For purposes of this notice, “Verus Healthcare” and the pronouns “we;’ “us” and “our” refer to all of the health care suppliers operated or managed by Verus Healthcare and/or its subsidiaries. These entities have been designated as a single affiliated, covered entity for HIPAA Privacy Rule purposes.
We may use and disclose your medical information, without your permission, for treatment, payment, and health care operations, activities, and when required or authorized by law, for public health and interest activities, law enforcement, judicial and administrative proceedings, research, and certain other public benefit functions.
We may disclose your medical information to your family members, friends, and others you involve in your health care or payment for health care, and to appropriate public and private agencies in disaster relief situations.
We will not sell your medical information, or use or disclose your medical information, applicable psychotherapy notes or genetic information for marketing or any other purposes without your prior written authorization.
We will not use or disclose your demographic information or medical information for fundraising activities without your prior written authorization. Upon your option to be included in fundraising communication, please contact the below listed Privacy officer to opt out of receiving such communication.
We will not otherwise use or disclose your medical information without your written authorization.
You have the right to examine and receive a copy of your medical information, to receive an accounting of certain disclosures we may make of your medical information, and to request that we amend, further restrict use and disclosure of, or communicate in confidence with you about your medical information.
Please review this entire notice for details about the uses and disclosures we may make of your medical information, about your rights and how to exercise them,and about complaints regarding or additional information about our privacy practices.
We are required by State and Federal law, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), to maintain the privacy of your medical information.We are also required to informyou of our privacy practices, our legal duties, and your rights in relation to the medical information that we maintain about you. We will follow the practices that are described in this Notice while it is effective. This Notice is effective as of April 14, 2003 and will remain in effect unless we replace it. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law.We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all medical information that we maintain, including medical information we created or received before we made the changes. Ifwe significantly change in our privacy practices, we will change this Notice, and make the new notice available to our patients and others upon request.
You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information at the end of this Notice.
When you receive care from a healthcare provider, a record is made of that treatment. This record will typically contain information about your diagnosis, treatment, and future plan of treatment and is often collectively referred to as your medical record. This medical record includes your medical and health information, and lays the foundation for determining your plan of care and treatment and allows for a successful means of communication between all healthcare professionals that contribute to your care. HIPAA protects information found in your medical record from improper use and disclosure. The information protected by HIPAA includes:
This information is collectively referred to as your medical information throughout this Notice. Should the unauthorized release of your medical information take place, we will notify you in accordance to HIPAA guidelines the extent of the breach of unsecured protected health information.
Treatment We may use and disclose your medical information, without your permission, to treat you.As it pertains to Verus Healthcare and its health care supplier subsidiaries and affiliates, treatment includes supplying you drugs, medications, supplies and durable medical equipment, as ordered by your physician.
Treatment also includes coordination and consultation with your physician and other health care providers. As we provide these services to you, information obtained during this process will be recorded in your medical record.We will use this information, in coordination with your physician, to determine the best course of treatment for you.
Payment We may use and disclose your medical information, without your permission, to obtain reimbursement for health care products and services that we provide to you, including submitting claims to health plans, other insurers, payers, or others. Payment activities include actions required for us to obtain reimbursement from your insurance carrier for the products and services ordered by your physician and provided to you by us. The activities include eligibility determinations, pre-certifications, billing and collection activities, obtaining documentation required by your insurer, and when applicable, disclosure of information to consumer reporting agencies.
Health Care Operations We may use and disclose your medical information, without your permission, for health care operations. Health care operations may include:
Review of your medical information by our professional healthcare staff to ensure compliance with all Federal and State regulations; Utilization of your medical informationto continually improvethe quality andeffectiveness ofthe services Verus Healthcare provides toyou;and our business management and general administrative activities.
You may give us written authorization to use your medical information or to disclose it to anyone for any purpose. You may revoke such authorization at any time. However, your revocation will not affect any use or disclosure previously permitted by your authorization. Unless you give us a written authorization, we will not use or disclose your medical information for any purpose other than those permitted by law and as described in this Notice.
We may use and disclose your medical information without your authorization for purposes other than treatment, payment or health care operations in certain circumstances.
Family, Friends and Others Involved inYour Care or Payment for Care We may disclose to a member of your family, other relative, or a close personal friend, or any other person identified by you, your medical information directly relevant to such person’s involvement with your care or payment related to your health care.
Public Health and Benefit Activities We may use and disclose yourmedical information to third parties,without your authorization, if it is:
You have the following rights in relation to your medical information:
Restriction You may request, inwriting, that we restrict our use or disclosures of your medical information. We are not required to agree to the requested restrictions, except that we are required to agree to restrict disclosure to a health plan where the medical information relates to an item or service for which you have paid in full. If we do agree, we will abide by our agreement, except in emergencies or as required or authorized by law. If you would like us to restrict our use or disclosure of your medical information, you should submit your request to the contact office listed on this Notice.
Amendments You have the right to request that we amend your medical record.Your request must be inwriting and it must explain why the information should be amended. You should submit your request to the contact office listed on this Notice. We may deny your request only for certain reasons. Ifwe deny your request, we will provide you with a written explanation. Ifwe accept your request, we will make your amendment part of your medical information and will use reasonable efforts to informothers of theamendment who we know may have relied uponthe un-amended information to your detriment, as well aspersonswhoyouwant toreceivetheamendment.
Electronic Notice If you obtained a copy of this Notice on our website or by electronic mail (email), you are entitled to receive a copy of this Notice in written form. Please contact us using the contact information at the end of this Notice to obtain a copy of this Notice in written form.
Access you have the right to inspect and obtain a copy of your medical record, subject to certain limitations. You must make a written request to obtain copies of your medical information.You should submit your request to the contact office at the end of this Notice.
We may charge you reasonable, cost-based fees for a copy of your medical information, for mailing the copy to you, and for preparing any summary or explanation of your medical information you request. Contact us using the information at the end of this Notice for information about our fees.
Accounting of Disclosures You have the right to obtain an accounting of disclosures of your medical record for purposes other than treatment, payment, health care operations, as authorized by you, and for certain other activities. You should submit your request to the contact office at the end of this Notice.We will provide you with information about each accountable disclosure that we made during the period for which you request the accounting, except we are not obligated to account for a disclosure that occurred more than 6 years before the date of your request and never for a disclosure that occurred before. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to your additional requests. Contact us using the information at the end of this Notice for information about our fees.
Confidential Communications You have the right to request that we communicate with you about your medical information in confidence by alternative means or to alternative locations that you specify.You should submit your request to the contact office at the end of this Notice.
We will accommodate your request if it is reasonable, specifies the alternative means or location for confidential communication, and explains how payment for our services will be handled under the alternative means or alternative location you request for confidential communication of your medical information. We will not ask you to explain the reason for your request.
If you have questions, would like additional information or, if you suspect misuse of your protected health information and believe that your rights have been violated, you may, without fear of retaliation, contact:
You may also file a complaint with:
Office for Civil Rights
U.S. Dept. of Health & Human Services
200 Independence Ave.SW, HHH Building, Room 509F
Washington D.C. 20201