Uses and Disclosures of PHI for Treatment, Payment and Health Care Operations
Treatment. Your PHI may be used and disclosed by your physician, counselor, program staff and others outside of our program that are involved in your care for the purpose of providing, coordinating, or managing your health care treatment and any related services. This includes coordination or management of your health care with a third party, consultation with other health care providers or referral to another provider for health care treatment. For example, your protected health information may be provided to the state agency that referred you to our program to ensure that you are participating in treatment. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g. a specialist or laboratory) who, at the request of the program, becomes involved in your care.
Payment. We will not use your PHI to obtain payment for your health care services without your written authorization. Examples of payment-related activities are: making a determination of eligibility or coverage for insurance benefits, processing claims with your insurance company, reviewing services provided to you to determine medical necessity, or undertaking utilization review activities.
Healthcare Operations. We may use or disclose, as needed, your PHI in order to support the business activities of our program including, but not limited to, quality assessment activities, employee review activities, training of students, licensing, and conducting or arranging for other business activities. For example, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician or counselor. We may share your PHI with third parties that perform various business activities (e.g. billing or typing services), provided we have a written contract with the business that prohibits it from re-disclosing your PHI and requires it to safeguard the privacy of your PHI.
Rights Regarding Your Protected Health Information
Your rights with respect to your protected health information are explained below. Any request with respect to these rights must be in writing. A brief description of how you may exercise these rights is included.
You have the right to inspect and copy your Protected Health Information
You may inspect and obtain a copy of your PHI that is contained in a designated record set for as long as we maintain the record. A “designated record set” contains medical and billing records and any other records that the program uses for making decisions about you. Your request must be in writing. We may charge you a reasonable cost-based fee for the copies. We can deny you access to your PHI in certain circumstances. In some of those cases, you will have a right to appeal the denial of access. Please contact our Corporate Office if you have questions about access to your medical record.
You may have the right to amend your Protected Health Information
You may request, in writing, that we amend your PHI that has been included in a designated record. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us. We may prepare a rebuttal to your statement and will provide you with a copy of it. Please contact Pillars Recovery if you have questions about amending your medical records.
You have the right to receive an accounting of some types of Protected Health Information disclosures
You may request an accounting of disclosures for a period of up to six years, excluding disclosures made to you, made for treatment purposes or made as a result of your authorization. We may charge you a reasonable fee if you request more than one accounting in any 12 month period. Please contact our Corporate Office if you have questions about accounting of disclosures.
You have the right to receive a paper copy of this notice
You have the right to obtain a copy of this notice from us. Any questions should be directed to our Corporate Office.
You have the right to request added restrictions on disclosures and uses of your Protected Health Information
You have the right to ask us not to use or disclose any part of your PHI for treatment, payment or healthcare operations or to family members involved in your care. Your request for restrictions must be in writing and we are not required to agree to such restrictions. Please contact Pillars Recovery if you would like to request restrictions on the disclosure of your PHI.
Privacy Practices Notice – Health Information
The type of information collected on this Website will depend upon the features and functionalities available on this Website, which may be revised from time to time. For example, if this Website is currently operated as a “read-only” Website, we may not collect any personal information about you through the Website and will not learn who you are. On the other hand, if this Website permits you to “register,” “create an account,” make purchases, or take similar actions, we will collect information from you that can be used to specifically identify you as an individual (such as your name, telephone number, postal address, email address, and payment information, collectively “Personal Data”). This Website also automatically collects aggregated information that is not linked to any specific individual such as information about traffic patterns on the Website, or the number of times a specific page was viewed in a particular month. We may use and share aggregate, de-identified, and anonymous data without restriction as it does not identify you or any other individual user.
Personal Data, Use and Sharing
If this Website permits you to register, create an account, make purchases, or take similar actions, and if you choose to take such actions, then we will ask you to provide us with certain Personal Data about yourself. It is always your choice whether you wish to provide Personal Data through this Website, but if you do not provide requested Personal Data you may not be able to use all the features or functionalities of this Website.
Reviewing and Changing Personal Data
The Website, now or in the future, may provide the ability for you to view, in-activate and or update the Personal Data you have submitted. If such functionality is available, on a specific Website, click on the link or page to “sign in,” view your “account,” or similar link or heading. Note, due to the nature of third party hardware, software and other third party tools, even when information is corrected or deactivated, an archive or other copy may remain.
We collect the e-mail addresses of those who communicate with us via e-mail, or through information volunteered by the consumer, such as survey information and/or site registrations. The information we collect is used to improve the content of our Web page and services. It is not shared with other organizations for commercial purposes. We do not set any cookies.
If you do not want to receive e-mail from us in the future, please let us know by sending an e-mail.
If you supply us with your postal address on-line you may receive periodic mailings from us with information on new products and services or upcoming events. If you do not wish to receive such mailings, please let us know by calling us. Please provide us with your exact name and address. We will be sure your name is removed from the list.
Persons who supply us with their telephone numbers on-line may receive telephone contact from us with information regarding new products and services or upcoming events. If you do not wish to receive such telephone calls, please let us know by sending us e-mail or calling. Please provide us with your name and phone number.
With respect to Ad Servers: We do not partner with or have special relationships with any ad server companies.
From time to time, we may use customer information for new, unanticipated uses not previously disclosed in our privacy notice. If our information practices change at some time in the future we will post the policy changes to our Web site to notify you of these changes and provide you with the ability to opt out of these new uses. If you are concerned about how your information is used, you should check back at our Web site periodically. Customers may prevent their information from being used for purposes other than those for which it was originally collected by calling us at the number provided above.
Upon request we provide site visitors with access to contact information (e.g., name, address, phone number) that we maintain about them. Consumers can access this information by writing to us at the above address. With respect to security: We have appropriate security measures in place in our physical facilities to protect against the loss, misuse or alteration of information that we have collected from you at our site. If you feel that this site is not following its stated information policy, you may contact us at the above addresses or phone number.
Contacting this Website