HIPAA Notice Of Privacy Practices

HIPAA NOTICE OF PRIVACY PRACTICES

This Notice describes how your Personal Health Information may be used and disclosed and how you can get access to this information. Please review it carefully.

Apex Home Care, Inc. (AHC)  is required by law to maintain the privacy of your protected health information. We are required to provide you with this Notice of our legal duties and privacy practices with respect to your health information that AHC collects and maintains. We are required to follow the terms of this Notice. We are committed to protecting your privacy and the confidentiality of your health information.

How AHC uses and discloses your information

Your health information may be used and released by AHC without your permission for the following purposes:

Services: AHC collects information necessary to determine the amount and type of services you receive, as well as some demographic and health information. Only authorized personnel will have access to your information.

Payment:  AHC shares your information with local care coordination and service agencies, and other state and federal agencies for monitoring, payment and audit functions.

Operations: AHC may use your information to evaluate the quality of services that you receive.

To further protect against unauthorized access to your information, AHC complies with all state and federal privacy and confidentiality requirements.

There are additional circumstances in which the AHC may share your information without your authorization. They include, but are not limited to:

  1. A request from a personal representative who may assist you in obtaining care;
  2. Public health purposes to control disease;
  3. Notifying appropriate agencies of reports of abuse, neglect or domestic violence;
  4. Assisting the government in overseeing health care programs;
  5. Compliance with legal proceedings such as court or administrative orders or a subpoena;
  6. Law enforcement purposes;
  7. Certain requests for information from coroners, medical examiners and funeral directors;
  8. Organ donations;
  9. Military and Veterans’ purposes;
  10. Research;
  11. To avert a serious threat to health or safety;
  12. National security purposes;
  13. Workers Compensation; and,
  14. Disaster relief efforts.

Impermissible uses and disclosures will be made only with your written authorization, and you may revoke such authorization, but the revocation must be in writing.

540 Oakmont Lane, Westmont IL 60559

Ph: 630-581-5582

(9 a.m. to 5:00 p.m., Monday through Friday)

Fax: 6304470041

info@apex-health.com

Apex Home Care, Inc. does not discriminate in providing home care services of employment in programs or activities in compliance with appropriate State and Federal Statutes. If you feel you have been discriminated against, you have a right to file a complaint with the Privacy Officer at Apex Home Care, or Illinois Department on Aging.

If you believe your privacy rights have been violated, you may file a complaint in writing to.

Privacy Officer

Apex Home Care, Inc.

540 Oakmont Lane, Westmont IL 60559

Ph: 630-581-5582

(9 a.m. to 5:00 p.m., Monday through Friday)

Fax: 6304470041

You will not be penalized or retaliated against for filing a complaint.

CHANGES TO THIS NOTICE

AHC reserves the right to change this notice at any time. AHC may make the revised notice effective for all protected health information it currently maintains about you, as well as any information received in the future. If AHC changes this Notice, you will be offered the revised Notice. This Notice is also posted on the AHC’s website.

CONTACT INFORMATION

For further information regarding your rights, or this Notice; or to obtain additional copies of this Notice, or an “Authorization for Release of Information” form; please contact AHC by phone 630-581-5582, or by mail : Apex Home Care, Inc. 540 Oakmont Lane, Westmont IL 60559

YOUR RIGHTS

You have the following rights regarding the health information that AHC has about you:

  • Right to Request Restrictions: You have the right to request a restriction or limitation on use of your protected health information.
  • Right to Request Confidential Communications: You have the right to request that you receive confidential communications of your protected health information from ACH by alternative means or alternative locations. Your request must specify how AHC is to contact you in private. Please note that the AHC does not have to agree with your request unless the change is necessary to protect you.
  • Right to Inspect and Copy: You have the right to request to inspect and obtain a copy of your protected health information. You must submit a signed “Authorization for Release of Information” form to AHC. This form may be obtained by contacting AHC by phone: 630-581-5582
  • Right to Request an Amendment: You have the right to request an amendment to your protected health information, if you determine that it is inaccurate or incomplete.
  • Right to an Accounting of Disclosures: You have the right to request a list of disclosures that have been made by AHC regarding your health information. AHC is required to maintain such information for six (6) years.
  • Right to a Paper Copy of this Notice: You have the right to request a paper copy of this Notice from the AHC at any time.

All requests for making restrictions, inspecting, copying, amending, or obtaining an accounting of your protected health information must be made in writing at the following address:

Privacy Officer

Apex Home Care, Inc.

540 Oakmont Lane,

Westmont IL 60559