Posada del Sol Healthcare Center
Notice of Privacy Practices
if you have diabetes so we can arrange for appropriate meals. We may also disclose medical information about you to people who may be involved in your medical care after you leave the facility, such as family members, or other healthcare professionals.
Payment:
We may use and disclose your PHI to carry out payment activities
such as billing, claims management, coordination of benefits, medical
necessity review, utilization review, and so on. For example, we may contact
a payor to see if you are eligible for coverage or what percentage of
the bill will be paid by the Plan.
Operations:
We may use and disclose your PHI to carry
out our operations, such as quality assurance, disease management, medical
review, legal services and auditing, and general administrative activities.
For example, we may review the competence or qualifications of health
care professionals and conduct quality assessment activities. We may combine
medical information about many facility patients to decide what services
the facility should offer, or whether certain new treatments are effective.
We may
also disclose information to doctors, nurses, technicians, professional
healthcare students, and other facility personnel for review and learning
purposes. We may combine the medical information we have with medical
information from other facilities to compare how we are doing and see
where we can make improvements in the care and services we offer.
Treatment Alternatives:
We may use your PHI to tell you about other treatments and services
that may be of interest
to you.
Appointment Reminders:
We may use and disclose medical information to contact you as a
reminder that you have
an appointment.
In Situations Permitted or Required by Law:
We may use or disclose your PHI for other purposes, such as:
· As authorized by and to the extent necessary to comply with workers's compensation or other no-fault laws.
· To a health oversight agency for activities including audits or civil, criminal or administrative hearings.
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.
OUR OBLIGATIONS
Posada del Sol is required by law to safeguard the privacy of your personal
health information (PHI). This Notice will tell you how we may use or
disclose your PHI. We are required by law to give you this Notice and
to follow the terms of the Notice that is currently in effect. We reserve
the right to change the terms of this Notice and to make any new provisions
effective to all of the PHI that we maintain about you. If we change this
Notice, we will post the revised Notice in
the facilities and on our Web site.
EXAMPLES OF INFORMATION WE COLLECT AND MAINTAIN
We receive several kinds of PHI from a variety of sources, including (but not limited to):
· We obtain information directly from you, in conversations and from forms that you complete and submit, and from other documents and information you provide to us.
· We create a record of the care and services you receive here, including billing records and medical records. These records are used to provide you with quality care and to meet certain legal requirements.
· We obtain information about your health care from providers involved in your health care.
· We obtain information from other entities, such as healthcare providers or insurance companies, in order to obtain prior authorization or verify payment.
USES OR DISCLOSURES OF PHI
Uses and disclosures that may be made without your
authorization:
The law permits us to use or disclose some of your PHI without
your permission for treatment, payment, and healthcare operations, and
under other circumstances permitted by law and/or described in the HIPAA
regulations. We may disclose your PHI to subcontractors who are "business
associates." In addition:
Treatment:
We may use and disclosure your PHI to health care providers to
enable them to provide you with treatment or services. For example, a
doctor may need to know if you have diabetes because diabetes may slow
the healing process. In addition, the doctor may need to tell the dietitian
This Notice describes the privacy practices of Posada del Sol, including
all physicians and other health care professionals on staff, all departments
and units and their employees, and all volunteers and other facility personnel
considered part of
our workforce.
Some physicians are independent contractors; these are not agents, servants or employees of Posada del Sol, and Posada del Sol is not responsible for their judgment or conduct. Certain subcontractors used by us will also follow the terms of this Notice.
