Home Care Medical

Our Mission – To enhance the quality of life of those we serve

Client Information Booklet

Privacy + Confidentiality

Home Care Medical, Inc. (HCM) is required by law to adhere to a federally mandated set of security requirement and privacy provisions covering the sharing and transmitting of patient information whether written, spoken or computerized.

HCM reserves 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 changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before the changes were made. Before a significant change is made in policy, we will change this Notice and make the new Notice available on our website at www.homecaremedical.com and upon verbal or written request.

You may request a copy of our Notice at any time. For more information about HCM’s privacy policies and practices, please refer to the contact information at the end of this Notice.

Uses and Disclosures of Protected Health Information (PHI)

Information that can be used to identify an individual that is directly related to that individual’s health and is used by a covered entity in electronic transactions and maintained or transferred in any medium (including paper documents) is considered PHI. HCM uses and discloses PHI about its patients for purposes of treatment, payment and healthcare operations.

Treatment: HCM may disclose information about you to a physician, nursing service or other healthcare professional involved in your care.

Payment: It may be necessary to use and disclose your healthcare information in order to obtain payment for services rendered to you or for pre-authorization purposes. This includes workmen’s compensation benefits. HCM will restrict the disclosure of PHI to health plans when patient pays for product/service 100% out-of-pocket.

Healthcare Operations: HCM may use or disclose your healthcare information as it pertains to our healthcare operations. Examples of this would be for the purposes of performance improvement, outcomes, analysis, evaluating professional staff performance, accreditation, certification, licensing or credentialing activities.

Business Associates: HCM may disclose your PHI to persons or organization that perform a service for or on behalf of HCM that requires the use or disclosure of PHI. Such persons or organizations are business associates of HCM.

Legal Requirements: When required by federal, state or local law, we may use or disclose your healthcare information. This may include response to a court-ordered subpoena, lawsuit proceedings and compliance with civil rights and the health care system in general. If you are an inmate of a correctional institution or under custody of law enforcement, we may disclose information for certain purposes. For example, we may disclose information necessary to provide you with healthcare.

Marketing Related Services: HCM does not sell patient data to third party sources for marketing or fundraising purposes. HCM may provide you with marketing materials in a face-to-face encounter or provide a promotional gift of nominal value. We may also contact you to give you information about certain health related products and services that may be of interest to you. However, a patient may opt out of all communications of this nature by contacting HCM.

Public Health Risks: HCM may disclose PHI to public health authorities that are authorized by law to collect information for the purpose of: reporting suspected abuse, neglect or maintaining vital records such as birth or death. Also, PHI may be disclosed in order to notify patients of potential exposure to communicable disease or risk of spreading or contracting a disease.

National Security: HCM may disclose your PHI to federal officials for intelligence or national security purposes. If you are a member of the military your PHI may be disclosed if required by appropriate command authorities.

Family and Friends: HCM may disclose your PHI to family or friends involved in your care, however, a signed authorization or legal document must be on record prior to disclosure. In instances where a patient’s authorization is unable to be obtained and good faith effort was made to determine if release of information is in patient’s best interests, HCM staff will use their professional judgment to disclose and will only disclose PHI required for immediate care or a service.

Patient Authorization: In addition to HCM’s use of your PHI for purposes of treatment, payment and healthcare operations, the patient may also give signed authorization to disclose PHI to any individual or entity. However, disclosure is not a guarantee and it will be HCM’s discretion whether or not to proceed with the disclosure.

Patient Rights Regarding their PHI

Confidential Communication: You have the right to request that HCM communicate with you about your health and related issues in a particular manner or location. A written request must be made and HCM will attempt to accommodate all reasonable requests.

Requesting Restrictions: You have the right to request a restriction in our use and disclosure of your PHI. Additionally, you have the right to request that HCM limit the disclosures of your PHI to family and friends. HCM is not required to abide by your request but every effort will be made to accommodate. Your request must be made in writing and specify clearly the information that you want restricted, if there
are limits to the use and disclosure and to whom
the limits apply.

Inspection and Copies: Within 30 calendar days from written request, you have the right to inspect and obtain a copy of the PHI that is used to make decisions about you. Records will be available by appointment only and during HCM operating business hours. HCM has the right to charge for hard copies and/or electronic copies of medical records in compliance with STATUTE 146.83 (3f).

Amendment: You may ask HCM to amend your PHI
if you believe it is incorrect or incomplete. To request an amendment you must submit, in writing, the reasons why the PHI should be amended. Requests for amendment may be denied by HCM if the request is for information that is undeniably correct, not part of the original records, information not created by HCM or if the amended information was not part of the PHI which you were permitted to inspect.

