NOTICE OF PRIVACY PRACTICES
Effective January 1 2010
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.
THE PRIVACY OF HEALTH INFORMATION
Each individual’s health information is protected under a federal law called the Health Insurance Portability and Accountability Act (HIPAA) and under state laws when they are stricter than HIPAA. As a covered entity under HIPAA, INFINITY CARE SERVICES keeps protected health information private except under lawfully permitted circumstances. This Notice describes our legal duties and the privacy practices we use to protect health information.
HOW HIPAA DEFINES PROTECTED HEALTH INFORMATION
The law defines protected health information as individually identifiable health information that is created, received, sent or maintained by us. It is information that identifies an individual in some way and relates to his or her past, present or future, physical or mental health, or condition; the provision of health care to him or her; or the past, present or future payment for that individual’s health care.
HOW WE MAY USE AND DISCLOSE INFORMATION
The law permits INFINITY CARE SERVICES to use and disclose an individual’s protected health information in order to see to it that he or she receives treatment, in order to pay the program’s share of treatment costs, and for health care operations. The examples below show how we may use and share health information for these purposes.
- For treatment: INFINITY CARE SERVICES may use an individual’s protected health information to ensure that an individual enrolled in the home health services. For example, a provider, such as Infinity Care Services, might check to see whether that individual is actually enrolled in a health plan to verify that treatment may be provided to you under the current health plan.
- For payment: INFINITY CARE SERVICES may use and disclose an individual’s protected health information in connection with payments for treatments and services received and to determine that the amount of reimbursement is correct.
- For health care operations: INFINITY CARE SERVICES may use and disclose protected health information for operational purposes. For example, we may share an individual’s protected health information with individuals working at INFINITY CARE SERVICES and others who evaluate the quality of services providing by INFINITY CARE SERVICES. We may also use this information in connection with determining eligibility, conducting audits, for processing appeals, and for general administration of the program.
OTHER USES AND DISCLOSURES WITHOUT WRITTEN PERMISSION
INFINITY CARE SERVICES is required to share an individual’s protected health information with the United States Secretary of Health and Human Services in connection with compliance reviews and complaint investigations under HIPAA. In addition, INFINITY CARE SERVICES may make uses and disclosures of your protected health information without your written permission as follows:
As required or permitted by law: INFINITY CARE SERVICES may use and disclose information about an individual as required or permitted by law. For example, we may use and disclose information about an individual for the following purposes:
. In the course of any judicial or administrative proceeding in response to a subpoena or pursuant to an order of the court or an administrative law judge;
. To report information related abuse, neglect, domestic violence, or certain physical injuries
. For a law enforcement purpose to a law enforcement official.
Public Health: An individual’s protected health information may be used or disclosed for public health activities such as assisting public health authorities or other persons prevent or control disease, injury, or disability. This might include disclosing information in your medical record to report certain diseases, injuries, birth or death information to the Health Department or information related to child or vulnerable adult abuse or neglect.
Health and safety: an individual’s protected health information may be used or disclosed to prevent a serious threat to the health or safety of a person or the public.
Individuals who have died: Protected health information about individuals who have died may be disclosed to funeral directors or coroners to enable them to carry out their duties.
Health oversight: INFINITY CARE SERVICES may disclose protected health information to a health oversight agency for oversight activities authorized by law such as determining compliance with program standards
Specialized Government Functions: INFINITY CARE SERVICES may disclose protected health information for specialized government functions. For example, INFINITY CARE SERVICES may disclose an individual’s protected health information to a correctional institution having lawful custody of that individual if the correctional institution represents that such protected health information is necessary for the provision of health care to the individual.
Research: INFINITY CARE SERVICES may use or disclose an individual’s health information for research purposes when an institutional review board or privacy board has reviewed the research proposal and established procedures to ensure the privacy of health information is maintained.
Benefit Programs for Work-Related Injuries: INFINITY CARE SERVICES may disclose protected health information to the extent necessary to comply with laws relating to workers’ compensation or other similar programs that provide benefits for work-related injuries or illness without regard to fault.
OTHER DISCLOSURES MAY BE MADE WITH WRITTEN PERMISSION: INFINITY CARE SERVICES will not make any other disclosures of your protected health information unless you have given written permission. You have the right to take back your permission in writing at a later time in order to stop any future disclosures.
YOUR PRIVACY RIGHTS
Right to Request Restrictions on Disclosures: You have the right to request restrictions on certain uses and disclosures of protected health information; however, INFINITY CARE SERVICES is not required to agree to those requested restrictions. These requests may have to do with the use or disclosure of protected health information to carry out treatment, payment or health care operations, or to disclosure of the information to a family member, other relative, or close personal friend that is involved with your care or payment related to that care.
Right to Request Confidential Communications: You have the right to request that INFINITY CARE SERVICES make contact with you only in writing or at a different address, post office box, or telephone number. We will honor reasonable requests if you say it is necessary to protect your safety.
Right of access to Protected Health Information: you have the right to look at and get a copy of information which INFINITY CARE SERVICES has about you. We may charge you a small amount for copies to cover our costs. We may deny your request for reasons allowed by law, but if we do, our denial may be reviewed under certain circumstances.
Right to request that Protected Health Information be corrected: you have the right to ask that information in our records be changed if it is not correct or complete. We may refuse this request if the information was not created by INFINITY CARE SERVICES or if we believe that the information is correct and complete. You may request a review of our refusal and you may send in a statement disagreeing with our decision. INFINITY CARE SERVICES will keep this statement in your records.
Right to Receive Information about our Disclosures: When we share protected health information about you for reasons other than treatment, payment, or health care operations(and certain other reasons stated in the law), you have the right to request a list of the persons we shared the information with, and ask when, for what reasons, and what information was shared.
Right to Receive a Paper Copy of this Notice on Request: You have the right to receive a paper copy of our Notice of Privacy Practices at any time upon request. INFINITY CARE SERVICES must obey the terms of this Notice of Privacy Practices. However, we have the right to make a change in our privacy practices and apply it to all the records in our possession. If we do make changes, we will revise this Notice and send it promptly to persons who, at that time, are under the care of INFINITY CARE SERVICES.
HOW TO EXERCISE YOUR PRIVACY RIGHTS
If you would like more information about how the exercise the privacy rights explained in this Notice, or have questions about this notice and want further information, please call or write us at:
1045 N El Dorado St.
INFINITY CARE SERVICES does not have complete copies of your medical records. If you want to look at, get a copy of, or change your medical records, please contact your doctor, provider, or health plan.
HOW TO FILE A COMPLAINT
If you believe that you privacy rights are violated after January 1, 2010, and you wish to complain, you may file a complaint in writing with our Privacy Officer at the address above.
By contacting the Secretary of the United States Department of Health and Human Services at the address and phone numbers below.
Secretary of the U.S. Department of Health and Human Services
Office for Civil Rights
Attention: Regional Manager
50 united Nations Plaza, Room 322
San Francisco, CA. 94102
For additional information, call: (800) 368-1019, or (866) 788-4989 TTY
INFINITY CARE SERVICES will not take away your health care services or retaliate against you in any way, if you choose to file a complaint or use any of the privacy rights in this notice.