HIPAA NOTICE OF PRIVACY PRACTICE
NUTRI- WELLNESS LLC
Effective 03/05/2020
THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
If you have any questions about this notice, please contact Elena Ostrovsky by email eostrov@yahoo.com.
Our Pledge Regarding Protected Health Information
We at Nutri-Wellness LLC understand that protected health information about you and your health is personal. We are committed to protecting health information about you. This Notice applies to all records of your care generated by Nutri-Wellness LLC, whether made by our personnel or your personal doctor.
This Notice describes how we may need to use or disclose protected health information about you. We also explain your rights and certain obligations we have regarding the use and disclosure of protected health information. Federal law requires us to:
Make sure that protected health information identifying you is kept private;
Notify you on how we secure protected health information about you;
Explain how, when, and why we use and disclose protected health information; and
Follow the terms of the Notice that is currently in effect.
We are required to follow the procedures in this Notice. We reserve the right to change the terms of this Notice and to make new Notice provisions effective for all protected health information that we maintain by:
Making copies of the revised Notice available upon request; and
Posting the revised Notice on our Web site.
HOW WE MAY USE AND DISCLOSE PROTECTED HEALTH INFORMATION ABOUT YOU
The following categories describe different ways that we may use and disclose protected health information without your written authorization.
For Treatment: We may use protected health information about you to provide you with, coordinate, or manage your medical treatment or services. We may disclose protected health information about you to doctors, nurses, technicians, medical students, or other Nutri-Wellness LLC staff, including persons outside of our office who are involved in your medical care.
Nutri-Wellness LLC may also share protected health information about you in order to coordinate your care for such reasons as prescriptions or lab work.
We may use and disclose protected health information to contact you as a reminder that you have an appointment with Nutri-Wellness LLC. We may use and disclose protected health information to tell you about or recommend possible treatment options, treatment alternatives, or health-related benefits or services that may be of interest to you.
For Payment for Services: We may use and disclose protected health information about you so that the treatment and services you receive at Nutri-Wellness LLC may be billed and payment may be collected from you, an insurance company, or a third party. For example, we may need to give information about nutrition services you received at Nutri-Wellness LLC, to your health insurance in order to assure they will make payment to us or reimburse you for the service. We may also inform your health plan about the nutrition services you are going to receive, in order to obtain prior approval or to determine in advance and alert you, if your plan will cover the treatment.
For Health Care Operations: We may use and disclose protected health information about you for Nutri-Wellness LLC health care operations, such as our quality assessment and improvement activities, case management, coordination of care, business planning, customer service, and other activities. These uses and disclosures are necessary to run the facility, reduce health care costs, and make sure that all of our clients receive quality care.
For example, we may use protected health information to review our treatment and services or to evaluate the performance of the dietitian who is providing your services. We may also combine protected health information about many Nutri-Wellness LLC clients to decide what additional services we should offer, what services are no longer necessary, and determine which treatments are effective.
Subject to applicable state law, the law allows or requires us to use or disclose your health information without your authorization in some limited situations for purposes beyond treatment, payment, and operations.
As Required by Law: We will disclose protected health information about you when required to do so by federal, state, or local law.
To Avert a Serious Threat to Health or Safely: We may use and disclose protected health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
We may also disclose protected health information about you to a government authority if we reasonably believe that you are a victim of abuse, neglect, or domestic violence. We will only disclose this type of information to the extent required by law, and we will only disclose it if (a) you agree to the disclosure, or