HIPPA Policy

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.

I. Our Legal Duties

At, Private Care Resources Inc., we are committed to protecting the privacy of your protected health information. “Protected health information” is your individually identifiable health information. Herein Protected Health Information will be referred to as PHI. We are required by applicable federal and state laws to maintain the privacy of your PHI. We also are required by the HIPAA Privacy Rule (45 CFR parts 160 and 164, as amended) to give you this Notice about our privacy practices, our legal duties, and your rights concerning your PHI. Private Care Resources Inc. will not use or disclose your Protected Health Information except as described in this notice, or as otherwise authorized by law.

II. How Private Care Resources Inc. Uses and Discloses Protected Health Information (PHI)

We will collect, use, and disclose PHI about you for certain activities including treatment, payment, and health care operations.

• Treatment
We may use and disclose your PHI for all activities included in “treatment” as defined in the Privacy Rule at 45 CFR 164.501. For example, we may use and disclose your PHI to coordinate care with your physician and to receive physician’s orders so we may provide care to you, plan and provide your care and treatment, communicate with health care professionals who care for you, describe the care you receive, and educate health professionals about your care.

• Payment
We may use and disclose your PHI for all activities included in “payment” as defined in the Privacy Rule at 45 CFR 164.501. For example, we may use and disclose your PHI to verify your coverage under a health plan and to bill your insurance and/or your self-pay person responsible for direct payment, and verify that billed services were actually provided.

• Health Care Operations
We may use and disclose your PHI for all activities included in “health care operations” as defined in the Privacy Rule at 45 CFR 164.501. For example, we may use and disclose your PHI to conduct quality assessment and improvement activities relating to case management and care coordination and to train health care professionals, inform public health officials charged with improving health care, administer programs which provide benefits and/or health and human services, and inform you about other public programs and services.

III. Other Possible Uses and Disclosures of Protected Health Information (PHI)

We also may use and disclose PHI to other covered entities, business associates, or other individuals as permitted by the HIPAA Privacy Rule and as permitted/required by law.

• Business Associates
There are some services provided for Private Care Resources Inc. through contracts with business associates. We require the business associate via signed agreement to appropriately safeguard your information. For example, we may disclose your PHI to an attorney (business associate) to assist in collecting payment for unpaid bills.

• Other Covered Entities
To assist other health care providers in connection with their treatment, payment or certain health care operations. For example, we may disclose your PHI to a health care provider when needed to render treatment to you.

• Required by Law
We may use or disclose your PHI to the extent that federal or state law requires. For example, we must disclose your PHI to the US Department of Health and Human Services upon request for purposes of determining whether we are in compliance with federal privacy laws.

• Public Health Activities
We may use or disclose your PHI for public health activities that are permitted or required by law. For example, we may use or disclose PHI for the purpose of preventing or controlling disease, injury, or disability.

• Abuse or Neglect
We may disclose your PHI to a government authority that is authorized by law to receive reports of abuse, neglect, or domestic violence.

• Legal Proceedings
We may disclose your PHI for judicial or administrative proceedings, by an order of the court or administrative tribunal (to the extent such disclosure is expressly authorized), and in response to a subpoena, or other lawful process, once we have met all administrative requirements of the HIPAA Privacy Rule. For example, we may disclose your PHI in response to a subpoena for such information.

• Law Enforcement
Under certain conditions, we may disclose your PHI to law enforcement officials. For example, we may disclose your PHI if it is necessary to locate or identify a suspect, fugitive, material witness or missing person.

• Coroners, Medical Examiners, Funeral Directors, and Organ Donation
We may disclose PHI to a coroner or medical examiner for purposes of identifying a deceased person, determining cause of death, or to perform other duties authorized by law. We may disclose, as authorized by law PHI to funeral directors so they may carry out their duties. We may also disclose PHI to organizations that handle organ, eye, or tissue donation and transplantation.

• Research
We may disclose your PHI to researchers when the information is de-identified or when their research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of you health information.

