Proud Life Home Care HIPAA Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Notice of Privacy Practices Effective: 1/3/03 Revised: 06/25/2020
Proud Life Healthcare, LLC, and its wholly owned subsidiaries and affiliates (“Proud Life Home Care,” “we,” “us,” or “our”) use health information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive. Your health information is contained in a medical record that is the physical property of Proud Life.
How Proud Life Home Care May Use or Disclose Your Health Information
For Treatment.
Proud Life Home Care may use your health information to provide medical treatment or services. For example, information obtained by a healthcare provider, such as a physician, nurse, or other person providing health services to you, that is related to your treatment will be recorded in your record. This information is necessary for healthcare providers to determine what treatment you should receive. Healthcare providers will also record actions taken by them in the course of your treatment and note how you respond to the actions.
For Payment.
Proud Life Home Care may use and disclose your health information to others to receive payment for treatment and services that you receive. For example, a bill may be sent to you or a third-party payer, such as an insurance company or health plan. The bill may contain:
Information that identifies you.
Your diagnosis.
Your treatment or the supplies used during treatment.
For Healthcare Operations.
Proud Life Home Care may use and disclose health information about you for operational purposes. For example, your health information may be disclosed to members of the medical staff or to risk or quality-improvement personnel and others to:
Evaluate the performance of your staff.
Assess the quality of care and outcomes in your cases and similar cases.
Learn how to improve our facilities and services.
Determine how to improve the quality and effectiveness of our healthcare continually.
Appointments.
Proud Life Home Care may use your information to send appointment reminders, information about treatment alternatives, or other health-related benefits and services that may be of interest to you.
Fundraising.
Proud Life Home Care may use your information to contact you to raise funding for Proud Life Home Care or a group health plan, health insurance issuer, or HMO concerning a group health plan may disclose information to the sponsor. You have the right to opt out of such activities. If this is your desire, please get in touch with Proud Life Home Care at the number listed below.
Required by Law.
Proud Life Home Care may use and disclose your information as required by law. For example. Proud Life Home Care may disclose information for the following purposes:
For judicial and administrative proceedings under legal authority
To report information related to victims of abuse, neglect, or domestic violence
To assist law enforcement officials in their law enforcement duties
Public Health.
Your health information may be used or disclosed for public health activities such as assisting public health authorities or other legal authorities in preventing or controlling disease, injury, or disability or for other health oversight activities.
Decedents.
Your health information may be disclosed to funeral directors or coroners to enable them to perform their lawful duties.
Organ/Tissue Donation.
Your health information may be used or disclosed for cadaveric organ, eye, or tissue donation.
Research.
Proud Life Home Care may use your health information for research purposes when an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your health information has approved the research.
Health and Safety.
Your health information may be disclosed to avert a serious threat to your health, safety, or that of any other person pursuant to applicable law.
Government Functions.
Specialized government functions, such as protecting public officials or reporting to various branches of the armed services, may require the use or disclosure of your health information.
Workers’ Compensation.
Your health information may be used or disclosed to comply with laws and regulations related to workers’ compensation.
Your Health Information Rights
You have the following rights:
You may request a restriction on specific uses and disclosures of your information as provided by 45CFR§164.522. However, Proud Life is not required to agree to a requested restriction unless it is a request to restrict disclosure of your protected health information to your health plan, if the disclosure is to carry out payment or healthcare operations and is not otherwise required by law, and if the protected health information pertains solely to a healthcare item or service for which you have paid in full.
You have the right to see copies of your electronic health record if Aveanna uses electronic health records.
You have the right to request and obtain a paper copy of the notice of information practices upon request.
You have the right to obtain and inspect a copy of your health record as provided for in 45CFR§164.524.
You have the right to amend your health record as provided in 45CFR§164.526.
You can request communication of your health information through alternative means or locations.
You have the right to revoke your authorization to use or disclose health information except when i) action has already been taken or ii) if the authorization was obtained as a condition of obtaining insurance coverage or other laws that could provide the insurer with the right to contest a claim under their policy.
You have the right to receive an accounting of where your protected health information was disclosed six years before the date of your request.
Uses and Disclosures of Your Health Information that Require Authorization
The use and disclosure of psychotherapy notes, except i) use by the originator of the psychotherapy notes for treatment; ii) use or disclosure for training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or iii) use or disclosure to defend in a legal action or other proceeding brought by you.
Uses and disclosures for marketing purposes. Face-to-face communication by us to you or a promotional gift of nominal value will not require your authorization.
Disclosures that constitute the sale of protected health information.
Communication of Privacy Concerns
You may contact Proud Life and the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a concern. You may file a complaint with Proud Life by sending a written notice to the address at the bottom of this page.
U.S. Department of Health and Human Services Office for Civil Rights
200 Independence Ave, S.W.
Washington, D.C., 20201
You may also call 1-877-696-6775 or visit https://www.hhs.gov/hipaa/filing-a-complaint/index.html(link opens in a new window.)
Obligations of Proud Life Home Care
Proud life is required by law to:
Maintain the privacy of protected health information.
Provide you with this notice of its legal duties and privacy practices concerning your protected health information.
Abide by the terms of this notice.
We will notify you if we are unable to agree to a requested restriction on how your information is used or disclosed.
Accommodate reasonable requests you may make to communicate health information by alternative means or at alternative locations.
Obtain your written authorization to use or disclose your health information for reasons other than those listed above and permitted under law.
Notify you following a breach of unsecured protected health information.
Proud Life Home Care reserves the right to change its information practices and to make the new provisions effective for all protected health information it maintains. Revised notices will be made available to you by email or written documentation.
If you have any questions or concerns, please contact the following:
Proud Life Home Care/Compliance Officer
Email: Support@Proudlifehomecare.com
Cal: (478) 226-5568
Mailing: 1700 Northside DR, STE A7 Atlanta, GA, 30318