Accounting Disclosures: All HCM patients have the right to request an “accounting of discloses” which is a list of certain disclosures HCM has made of your PHI. To obtain this accounting of disclosures, a written request must be submitted. Requests must state a time period and cannot exceed 6 years prior. Charges for requests may be issued for information greater than 12 months old. Individuals have a right to be notified when a breach of their unsecured PHI has occurred. HCM will notify clients in writing when, through a formal risk analysis, a breach has been determined to be medium-to-hisk risk.

Decendents: A decendent’s PHI is protected for 50 years after the indivdual’s death. After that point, the information is no longer considered PHI.

Right to Paper Copy: You are entitled to a paper copy of HCM’s privacy policies. If you receive this notice via a summary, our website or e-mail, you may contact HCM’s corporate offices at 262.786.9870 for a paper copy.

Right to File Complaint: If you believe your privacy rights have been violated, you may file a complaint with HCM or with the U.S. Department of Health and Human Services. All complaints must be made in writing and there will be no penalty for doing so.

Right to Provide Authorization: HCM will obtain your written authorization for uses and disclosures that are not identifiable by this notice or permitted by applicable law. Any authorization you provide to HCM regarding the use and disclosure of your PHI may be revoked at any time in writing. After you revoke your authorization, HCM will no longer use or disclose your PHI. However, HCM is required to retain your records of care.

Family and Friends: HCM may disclose your PHI to family or friends involved in your care, however, a signed authorization or legal document must be on record prior to disclosure. In instances where a patient’s authorization is unable to be obtained and good faith effort was made to determine if release of information is in patient’s best interests, HCM staff will use their professional judgment to disclose and will only disclose PHI required for immediate care or a service.

Patient Authorization: In addition to HCM’s use of your PHI for purposes of treatment, payment and healthcare operations, the patient may also give signed authorization to disclose PHI to any individual or entity. However, disclosure is not a guarantee and it will be HCM’s discretion whether or not to proceed with the disclosure.

Patient Rights Regarding their PHI

Confidential Communication: You have the right to request that HCM communicate with you about your health and related issues in a particular manner or location. A written request must be made and HCM will attempt to accommodate all reasonable requests.

Requesting Restrictions: You have the right to request a restriction in our use and disclosure of your PHI. Additionally, you have the right to request that HCM limit the disclosures of your PHI to family and friends. HCM is not required to abide by your request but every effort will be made to accommodate. Your request must be made in writing and specify clearly the information that you want restricted, if there
are limits to the use and disclosure and to whom
the limits apply.

Inspection and Copies: Within 30 calendar days from written request, you have the right to inspect and obtain a copy of the PHI that is used to make decisions about you. Records will be available by appointment only and during HCM operating business hours. HCM has the right to charge for hard copies and/or electronic copies of medical records in compliance with STATUTE 146.83 (3f).

Amendment: You may ask HCM to amend your PHI
if you believe it is incorrect or incomplete. To request an amendment you must submit, in writing, the reasons why the PHI should be amended. Requests for amendment may be denied by HCM if the request is for information that is undeniably correct, not part of the original records, information not created by HCM or if the amended information was not part of the PHI which you were permitted to inspect.

Accounting Disclosures: All HCM patients have the right to request an “accounting of discloses” which is a list of certain disclosures HCM has made of your PHI. To obtain this accounting of disclosures, a written request must be submitted. Requests must state a time period and cannot exceed 6 years prior. Charges for requests may be issued for information greater than 12 months old. Individuals have a right to be notified when a breach of their unsecured PHI has occurred. HCM will notify clients in writing when, through a formal risk analysis, a breach has been determined to be medium-to-hisk risk.

Decendents: A decendent’s PHI is protected for 50 years after the indivdual’s death. After that point, the information is no longer considered PHI.

Right to Paper Copy: You are entitled to a paper copy of HCM’s privacy policies. If you receive this notice via a summary, our website or e-mail, you may contact HCM’s corporate offices at 262.786.9870 for a paper copy.

Right to File Complaint: If you believe your privacy rights have been violated, you may file a complaint with HCM or with the U.S. Department of Health and Human Services. All complaints must be made in writing and there will be no penalty for doing so.

Right to Provide Authorization: HCM will obtain your written authorization for uses and disclosures that are not identifiable by this notice or permitted by applicable law. Any authorization you provide to HCM regarding the use and disclosure of your PHI may be revoked at any time in writing. After you revoke your authorization, HCM will no longer use or disclose your PHI. However, HCM is required to retain your records of care.

 

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