Florida Pediatric Therapy,LLC (FPT) Notice of Privacy Practices/ HIPAA POLICY Effective November 1, 2015
This notice describes how medical information about your family will be used and disclosed and how you can gain access to this medical information. As required by Privacy Regulations created by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) we are required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this notice regarding our privacy practices, legal duties, and your rights concerning your health information.
-As technology changes and time passes, privacy practices and the laws related to them may change. In the event of a change you will be provided with written notice regarding this change. For additional copies of this notice, please contact us.
-Protected Health Information includes, but is not limited to, medical records, referrals, radiology/imaging, specialist consultations, lab reports, immunization records, insurance information, telephone conversations, texts, e-mail correspondence, internet contacts, and voice mail messages.
-We will disclose PHI about your family for the purposes of evaluation, treatment, payment, and health care purposes. For example, Evaluation and Treatment: To provide high quality care, it is critical that PHI be shared with all members of your treatment team including employees of FPT, other health care providers, and employees of other health care providers. Additionally, PHI directly related to the evaluation and treatment of the child may be shared with daycare staff, teachers, nannies, or other direct caregivers of the child unless a specific request NOT to do so is made in writing. We may also use/disclose your PHI to provide you with appointment reminders, and follow ups to appointments including voice mail, e-mail, text message, facsimile, and letters. Payment: Appropriate payor sources and their representatives will be provided with information necessary for payment purposes including eligibility, benefit determination, claim processing, and utilization review. Billing personnel will have access to PHI information to carry out billing and collection efforts. Health care Operations: Necessary information will be shared for the continuing operations of FPT. Examples include, but are not limited to peer review, accreditation, and compliance with local and state laws.
-PHI will be provided/disclosed to other health care providers when such PHI is required for them to treat you, receive payment for services they render to you, or conduct certain health care operations such as quality assessment and improvement.
-A child’s PHI may be provided to parents, guardians, and adult members of the child’s household unless a specific request NOT to do so is made in writing.
-Other uses and disclosures of PHI will only be made with written authorization detailing the specific authorization. Specific authorizations will remain in effect until they are revoked in writing.
-Certain situations require disclosure of PHI without your consent or authorization including: As required by law, court order, legal process, or government agency and for collections purposes. Disclosures to review boards of de-identified information for the purpose of medical research, Disclosures to public health authorities in situations of suspected abuse or neglect.
-To review or receive a copy of your PHI. Requests must be in writing and detail the information you request. Please allow 48 hours for copies to be made available. There may be an administrative charge for copying expenses and administrative time.
-To request a restriction to the disclosure of your PHI. This office will agree to such a request at our discretion based on medical and business needs. The request must be submitted in writing.
-To receive confidential communication from us via alternative means or to an alternative location. Every effort will be made to honor requests made in writing.
-To request an accounting of the disclosures made of your PHI (after 4/15/03). This applies ONLY to disclosures made other than for evaluation/treatment, payment, and health care operations. One request per annum will be allowed and there may be a charge for the preparation of this information.
-To request that your PHI be amended in your medical records. If you want to amend your records, please notify us in writing. Your request will be honored unless we believe the amended information to be inaccurate or incomplete or other special circumstances apply.
-To submit a written complaint to the Director, Office of Civil Rights or the US Department of Health and Human Services if you are concerned that we have violated your privacy rights, if you disagree with a decision we made about access to your health information, if you disagree with a response we made to a request to amend or restrict the use or disclosure of your information or to have us communicate via alternative means or at alternative locations. Please first contact us regarding your problem and allow us the opportunity to resolve your issue. No retaliation will be tolerated against a family for filing a complaint.
For additional information regarding these Privacy Practices, please contact us.
Latest update 11/2015