Bailey Health Solutions 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. If you have any questions about this
notice please contact: our Privacy Contact who is Jason Bailey.
We are required by law to provide you with this notice explaining our privacy practices with regard to your medical information and how we may use and disclose your protected health information (PHI) for treatment, payment, and for health care operations, as well as for other purposes that are permitted or required by law. You have certain rights regarding the privacy of your protected health information and we also describe those rights in this notice.
Protected Health Information (PHI) consists of individually identifiable health information, which
may include demographic information our company collects from you or creates or receives by a
health care provider, a health plan, your employer, or a health care clearinghouse and that relates to: (1) your past, present or future physical or mental health or condition; (2) the provision of health care to you; or (3) the past, present or future payment for the provision of health care to you.
We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices by calling the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.
This Notice of Privacy Practices became effective on April 14, 2003 and was amended on October 1, 2023.
Understanding Your Health Record/Information
Each time you visit a healthcare provider, a record of your visit is made. Typically, this record
contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:
provided
nation
outcomes we achieve
Understanding what is in your record and how your health information is used helps you to:
information
How this Office May Use or Disclose Your Health Information
This company collects health information about you and stores it in a chart and on a computer. This is your medical record. The medical record is the property of this medical practice, but the
information in the medical record belongs to you. The law permits us to use, disclose or request your health information in compliance with the minimum necessary standard, for the following purposes:
Treatment. We will use and disclose your protected health information to provide, coordinate, or
manage your health care and any related services. We may provide your physician or a subsequent healthcare provider with copies of various reports that should assist him or her in treating you
Payment. We will use and disclose your protected health information to obtain payment for the
health care services we provide you. For example, we give your health plan the information it
requires before it will pay us. We may also disclose information to other health care providers to
assist them in obtaining payment for services they have provided to you.
Health Care Operations. We may use and disclose medical information about you to operate this medical practice. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence of our professional staff. We may also use and disclose this information as necessary for medical reviews, legal services and audits, including fraud and abuse detection and compliance programs and business planning and management. We may also share your medical information with our “business associates,” such as software support, billing, collections companies. We have a written contract with each of our business associates that contains terms requiring the business associates and any subcontractors they may hire to protect the confidentiality of your medical information.
Other Ways We May Use and Disclose Your Protected Health Information
Appointment Reminders. We may use and disclose medical information to contact and remind you about
appointments. Should we call and you not be at home, we may leave minimally necessary information
to accomplish our purposes with a family member, significant other, or in an e-mail, voice mail,
texting device, or answering machine.
Sign in sheet. We may have you sign in when you arrive at our office and we will call out your name when we are ready to see you.
Notification and communication with family. We may disclose your health information to notify or assist in notifying a family member, your personal representative or another person responsible for your care about your location, your general condition or in the event of your death. We may disclose your health information to any person(s) that accompanies you at the time of your appointment and is present while our staff member is treating you and/or discussing your care with you. In the event of a disaster, we may disclose information to a relief organization so that they may coordinate these notification efforts. We may also disclose information to someone who is involved with your care or helps pay for your care.
Future communications. We may communicate to you via newsletters, mailings or other marketing means regarding treatment options, information on health-related benefits or services; or other community based initiatives or activities in which our facility is participating. If you are not interested in receiving these materials, please contact our Privacy Officer.
Required by law. As required by law, we may use and disclose your health information, to the
following types of entities including but not limited to:
Change of Ownership. In the event that this medical practice is sold or merged with another organization, your health information/record will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to another provider.
Breach Notification. In the case of a breach of unsecured protected health information, we will
notify you as required by law. In some circumstances our business associate may provide the
notification.
Uses or Disclosures Not Covered by this Notice
Uses or disclosures of your health information not covered by this notice or the laws that apply to us may only be made with your written authorization. You may revoke such authorization in writing at any time and we will no longer disclose health information about you for the reasons stated in your written authorization. Disclosures made in reliance on the authorization prior to the revocation are not affected by the revocation.
Accounting of E-Health Records for Treatment, Payment, and Health
Bailey Health Solutions does not currently have to provide an accounting of disclosures of PHI to carry out treatment, payment, and health care operations. However, starting January 1, 2014, the HITECH Act will require Bailey Health Solutions to provide an accounting of disclosures through an e-health record to carry out treatment, payment, and health care operations. This new accounting requirement is limited to disclosures within the three-year period prior to the individual’s request.
Bailey Health Solutions must either: (1) provide an individual with an accounting of such
disclosures it made and all of its business associates disclosures; or (2) provide an individual
with an accounting of the disclosures made by Bailey Health Solutions and a list of business
associates, including their contact information, who will be responsible for providing an
accounting of such disclosures upon request.
Patient Rights Related to Protected Health Information
Although your health record is the physical property of the facility that compiled it, the
information belongs to you. You have the right to:
Request an Amendment
You have the right to request that we amend your medical information if you feel that it is
incomplete or inaccurate. You must make this request in writing to our Privacy Officer.
Request Restrictions
You have the right to request a restriction of how we use or disclose your medical information for
treatment, payment, or health care operations. Your request must be made in writing. If a patient
pays in full for their services out of pocket they can request that the information regarding the
service not be disclosed to the patient’s third party payer since no claim is being made against
the third party payer.
Inspect and Copy
You have the right to inspect and copy the protected health information that we maintain about you in our designated record set for as long as we maintain that information. You have the right to access your own e- health record in an electronic format and to direct Bailey Health Solutions to send the e-health record directly to a third party.
Starting January 1, 2014, Bailey Health Solutions will provide an accounting of disclosures through an e- health record to carry out treatment, payment, and health care operations within the three-year period prior to the individual’s request. Bailey Health Solutions must either: (1)
provide an individual with an accounting of such disclosures it made and all of its business
associates disclosures; or (2) provide an individual with an accounting of the disclosures made by Bailey Health Solutions and a list of business associates, including their contact information, who will be responsible for providing an accounting of such disclosures upon request.
Request Confidential Communications
You have the right to request how we communicate with you to preserve your privacy. We will
accommodate all reasonable requests.
File a Complaint
If you believe we have violated your medical information privacy rights, you have the right to file
a complaint with our facility or directly to the Secretary of the United States Department of
Health and Human Services:
U.S. Department of Health & Human Services 200 Independence Avenue, S.W.
Washington, D.C. 20201.
Phone: (202) 619-0257
Toll Free: (877) 696-6775.
To file a complaint with our facility, you must make it in writing within 180 days of the suspected
violation. Provide as much detail as you can about the suspected violation and send it to our
Privacy Officer.
A Paper Copy of This Notice
You have the right to receive a paper copy of this notice upon request. You may obtain a copy by asking for it.
Our Responsibilities
This organization is required to:
authorization except for public health activities; for research (cost of data prep and
transmittal); for treatment; for Health Care Operations (HCO) related to sale or transfer; for
payment of BA for services under BAA; to provide an individual with his/her PHI; and for other
instances permitted by the HHS Secretary.
We will not use or disclose your health information without your authorization, except as described in this notice.
If you believe your privacy rights have been violated, you can file a complaint with our Privacy
Contact or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. You may contact our Privacy Contact, Jason Bailey at (904) 342-4941 for further information about the complaint process.
This notice was published and becomes effective on October 1, 2023.