To report fraud and abuse call the corporate compliance hotline at 1-800-327-8989 ext 111, you do not have to leave your name. You can also write to the Compliance Official, Chris Flores at 1110 Eldon Baker Drive Flint MI 40507. Complaints can also be filed with the Department of Community Health Program Investigation Section at 1-866-428-0005, or write to 400 S. Pine Street, Lansing Mi. 48909.
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE RELEASED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT TO US.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations, and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. "Protected Health Information" (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
We are required by Federal and State Law to maintain the privacy of your health information. We may change the terms of our notice at any time. Such changes may affect protected health information created prior to the change. 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 a revised Notice of Privacy Practices.
Treatment. Your health information may be used by our physicians, therapists, and staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment.
Payment. Your health information may be used to seek payment from your health plan, other sources of coverage such as an automobile insurer or credit card companies that you may use to pay for services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities.
Health Care Operations. Your health information may be used as necessary to support the day-to-day activities and management of Insight. These activities include, but are not limited to, quality assessment activities, employee review activities, training, licensing, and marketing activities, and conducting or arranging for other business activities.
Law Enforcement. Your health information may be disclosed to law enforcement agencies, without your permission, to support government audits and inspections, to facilitate law enforcement investigations, and to comply with government mandated reporting.
Legal Proceedings. We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), under certain conditions on response to a subpoena, discovery request or other lawful purpose.
Public Health Reporting. Your health information may be disclosed to public health agencies as required by law. We may disclose protected health information for reports of abuse, neglect, or domestic violence. Our agency is required to report certain communicable diseases.
Health Oversight. We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.
Workers' Compensation. Your protected health information may be disclosed by us as authorized to comply with workers' compensation laws and other similar legally-established programs.
Military. We may use and disclose your protected health information if you are a member of United States or foreign military forces (including veterans) and if required by the appropriate military command authorities.
Inmates. We may use or disclose your protected health information if you are an inmate of a correctional facility and your physician/therapist created or received your protected health information in the course of providing treatment to you.
Serious Threats to Health and Safety. We may use and disclose your personal health information when necessary to reduce or prevent a serious threat to your health and safety, or the health and safety of another individual, or the public. Under these circumstances, we will only make disclosures to a person or organization able to help prevent the threat.
Appointment Reminders. Your protected health information will be used by our staff to call or send you appointment reminders.
Other Uses and Disclosures Requiring Your Authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision.
You have certain rights under the federal privacy standards. These include:
As permitted by federal regulations, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting the Compliance Officer, your therapist, or the Office Manager at the program location where you received treatment services.
If you would like to submit a comment or complaint about our privacy practices or obtain additional information about our privacy practices, you can do so by sending a letter outlining your concerns to the person listed below. You will not be penalized or otherwise retaliated against for filing a complaint.
HIPAA Compliance Officer
Insight
1110 Eldon Baker Drive
Flint, MI 48507
(810) 744-3600 ext. 153
This notice is effective on or after April 14, 2003.