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.
This Notice of Privacy Practices describes Accountable Health Solutions, LLC's (Accountable Health's) practices for safeguarding individually identifiable health information. As used in this Notice, the term "health information" means information about you that Accountable Health creates, receives or maintains; and that relates to your physical or mental condition or payment for health care provided to you; and that can reasonably be used to identify you. The terms of this Notice apply to all participants in any Accountable Health program.
We are required by law to maintain the privacy of your health information and to give you notice of our legal duties and privacy practices with respect to your health information. We are also required to abide by the terms of this Notice as long as it remains in effect. We reserve the right to change the terms of this Notice and make the terms of the new Notice effective for all the health information that we maintain. If we make a material change to the terms of the Notice, the revised Notice will be available upon request.
You also have a right to make a written request for and receive a paper copy, even if you have received an electronic version of this Notice. This Notice is effective June 1, 2015, and supersedes all prior Notices.
Uses and Disclosures
The law permits Accountable Health to use and disclose your health information for purposes of treatment, payment and health care operations. We may use and disclose your health information for these purposes without your authorization.
Disclosures for Treatment. The provision allows disclosure of health information used for coordination or management of health care by one or more health care providers, including consultations, referrals and coordination with a third party. For example, we may disclose your health information to a health care provider to assist that provider with respect to your treatment.
Uses and Disclosures for Payment. We may disclose health information to obtain payment for services provided and to assist a health plan with determination of eligibility and benefits. For example, we may disclose your health information to a health plan that provides a wellness benefit that includes our services so that we may be paid for those services.
Uses and Disclosures for Health Care Operations. We will use and disclose your health information as necessary for health care operations. For example, we may use your health information for quality assessment and improvement activities; population-based activities relating to improving health or reducing health care costs, protocol development, case management and care coordination; training and evaluating our personnel to improve their skills; accreditation, certification, licensing and credentialing activities; conducting or arranging for medical review, legal services and auditing; business planning and development relating to our management and operation; and conducting our activities.
Other Health-Related Uses and Disclosures. We may contact you to provide reminders of appointments; information on treatment alternatives; or other health-related programs, products or services that may be available to you.
Business Associates. The activities and functions listed above may also be performed by third parties, called business associates. We may disclose your health information to a business associate to the extent necessary for it to perform those activities and functions. We require them to appropriately safeguard the privacy of your health information. Accountable Health may itself be a business associate of your health plan or health insurance company. We may disclose your health information to your health plan or insurance company and its business associates as needed to fulfill our contractual obligations to them. Please see the notice of privacy practices issued by your plan or insurance company for information about how it uses and discloses your health information.
Plan Sponsor. When permitted by law and other agreements, we may disclose to the plan sponsor the minimum necessary amount of your health information that it needs to perform administration functions on behalf of the plan (if any), provided that the plan sponsor certifies that the health information will be maintained in a confidential manner and will not be utilized or disclosed for employment-related actions and decisions or in connection with any other benefit or employee benefit plan of the plan sponsor.
Family, Friends and Personal Representative. With your approval, we may disclose your health information to one or more members of your family, close friends, or other representatives who are involved in your health care or payment for your health care; however, we will not do so if you tell us not to. If you are unavailable, incapacitated, or involved in an emergency situation and we determine that a limited disclosure is in your best interest, we may disclose your health information without your approval to facilitate care.
Other Uses and Disclosures
We are permitted or required by law to use or disclose your health information, without your authorization, in the following circumstances:
For any purpose required by law;
For public health activities (for example, reporting of disease, injury, birth, death or suspicion of child abuse or neglect);
To a governmental authority if we believe an individual is a victim of abuse, neglect or domestic violence;
For health oversight activities (for example, audits, inspections, or civil, administrative or criminal proceedings or actions);
For judicial or administrative proceedings (for example, pursuant to a court order, subpoena or discovery request);
For law enforcement purposes (for example, reporting wounds or injuries, for identifying or locating suspects, witnesses or missing people);
To coroners and funeral directors;
For procurement, banking or transplantation of organ, eye or tissue donations;
For certain research purposes;
To avert a serious threat to health or safety under certain circumstances;
For military activities if you are a member of the armed forces; for intelligence or national security issues; or about an inmate or an individual to a correctional institution or law enforcement official having custody; and
For compliance with workers' compensation programs.
We may also disclose your health information to public or private entities to assist in disaster relief efforts
We are prohibited from using or disclosing protected health information that is genetic information of an individual for purposes of determining eligibility for coverage, the amount of benefits or premiums or discounts, including rebates, payments in kind, or other premium or benefit differential mechanisms in return for activities such as completing a health risk assessment or participating in a wellness program. We will not request, use or disclose psychotherapy notes without your authorization (except to defend ourselves in a legal action brought by you). We will not sell your protected health information or use or disclose it for marketing purposes without your authorization, except as permitted by law.
We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information.
Accountable Health will not make any other use or disclosure of your health information (other than disclosures incidental to a permitted use or disclosure) unless you give it your written authorization to do so. Except to the extent we have taken any action in reliance on the authorization, you have the right to revoke an authorization if the request for revocation is in writing and sent to: Health Information Protection Analyst, Accountable Health Solutions, 666 Grand Ave, 16th Floor, Des Moines, IA 50309.
You have certain rights with respect to your health information. These rights are listed below. In order to exercise these rights, you must make a request in writing to: Health Information Protection Analyst, Accountable Health Solutions, 666 Grand Ave, 16th Floor, Des Moines, IA 50309.
Restrictions on Disclosures: You have the right to request restrictions on how we use and disclose your health information for treatment, payment or health care operations. In addition, you may request restrictions on disclosure of your health information to persons involved in your medical care (such as a spouse, relative or close friend) even when you are unable to consent or object to the disclosure due to your incapacity or to emergency circumstances. We are not required to agree to any requested restrictions. If your request granted, you will receive a written acknowledgement from us.
Restrictions on Communications from Accountable Health: You have the right to request that we communicate with you by alternate means or at alternate locations if the disclosure of your health information could endanger you. We will accommodate reasonable requests.
Access to Your Health Information: You have the right to inspect and obtain a copy of your health information that we maintain in your designated record set, with certain exceptions. A fee will be charged for copying and postage.
Amendment of Health Information: You have the right to request to amend your health information to correct inaccuracies. We are not required to grant the request in certain circumstances.
Accounting of Disclosures: You have the right to an accounting of certain disclosures of your health information made by Accountable Health during the 6 years prior to the date of the request. The first accounting in any 12 month period will be free; however a fee will be charged for any subsequent request for an accounting during that same time period.
If you believe your privacy rights have been violated, you can send a written complaint to us at Grievance Coordinator, Accountable Health Solutions, 666 Grand Avenue, 16th Floor, Des Moines, IA 50309 or to the Secretary of the U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint.
If you have any questions or need assistance regarding this Notice or your privacy rights, you may contact us at (877) 475-3442.