• Correctional Institution (Prison, Jail, Law Enforcement Holding Cell)
If you are an inmate, we may disclose your PHI to the institution or agents thereof for the institution to provide health care to you, for your health and safety and the health and safety of others, or for the administration, safety and security of the correctional institution

• To Prevent a Serious Threat to Health or Safety
As permitted/required by law, we may disclose your PHI if we believe it is necessary to prevent or lesson a serious and imminent threat to the health or safety of a person or the public.

• Military, National Security, Protective Services
Under certain conditions, we may disclose your PHI to appropriate military command authorities. We may also disclose your PHI to authorized federal officials for conducting national security and intelligence activities, and for the protection of the president, other authorized person, or heads of state.

• Workers’ Compensation
We may disclose your PHI to comply with workers’ compensation laws and other similar programs that provide benefits for work-related injuries or illness.

• Health Oversight Activities
We may disclose your PHI to a health oversight agency for activities authorized by law, such as: audits; investigations; inspections; license or disciplinary action; or civil, administrative, or criminal proceedings or actions. Oversight agencies seeking this information include government agencies that oversee: the health care system, government benefit programs, other regulatory programs, and compliance with civil rights laws.

• Others Involved in Your Health Care
Unless you object, we may disclose your PHI to a person you have identified as being involved in your health care. If you are in a situation that you are unable to agree to these disclosures of your PHI, we may, using our professional judgment, determine whether the disclosure is in your best interest.

IV. Written Authorization

Other uses and disclosures of your (PHI) not described above will be made only with your written authorization. If you provide us with such an authorization, you may revoke the authorization in writing, and this revocation will be effective for future uses and disclosures of PHI. However, the revocation will not be effective for information we already have used or disclosed, relying on the authorization.

V. Your Individual Rights

The following is a description of your rights with respect to your protected health information (PHI).

• Right to Access
You have the right to look at or get copies of your PHI. We may charge you a reasonable, cost-based fee for copying your PHI and mailing/shipping fee if required. You may exercise this right verbally or in writing. Under certain circumstances we may require this request in writing.

• Right to an Accounting
You have a right to an accounting of certain disclosures of your PHI that are for reasons other than treatment, payment, or health care operations. Most disclosures of your PHI will be for these purposes. An accounting will include date of disclosure, to whom we made the disclosure, a brief description of the information disclosed, and the purpose for the disclosure. You must request an accounting in writing.

• Right to Request Amendment
If you believe that your PHI is incorrect or incomplete, you may request in writing that we amend your PHI. We can only amend your PHI if information was created by Private Care Resources Inc. Using our professional judgment, we may decide your PHI does not need amended. If we decide not to amend your PHI for any reason, we will attach your written request to the PHI you want amended.

• Right to a Paper Copy of this Notice
If you receive this Notice on our web site, you are entitled to receive this Notice in written form. Contact our office with this request. We generally will provide a paper copy of this Notice with our first face-to-face visit with you.

• Right to Request Confidential Communications
You have the right to request that we communicate with you in confidence about your PHI by alternative means or to an alternative location. For example, you may ask that we contact you only at your work address. We must accommodate your request if we can reasonably do so. You may make request verbally or in writing. If request is made by anyone other than patient, we may use our professional judgment to determine whether the request is in the patient’s best interest.

• Right to Request a Restriction
You have the right to request a restriction on the PHI we use or disclose about you for treatment, payment or health care operations to the extent that it has not already been relied upon. We are not required to agree to these requested restrictions, but if we do, we will abide by our agreement unless the information is need for your health and safety or is needed to provide emergency treatment to you. Your request must be made in writing with details of restriction requested.

• Right to File a Complaint
If you are concerned that we may have violated your Privacy Rights, you complain to us by using the contact information below. You must file a complaint in writing with a detailed description of why, when, and how you believe your Privacy Rights were violated. You also may submit a written complaint to the US Department of Health and Human Services. We will provide you with their address upon request. We support your right to protect the privacy of your PHI. We will not retaliate in any way if you choose to file a complaint with us or with the US Department of Health and Human Services.

VI. Questions and Contact

If you have questions, concerns, or want more information about our privacy policies or practices, feel free to contact us today.