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.
ALL OTHER USES AND DISCLOSURES REQUIRE YOUR PRIOR WRITTEN AUTHORIZATION.
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
- You have the right to inspect and obtain a copy of your health information.
- You have the right to request restrictions on certain uses and disclosures of your health information. We are not required to agree to the requested restriction.
- You have a right to request that we amend your health information.
- You have a right to receive an accounting of disclosures of your health information.
- You have a right to receive confidential communications of protected health information and the manner in which it is sent to you. Within reason, you have the right to ask that we send information to you at an alternate address (such as requesting that we send information to your work address rather than your home address) or by alternate means (such as by regular mail versus e-mail, if such methods are reasonably available).
- You have a right to a paper copy of this Notice of Privacy Practices. You will be asked to sign an Acknowledgement of Receipt of this Notice.
- You have a right to complain if you believe your privacy rights have been violated or if you are dissatisfied with the services you are receiving. You will not be punished in any way for filing a complaint. (Please refer to our Complaint Form for information regarding internal and/or external complaints.)
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.