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Privacy
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and never to sell to outside agencies or third parties.
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NOTICE OF PRIVACY
PRACTICES FOR
PROTECTED HEALTH INFORMATION
Wild Acre Inns, Inc.
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.
This notice of Privacy Practices describes how we
may use and disclose a client's protected health information (PHI)
to carry out treatment, payment, or health care operations and for
other purposes that are permitted or required by law. It also describes
rights to access and control of protected health information. "Protected
health information" is information about a client, including
demographic information, that may identify that client. The information
may relate to a client's past, present or future physical or mental
health condition and related health care services.
1. USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
There are two categories for the use and disclosure of our clients'
Protected Health Information:
1) information that we can use and disclose without the client's
prior consent; and 2) information that we cannot use or disclose
without the client's prior authorization.
A. CLIENTS' PRIOR CONSENT NOT REQUIRED
(1) Treatment. In the first category, we are permitted to use and
disclose our clients' Protected Health Information in connection
with their treatment in situations such as allowing a family member
or other relative or a close personal friend or other person involved
in the client's health care to pick up the client's prescriptions,
and to receive Protected Health Information that is directly related
to the client's care. In doing so, we are to use our professional
judgment and experience with common practice in determining what
is in the client's best interest. Other examples include sending
information about a client's prescriptions to the client's family
doctor, to a specialist who is treating the client, or to a hospital
where the client is receiving care, particularly if the client has
suffered a health emergency.
(2) Payment. Your protected health information will be used, as
needed, to obtain payment for your health care services. For example,
obtaining approval for a hospital stay may require that your relevant
protected health information be disclosed to the health plan to
obtain approval for the hospital admission.
(3) Health Care Operations. In addition, we can provide Protected
Health Information for health care operations such as evaluations
of the quality of our clients' health care in order to improve the
success of treatment programs. Other examples include reviews of
health care professionals, legal and auditing functions, and business
planning and management.
(4) Other Permitted Uses and Disclosures. There are a number of
other specified purposes for which we may disclose a client's Protected
Health Information without the client's prior consent (but with
certain restrictions). Examples include: public health activities;
situations where there may be abuse, neglect or domestic violence;
in connection with health oversight activities; in the course of
judicial or administrative proceedings; in response to law enforcement
inquiries; in the event of death; where organ donations are involved;
where there is a serious threat to health and safety; in cases of
military or veterans' activities; where national security is involved;
for determinations of medical suitability; for government programs
for public benefit; for worker's compensation proceedings; when
our records are being audited; when medical emergencies occur; and
when we communicate with our clients orally or in writing about
refilling prescriptions, about generic drugs that may be appropriate
for a client's treatment, or about alternative therapies.
B. CLIENTS' PRIOR AUTHORIZATION REQUIRED
For purposes other than those mentioned above, we are required to
ask for our clients' written authorizations before using or disclosing
any of their Protected Health Information. If we request an authorization,
any of our clients may decline to agree, and if a client gives us
an authorization, the client has the right to revoke the authorization
and by doing so, stop any future uses and disclosures of the client's
health information that the authorization covered. An example of
a situation where the client's prior authorization would be required
would be if we wish to conduct a marketing program that would involve
the use of Protected Health Information.
2. CLIENTS' RIGHTS
The following is a statement of the client's rights with respect
to protected health information.
(a) Client's Record. Each client has the right to inspect and copy
their protected health information. The only charge will be based
on our cost in responding to the request. The amount of the charge
will vary depending on the format the client requests and whether
the client wants the record or a summary, and whether it is to be
delivered by mail or otherwise. The client will be told of the fee
when the client's request is received. Under federal law, however,
a client may not inspect or copy the following records; psychotherapy
notes, information compiled in reasonable anticipation of, or use
in, a civil, criminal, or administrative action or proceeding, and
protected health information that is subject to law that prohibits
access to protected health information.
(b) Accounting for Disclosures. Clients have the right to receive
an accounting of certain disclosures Wild Acre inns has made, if
any, of a client's protected health information. The client has
the right to request a restriction on the use of his/her protected
health information. This means that the client may ask Wild Acre
Inns not to use or disclose any part of the protected health information
for the purposes of treatment, payment, or healthcare operations.
The client may also request that any part of the protected health
care information not be disclosed to family members or friends who
may be involved in the client's care, or for notification purposes
as described in this notice of Privacy Practices. The request must
state the specific restriction, and to whom the restriction is to
apply. Wild Acre Inns is not required to agree to a restriction
that a client requests. If Wild Acre Inns believes it is in a client's
best interest to permit use of a client's protected health information,
the protected health information will not be restricted.
(c) Amendments. Each client may ask to change the record of his
or her own Protected Health Information explaining why the change
should be made. We will review the request but may decline to make
the change if, in our professional judgment, we conclude that the
record should not be changed.
(d) Communications. Clients have the right to request to receive
confidential communications from us by alternative means or at an
alternative location. Clients have the right to obtain a paper or
electronic copy of this notice from Wild Acre Inns upon request.
(e) Complaints. If a client believes that we have violated the client's
rights as to the client's Protected Health Information under HIPAA
and the Regulations, or if a client disagrees with a decision we
made about access to the client's Protected Health Information,
the client has the right to complain to us or to the Secretary of
Health and Human Services. Under no circumstances will any client
be retaliated against by Wild Acre Inns for filing a complaint.
We are required by law to protect the privacy of
our clients' Protected Health Information, to provide this notice
about our privacy practices, and follow the privacy practices that
are described in this notice. We reserve the right to make changes
in our privacy practices that will apply to all the Protected Health
Information we maintain. A new notice will be available on request
before any significant change is made.
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