Notice of HIPAA Policy
The terms in this notice are effective October 8, 2020.
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.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
is a federal law designed to protect you, the patient, with regards to how your personal medical information is used and shared by your medical provider(s). As a lactation educator and counselor, we will keep a record of our counseling session, but any personal health information will be kept confidential.
Your rights under HIPAA:
Access to records: You may request a copy of your records, paper or electronic, at any time. We will provide these within a reasonable amount of time.
Change to records: Within reason, you have the right to ask for a change to your medical record to change inaccurate information within your personal health
record.
Disclosure of records: Record history will be available up to six years in the past. You have the right to ask who your records have been shared with
and why. We will provide you a list within a reasonable amount of time. We will provide one list each year free of charge, but a reasonable, cost-based fee will be assessed for any additional requests within 12 months.
Restriction of sharing: You can put limits on who we are able to share your personal health record with. However, we are not required to agree to your
request if such request would affect your care or if we are otherwise required by law to share the restricted information.
Access to notice: You may request a copy of this privacy notice, paper or electronic, at any time. We will provide this to you within a reasonable amount of time.
Designation of someone to act on your behalf: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure that person has authority before we take any action.
File a complaint: You can file a complaint if you believe your privacy rights have been violated using guidance below. We will not retaliate against you for filing a
complaint.
How we use your information:
To treat you: This includes sending the information to other health professionals who are treating you or your infant.
To bill for services rendered: This includes submitting bills to health plans and other entities for payment.
To run our organization: This means we can use your information to treat you, improve your care and contact you when necessary (such as a follow-up
appointment or for an additional service we think may benefit you).
To comply with the law: This means that state law may require us to share your health information for a specific purpose (e.g., a workers’ compensation
claim). The Privacy Rule allows me to share this information.
To address workers’ compensation, law enforcement and other government requests.
To respond to lawsuits and legal actions: If served with a subpoena or otherwise required by a court of competent jurisdiction, we may be compelled to share your health information.
In these cases, we will never share your information unless you provide written permission:
Marketing purposes
Sale of your information
You may also request that we share your information with other parties beyond what has been discussed above. To do so, you must submit a request to us, in writing, stating your need and to whom we should send the information. we will only provide as much information as is needed for the purpose stated, nothing more.
I am the privacy officer for our private practice. My name and phone number are Jenelle Nemeth, 704-746-2424. Should you have a complaint, please come to me and I
will work to resolve it quickly in a way which will keep you protected and comply with the law. If you have additional complaints, you can use your right under HIPAA to go to the U.S. Department of Health and Human Services Office for Civil Rights. More information for their office can be found at www.hhs.gov/ocr/privacy/hipaa/complaints/.