LeVan Chiropractic
LeVan Chiropractic
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.
Uses and Disclosures
There are a number of situations where we may use or
disclose to other persons or entities your confidential medical information.
Certain uses and disclosures will require you to sign an Acknowledgement
that you received our Notice of Privacy Practices, including treatment,
payment and health care operations. Any use or disclosure of your
protected health information requires for anything other than treatment,
payment or health care operations requires you to sign an Authorization.
Certain disclosures required by law or under emergency circumstances, may be
made without your Acknowledgement or Authorization. Under any
circumstance, we will use or disclose only the minimum amount of information
necessary from your medical records to accomplish the intended purpose of
the disclosure.
Use
and Disclosure without Patient Acknowledgement of this Notice
We will attempt in good faith to obtain your signed
Acknowledgement that you received this Notice to use and disclose your
confidential medical information for the following purposes:
Treatment:
We will use your medical information to make decisions about the provision,
coordination or management of your health care, including diagnosing your
condition and determining the appropriate treatment for that condition.
It may also be necessary to share your medical information with another
health care provider whom we need to consult with respect to your care.
We may also disclose certain information to a physical therapist to provide
physical therapy under appropriate circumstances, or to a facility or other
providers should you require surgery or other hospital care. These are
only examples of uses and disclosures of medical information for treatment
purposes that may or may not be necessary in your case.
Payment:
We may need to use or disclose information in your
medical record to obtain reimbursement from you or your health insurance
plan, or another insurer for our services rendered to you. This may
also include determinations of eligibility or coverage under the appropriate
health plan, pre-certification and pre-authorization of services or review
of services for purposes of reimbursement. This information may also
be used for billing, claims management and collection purposes together with
related health care data processing through our system.
Operations:
Your medical records may be used in our business planning and development
operations, including improvement in our methods of operation, and general
administrative functions. We may also use the information in our
overall compliance planning, medical review activities, and arranging for
legal and auditing functions.