A. Privacy Rules.II. Privacy Rules - Definitions
A. Covered Entity - Defined. The Privacy Rules apply to all covered entities and their business associates. A covered entity is defined as a health care provider, and health plan or a health care clearing House.1. A health care provider is "…a provider of medical or health services…or any other person or organization who furnishes, bills, or is paid for health care in the normal course of business."B. Protected Health Information (PHI) defined. PHI is defined by the Privacy rules as information (including demographics) collected from an individual by a health care provider, employer or health plan which relates to past, present, or future physical or mental health care or conditions of an individual or the provision of health care to an individual and which identifies the individual or could be reasonably believed to allow the identification of the individual.
A. Uses of PHI - Without patient authorization. A covered entity may use PHI without the prior consent of the patient for: (1) the treatment of the patient; (2) to obtain payment for the care; (3) or for certain health care operations.
A. General Policy.1. Uses. It is Metro Medical Billing policy that a signed authorization must be obtained before any PHI is used for any purpose other than that permitted by the privacy regulations. 2. Conditional Authorizations. Metro Medical Billing will not require a patient to sign any authorization as a condition of health care billing.B. Authorizations - Content. As required by the privacy regulations, All authorizations will contain (1) description and reason for the PHI Authorization (2) entity to which the PHI is to be released by Metro Medical Billing (3) Signature and date line for the authorizing patient.
A. Metro Medical Billing employees.
A. General Policy. Metro Medically Billing shall disclose PHI to third parties in accordance with the privacy rule.
A. General Policy. Metro Medical Billing will not alter, correct or delete PHI unless fully satisfied that the change is warranted and will result in the correction of a material error in the PHI.
A. In General. The federal Privacy Rules create certain authorized Uses and restrictions on the use of PHI. The federal rules expressly Defer to the state privacy laws where those laws are more stringent Than the federal privacy rules.
A. Appointment. The privacy rules require that all covered entities appoint a privacy officer responsible for assuring that the entity’s privacy policies are kept current and are being followed. Metro Medical Billing has appointed Dan Devou to serve as its privacy officer.
A. General. The privacy rules impose substantial civil and criminal Penalties, including fines and imprisonment, on individuals and Entities which make uses or disclosures of PHI in violation of the rules.
Metro Medical Billing has adopted the above policies and procedures regarding the uses and safeguarding of PHI and EPHI. In order to increase the likelihood of adherence to these policies and procedures, Metro Medical Billing has included the following specific forms of discipline for employees who violate those policies.
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