HIPAA notice of privacy practices.

Our pledge

Kentuckiana Integrative Medicine ("the Practice") is committed to protecting the privacy of your Protected Health Information (PHI). PHI includes information we create or receive that relates to your past, present, or future health condition, healthcare services provided to you, or payment for those services, and that identifies you or could reasonably be used to identify you. This Notice describes our privacy practices and your rights under the Health Insurance Portability and Accountability Act (HIPAA) and applicable Indiana law. We are required by law to maintain the privacy of your PHI, provide you with this Notice, and abide by the terms of the Notice currently in effect.

Uses and disclosures of PHI

We may use and disclose your PHI for the following purposes without your specific authorization:

Treatment. To provide, coordinate, and manage your medical care. For example, a physician in our practice may share information with a specialist, imaging center, pharmacy, or therapist involved in your treatment.

Payment. To obtain payment for services rendered. This may include sharing information with your insurance carrier, Medicare, or a financing company you have authorized, to confirm coverage and process claims.

Healthcare operations. For activities necessary to run the Practice, including quality assessment, staff training, auditing, accreditation, legal services, and business management.

Appointments and reminders. We may contact you by phone, text, email, or mail to remind you of an appointment or follow up on care. Please let us know if you prefer a specific contact method.

As required by law. We may disclose PHI as required by federal, state, or local law, including to public health authorities, for reporting of certain communicable diseases, suspected abuse or neglect, to the FDA for adverse event reporting, in response to a lawful court order or subpoena, to law enforcement in limited circumstances, and for workers' compensation claims.

Other uses require your authorization. Uses and disclosures not described in this Notice will be made only with your written authorization. Most uses of psychotherapy notes, uses for marketing, and the sale of PHI require your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your rights

Right of access. You have the right to inspect and obtain a copy of your PHI, in paper or electronic form, for as long as we maintain the record. Submit the request in writing. We may charge a reasonable cost-based fee for copies.

Right to amend. You have the right to request an amendment if you believe information in your record is incorrect or incomplete. The request must be in writing and include a reason. We may deny the request in limited circumstances and will explain any denial in writing.

Right to an accounting of disclosures. You have the right to request a list of certain disclosures we made of your PHI outside of treatment, payment, and healthcare operations. The first accounting in any twelve-month period is free; a reasonable fee may apply to additional requests.

Right to request restrictions. You have the right to request restrictions on how we use or disclose your PHI. We are not required to agree to every request, except that we must agree to restrict disclosure to a health plan for services you have paid for in full out of pocket, if the disclosure is for payment or healthcare operations and is not otherwise required by law.

Right to confidential communications. You have the right to ask us to contact you in a specific way or at a specific location (for example, by mobile phone only, or at a work address). We will accommodate reasonable requests.

Right to a paper copy. You have the right to receive a paper copy of this Notice even if you agreed to receive it electronically.

Right to be notified of a breach. You have the right to be notified if a breach compromises the privacy or security of your PHI.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with the Practice, or directly with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201, or by calling 1-877-696-6775. You will not be retaliated against in any way for filing a complaint.

Changes to this Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any information we receive in the future. A current copy will always be posted in our office and on our website.

Contact

To exercise any of your rights, request a paper copy of this Notice, or file a complaint, contact our Privacy Officer: