HIPAA Privacy Statement

HIPAA, or the Health Insurance Portability and Accountability Act, regulations pertaining to transactions, privacy, and security apply to speech pathologists and audiologists who electronically bill insurance companies for their services or use a clearinghouse to do so.

Notice Of Privacy Practices

Exceptional Voice, Inc. (EVI) respects you and your privacy. We are committed to keeping all information received or created confidential.

We want you to have a clear understanding of how we use and safeguard information about you. This Notice of Privacy Practices describes how we may use and disclose your protected health information in order to carry out services, bill insurances for payment and for other purposes permitted or required by law. It also describes your rights to access and control your information.

Health information means any information, whether oral or recorded in any form, that is created or received by EVI, relates to the past, present or future health or medical condition of an individual, the provision of health care to an individual, or the past, present or future payment for the provision of health care to an individual.

How Your Protected Health Information May Be Used or Disclosed

Services — Providing you with care and services related to your health, such as working with other agencies involved with the delivery of services.

Payment — Information needed for billing, insurance, or compensation for services, if necessary. We may provide necessary portions of your protected health information to our billing department and to your health plan to get paid/reimbursed for the services we provide to you.

When Legally Necessary — If required by federal, state or local law. We may make disclosures when a law requires that we report information to government agencies or law enforcement personnel about victims of abuse, neglect, domestic violence or to avoid serious threat to health or safety of a person or the public.

We may provide protected health information to a family member, friend or other person that you indicate is involved in your services or the payment for your services unless you object, in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.



Disclosure of Your Health Information

Except as described above, will not use or disclose your health information without your written authorization. If you do authorize us to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.

Your Health Information Rights

Changes to This Notice of Privacy Practices

We are bound by the terms of this notice currently in effect and reserve the right to amend this Notice of Privacy Practices at any time in the future. If such amendment is made, all individuals currently active in our programs will be provided a revised Notice of Privacy Practices by mail or at their next scheduled meeting.