HIPAA Privacy Rights | Total Infusion Care

NOTICE OF PATIENT’S PRIVACY RIGHTS

HIPPA NOTICE OF PRIVACY PRACTICES

As part of its compliance with the Health Insurance Portability and Accountability Act (“HIPAA”), this Notice of Privacy Practice (NPP) describes how TIC may use and disclose your Protected Health Information (PHI) to carry out healthcare operations, treatment, obtain payment and for other pre-determined purposes that are permitted or required by law.

YOUR RIGHTS

You have the right to inspect and copy your PHI. You have the right to request a list of times TIC disclosed your PHI for reasons other than treatment, payment or other related purposes. You have the right to request a limit on the medical information disclosed to someone who is involved in your care or payment for your care, like a family member or friend. You have the right to request that we communicate with you about medical matters in a certain way or a certain location.

USE AND DISCLOSURES OF PHI

The following categories describe how TIC may use and disclose PHI:

To provide medical treatment, we may disclose your PHI you to help to take care of you.
To receive payment for services, we may disclose PHI to insurance plans or other payers.
To share with business associates, whose services are provided to TIC through agreements or contacts, like nursing agencies, delivery services, and labs. Business associates sign agreements to safeguard your PHI.
To communicate with family. We may disclose PHI to those identified by you, like family, relatives and friends.
To communicate with government agencies as required by law.
As ordered as part of any judicial or administrative proceedings. PHI may be disclosed by an administrative court order if an individual is involved in a lawsuit or dispute.

COMPLAINTS

If you believe your privacy rights have been violated or if you have any other complaints or
grievances, you may file a written complaint with us (pharmacy@totalinfusioncare.com) or with the
U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Washington,
D.C. 20201, 1-877-696-775 or www.hhs.gov/ocr/privacy/hipaa/complaints.

This Notice of Patients’ Privacy Rights has been in effect since January 1, 2018.