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GRIFFIN HOME HEALTH CARE, INC.
NOTICE OF PRIVACY PRACTICES
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.
Griffin Home Health Care, Inc. is committed to protecting
the privacy of your protected health information (PHI) that is in our possession,
and only using and disclosing your PHI as necessary to provide you with
health care products and services. PHI is any information that we possess,
use, and disclose that identifies you and relates to your past, current,
or future physical and mental health condition or illness and the health
care products and services that have been provided to you.
Effective April 14, 2003, The Health Insurance Portability
and Accountability Act of 1996 (HIPAA) provides you with several rights
related to your PHI. HIPAA requires that this Notice, at a minimum, cover
the following three areas: Your rights with respect to your PHI;
how we will use and disclose your PHI; and, our legal duties to protect
the confidentiality of your PHI.
Your Rights With Respect To Your PHI |
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1.
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You have the right to receive written Notice of Privacy
Practices. |
| 2. |
You have the right to request a restriction on our use
and disclosure of your PHI. However, we are not required to agree
to your request. |
| 3. |
You have the right to review or receive photocopies of
our records that contain your PHI. However, we may require payment
to cover the cost to copy and mail. |
| 4. |
You have the right to request changes in the content
of your PHI contained in our records where you believe the content is incomplete,
inaccurate, or for some other reason needs to be changed. However,
we are not required to agree to your request. |
| 5. |
You have the right to request that we communicate with
you about your PHI in a confidential manner. |
| 6. |
You have the right to obtain an accounting of some of
our disclosures of your PHI. |
| 7. |
7. You have the right to file a complaint if you believe
that we have violated your rights and to not fear retaliation or adverse
action by us against you for exercising your right. You can file the complaint
with us directly, or with the United States Department of Health and Human
Services. |
Ways That We May Use and Disclose Your PHI
Treatment: We may discuss your equipment
and supply needs with your other health care professionals, such as your
physician or nurse, and through such discussions we may use and disclose
your PHI. We may use and disclose your PHI in our discussions with
you and your caregivers about your treatment.
Payment: These activities include billing
you or your designated third party who pays for health care products and
services that we provide to you.
Health care operations: These activities include,
but may not be limited to, conducting quality assessment and improvement
activities, case management and care coordination. Activities also
include reviews conducted by regulatory and accrediting organizations.
Disclosures of a miscellaneous nature: We may
disclose your PHI to comply with workers compensation laws; as required
by other federal or state governmental agencies or by law enforcement,
legal proceedings, public health requirements, and as required by law
in certain situations involving suspected abuse, and/or neglect.
Uses and Disclosures Not Contained in this Notice
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If a use and disclosure of your PHI is not contained
in this Notice, then we will obtain your written authorization before the
use and disclosure. You may have the right to refuse to authorize the use
and disclosure; or if you grant the authorization, you may revoke the authorization
at any time. If such authorization is requested, we will provide you with
a form that describes the proposed use and disclosure and your rights related
to the requested authorization. At some future time, it may
be necessary for us to revise this Notice. If such becomes necessary, we
will post the revised Notice and if you request, provide a written Notice
to you. |
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IF YOU HAVE QUESTIONS ABOUT WAYS THAT WE MAY USE
AND DISCLOSE YOUR PHI AS DESCRIBED ABOVE, PLEASE CONTACT OUR PRIVACY OFFICER
at 704-347-1993 or 1-877-247- 4181.
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