Theratech, Inc.

Description

PROTECTED HEALTH INFORMATION Effective May 1, 2007 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. In accordance with the requirements of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), Theratech, Incorporated ("Theratech") is required to inform you of its practices in relation to the protected health information that it maintains about you. HIPAA mandates minimum standards that a covered entity such as Theratech must maintain in relation to your protected health information. This Notice of Uses is being provided to help you understand how Theratech meets these minimum standards. It is also meant to inform you of the ways that Theratech may use the personal information it collects about you and how it may disclose it. UNDERSTANDING YOUR PROTECTED HEALTH INFORMATION When you receive care from a healthcare provider, a record of that treatment is made. This record will typically contain information on your diagnosis, treatment, and future plan of treatment and is often collectively referred to as your medical record. This medical record includes protected health information and lays the foundation for determining your plan of care and treatment and allows for a successful means of communication between all healthcare professionals that contribute to your care. HIPAA protects information found in your medical record from disclosure without your authorization. The information protected by HIPAA includes: a. Any information related to your past, present or future physical or mental health; b. The past, present or future payment for health services you have received; c. The specific care that you have received, are receiving or will receive; d. Any information that identifies you as the individual receiving the care; and e. Any information that someone could reasonably use to identify you as receiving the care. This information is referred to as protected health information throughout this Notice. TREATMENT, PAYMENT AND HEALTHCARE OPERATIONS As a Covered Entity, Theratech is required to inform you of how it may use your protected health information. In providing treatment to you, Theratech will use your protected health information for the purposes of treatment, payment and healthcare operations. Treatment - As it pertains to Theratech, treatment means providing to you drugs, medications, and supplies and durable medical equipment as ordered by your physician. Treatment also includes coordination and consultation with your physician and other healthcare providers. As Theratech provides these services to you, information obtained during this process will be recorded in your medical record. Theratech will use this information, in coordination with your physician, to determine the best course of treatment for you. Payment - Payment purposes consist of activities required to obtain reimbursement from your insurance carrier for the services ordered by your physician and provided to you by Theratech.

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