HIPAA Notice of Privacy Practices.
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Keen Behavioral Solutions LLC acknowledges that health information about you and your health care is personal and we commit to protecting health information about you. We maintain a record of the care and services you receive to provide you with quality care and to comply with certain legal requirements. This notice applies to all records of your care generated by this mental health care practice. This notice will tell you about the ways in which health information about you may be used and disclosed. It will also describe your rights to the health information kept on your behalf and explain certain obligations regarding the use and disclosure of your health information. It is required by law that protected health information (“PHI”) that identifies you is kept private and you are given this notice pertaining to any and all legal duties and privacy practices with respect to health information. The terms of this notice must remain current and updated to show changes to the terms of this notice and how such changes will apply to all information about you. This notice will be available upon request and displayed on this website. II. HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED: The following categories best describe ways in which disclosure of your health information is permitted. For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations and for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, It would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition. Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another. If you are involved in a lawsuit or legal dispute, disclosure of your health information may be provided in response to a court or administrative order. Health information about your child may be disclosed in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested. III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION: 1. Psychotherapy Notes as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is: a. For use in treating you. b. For use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy. c. For use in legal proceedings instituted by you against Keen Behavioral Solutions LLC. d. For use by the Secretary of Health and Human Services to investigate compliance with HIPAA. e. Required by law and the use or disclosure is limited to the requirements of such law. f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes. g. Required by a coroner who is performing duties authorized by law. h. Required to help avert a serious threat to the health and safety of others. 2. Marketing Purposes. Keen Behavioral Solutions LLC will not use or disclose your PHI for marketing purposes nor sell your PHI in the regular course of business. IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION. Subject to certain limitations in the law, your PHI may be disclosed without your Authorization for the following reasons: 1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law. 2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety. 3. For health oversight activities, including audits and investigations. 4. For judicial and administrative proceedings, including responding to a court or administrative order(authorization from you will be requested before doing so). 5. For law enforcement purposes, including reporting crimes occurring at our in patient locations. 6. To coroners or medical examiners, when such individuals are performing duties authorized by law. 7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition. 8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions. 9. For workers' compensation laws(with consent). 10. Appointment reminders and health related benefits or services. Your PHI may be disclosed for contact purposes regarding treatment appointments and treatment alternatives, or other health care services or benefits offer.ed V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT. 1. Disclosures to family, friends, or others. Your PHI may be disclosed to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations. VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI: Preview consent document - https://secure.simplepractice.com/practice_settings/consent_documents/2064523 Page 3 of 3 1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask not to use or disclose certain PHI for treatment, payment, or health care operations purposes though provider retain the rights not to agree to your request, and to say “no” if it is believed to adversely affect your health care. 2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full. 3. The Right to Choose How your PHI is sent to You. You have the right to ask to be contacted in a specific way (for example, home or office phone) or to send mail to a different address, within reason. 4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information or a summary kept about you and one will be provided to you within 30 days of receiving your written request, at a reasonable, cost based fee for doing so where applicable. 5. The Right to Get a List of the Disclosures Made. You have the right to request a list of instances in which your PHI was disclosed for purposes other than treatment, payment, or health care operations, or for which you provided an Authorization. You will received a respond to your request for an accounting of disclosures within 60 days of receiving your request. The list will include disclosures made in the last six years unless you request a shorter time. The list will be provided to you at no charge, but if you make more than one request in the same year, you will be charged a reasonable cost based fee for each additional request. 6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request a correction or addition to the existing information. If refused you will receive a notice in writing within 60 days of receiving your request. 7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it. EFFECTIVE DATE OF THIS NOTICE This notice went into effect on May 9th, 2021. Acknowledgement of Receipt of Privacy Notice Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. By reading this notice in its entirety you are acknowledging that you have received a copy of HIPAA Notice of Privacy Practices.