HIPAA
Compliance Policy
and Legal Guidelines
The
Health Insurance Portability and Accountability Act (HIPAA)
was first introduced in 1996 and became effective April 14,
2003. The purpose of HIPAA is to protect your Private Health
Information (PHI). Advancements in technology have made PHI
more accessible than ever before. It is our goal to protect
your PHI while providing you with the best eye care possible
. We will use internet, fax, phone, copiers to supply and
retrieve information regarding insurance and communication
between facilities in order to provide treatment to our patients.
All outside facilities which we communicate with are also
required to be HIPAA compliant. PHI may be used without patient
authorization in order to provide treatment and collect reimbursement.
When is PHI used?
Education
We pride ourselves on delivering the highest standard of care
and will continue to pursue educational opportunities for
both Doctors and staff. PHI will be used to train staff, interns,
associates using the minimal amount of information necessary.
Identifying information will not be used or taken outside
the office unless prior written authorization is received
from the patient.
Phone Communications
Basic messages will be left using a minimal of information
possible with other household members, office staff, and on
answering machines in accordance with the phone numbers we
have on file. We will not leave messages regarding medical
test results. Kirman Eye calls include but are not limited
to;
- Notifying when glasses or contact lenses are received.
- We have questions or updates regarding orders or
instructions for care.
- Confirm, schedule and reschedule appointments.
- Verify and request information to provide treatment or collect reimbursement.
Postal Procedures
We will use the minimum amount of PHI necessary to send recall
cards, invoices, monthly statements, and private mailings
to assist in the best possible treatment of patients.
Family / Caregivers
At our own discretion, decisions are made to give information
about our patient to family members and caregivers when it
is deemed necessary for proper treatment.
Government Responsibilities and Legal Obligations
PHI may be used for licensing, certifications, audits, and
credentialing. A certain amount of information must be used
to qualify participation in insurance programs and maintain
valid contracts with legal entities. Agencies reviewing this
information must also be HIPAA compliant. Governmental requirements
to report abuse, neglect, violence, crime, public health issues
and needs involving national security will be honored. Kirman
Eye will use ethical judgment in reports given to legal authorities
using the minimum amount of PHI required by law.
Patient’s Rights
Requests to restrict guidelines for an individual must be
made in writing. Reasonable restriction of PHI will be honored
as long as information is not essential for patient treatment
or financial reimbursement. We will amend incorrect PHI if
deemed accurate and complete on records created within our
office only. Patients have the right to review records, attain
completed test results, be given valid prescriptions, access
billing history and validate insurance information. A fee
may be assessed for copies and transfer fees of records. Patients
may deny communication between Kirman Eye and family members
or request confidential information be sent through sealed
communications only.
Grievance Policy
Written disputes concerning HIPAA guidelines will be handled
by the Privacy Officer. Following a written dispute regarding
HIPAA, we have 30 days to address the situation. After 30
days you may contact the Secretary of Health and Human Resources
for further assistance.
Commitment to our Patients
We reserve the right to change our office policies without
notice. The Doctor’s and staff of Kirman Eye are happy to help with
any questions or concerns you may have regarding our office
policies. We are honored that you have entrusted us with the
care of your eyes and we are committed to delivering the highest
standard of care.
|