Policy and Procedures
Our Pledge to you
Medcare Clinics is dedicated to protecting your medical information. We are required by law to maintain the privacy of protected health information and to provide you with the Notice of our legal duties and privacy practices with respect to protected health information. Medcare Clinics is required by law to abide by the terms of this Notice. If you have any questions, please contact our Privacy Officer, whose information is listed further below on this page.
Changes to this notice
We reserve the right to change the terms of this notice and to make new notice provisions effective for all protected health information(PHI) that we maintain. We will provide you with a copy of any revisions of this Notice of Information Pratices at the time of your next visit, or at your last known address if there is a need to use or disclose any PHI of the patient. Copies may also be obtained at any time at our office(s).
How We May Use and Disclose Medical Information about You
We may use and disclose PHI for Treatment, Payment and healthcare Operations (TPO). Examples of these include, but are not limited to: requested preschool, or sports physicals, referral to nursing homes, foster care homes, home health agencies and/or referral to other providers for treatment. Payment examples include , but are not limited to: insurance companies for claims including coordination of benefits with other insurers and collection agencies. Healthcare operations include, but are not limited to, internal quality control and assurance including auditing of records. We are permitted or required to use or disclose PHI without your consent or authorization in certain circumstances. Two examples are public health requirements (community health surveillance or investigation) or court orders. We also may call your home or other designated location and leave a message on voice mail or in person in reference to any items that assist the practice in carrying out TPO, such as appointment reminders, insurance items and any call pertaining to your clinical care, including laboratory results among others. We may mail any items that assist the practice in carrying out TPO, such as appointment reminders and other correspondence as long as they are marked Personal and Confidential. We may e-mail you appointment reminders and patient statements.
Other Uses of Medical Information
We will not make any other use or disclosure of your PHI without your written authorization. Such authorization maybe revoked at any time. Revocation must be written. We will abide by the terms of this Notice currently in effect at the time of the disclosure.
Your rights Regarding Medical Information about You
You, your guardian or personal representative has the right to object to the use of your health information for directory purposes. You, your guardian or personal representative has the right to request to inspect and obtain copies of your medical record. You, your guardian or personal representative has the right to request amendments be made to your medical record. You, your guardian or personal representative has the right to request to receive confidential communications of PHI by alternative means or alternative locations. Such request must be in writing and the practice must accommodate reasonable request. You, your guardian or personal representative has the right to request restrictions as to how your health information may be used or disclosed to carry out TPO. We are not required to agree to the restrictions requested, but if we do agree, we must abide by those restrictions.
Permission to Authorize Treatment
You have a right to choose who may gain access to your personal health information, billing and/or appointment record. The name of the person(s) you give permission to correspond with us regarding appointments, billing and insurance and medical treatment and to receive information about you must be on file at Medcare Clinics. In order to obtain information by telephone, the party calling the practice must share your identifier with the staff.
Patient Financial Agreement
I agree it is my responsibility to provide Medcare Clinics with the correct billing information and I consent to the payment of medical benefits to Medcare Clinics and associated medical providers. I hereby authorize Medcare Clinics to release any medical information to insurance companies and appropriate third parties as determined by Medcare Clinics. A photocopy of these authorizations is to be considered as valid as the original until revoked by me in writing. Payment is due at the time of service. I agree that I am financially responsible for all charges made to my account whether or not an insurance company, attorney, or other third party payer is involved with payment. I am responsible for all payment amounts. If you are unable to keep a scheduled appointment, and fail to notify out office within 24 hours of your appointment, a $50.00 charge will be placed on your account. Once this charge is incurred we will be unable to schedule any future appointments for you until the balance has been paid.