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.
Atlantic Counseling & Consultation, Inc., is covered by the medical information privacy provisions of the Health Insurance Portability and Accountability Act of 1996 (generally called “HIPAA) and it’s Regulations. As a result, we are required to comply with HIPAA and the Regulations in the use and disclosure of health information by which our patients can be individually identified. This health information is referred to as “Protected Health Information” or “PHI” for short. We are also required under Section 164.520 to give our patients this notice (in paper or electronically as the patient wishes) of our legal duties and privacy practices concerning their Protected Health Information, and also to tell our patients about their rights under HIPAA and the Regulations.
Uses and Disclosures
Treatment: Providing, coordinating or managing health care and related services, consultation between health care providers relating to a patient or referral of a patient for health care from one provider to another.
Payment: Billing and collecting for services provided, determining plan eligibility and coverage, recertification and medical necessity review.
Health Care Operations: General agency administrative and business functions, quality assurance/improvement activities; medical review; auditing functions; licensing, survey, certification and credentialing actives.
We are permitted to use or disclose information about you without consent or authorization in the following circumstances:
1.) Certain law enforcement purposes such as helping to identify or locate a suspect, fugitive, material witness or missing person, or to comply with a court order or subpoena and other law enforcement purposes;
2.) To coroners, medical examiners and funeral directors, in certain circumstances, for example, to identify a deceased person, determine the cause of death or to assist in carrying out their duties.
Other uses and disclosures require your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.