rackupuncture gathers Protected Health Information in several ways:
• Information we receive from you.
• Information we receive from other healthcare providers.
• Information we receive from third party payers.
We don’t do anything with your health data without your written consent.
I. How we may use and share health data about you:
a) Treatment – To give you medical treatment or other types of health services.
b) Payment – To bill you or a third party for payment for services provided to you.
c) Health Care Operations – For our own operations such as quality control, compliance monitoring, audit, etc.
II. Disclosures where we do not have to give you a chance to agree or object:
a) To you
b) As required by federal, state, or local law
c) If child abuse or neglect is suspected
d) Public health risks (for public health activities to prevent and control spread of disease)
e) Lawsuits and disputes (in response to a court or administrative order)
f) Law enforcement (to help law enforcement officials respond to criminal activities)
g) Coroners, medical examiners and funeral directors
h) Organ or tissue donation facilities if you are an organ donor
i) To avert a threat to an individual or to public health safety
III. Disclosures where we have to give you a chance to agree or object:
a) Persons involved in your care or payment for your care – We may share your health data with a family member, a close friend or other person that you have named as being involved with your health care.
IV. Other uses of health data: Other uses not covered by this notice or the laws that apply to us will be made only with your written consent.
V. You have the following rights relating to the health data we keep about you:
a) Right to inspect your health record and to receive a copy of your health record upon request
b) Right to amend information in your health record you believe is inaccurate or incomplete
c) Right to know to whom we have disclosed your health information
d) Right to ask for limits on the health information data we give out about you
e) Right to receive communication from us about your health information in alternate ways