Breakaway Health Corporation HIPAA Notice of Privacy Practices
As required by the Privacy Regulations Promulgated Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice of Privacy Practices describes how Breakaway Health Corporation may use and disclose your Protected Health Information (PHI) for treatment, payment, health care operations (TPO), and other purposes allowed or required by law. It also outlines your rights to access and control your PHI. “Protected health information” refers to information about you, including demographic details that could identify you and relate to your health history, condition, or care.
Uses and Disclosures of Protected Health Information: Breakaway Health Corporation, along with our staff and other individuals involved in your care, may use and disclose your PHI to provide health services, process payments, manage business operations, and meet legal requirements.
Treatment: We may use and disclose your PHI to coordinate or manage your health care and any related services. For example, your PHI may be shared with a third-party home health agency providing care to you, or with a specialist to whom you have been referred, to ensure continuity of care.
Payment: Your PHI will be used as necessary to obtain payment for health care services. For instance, obtaining coverage approval for equipment or supplies may require disclosing relevant PHI to your health plan.
Healthcare Operations: We may use or disclose your PHI to support the business activities of Breakaway Health Corporation, such as quality assessment, employee review, accreditation activities, and other business operations. For example, we may disclose your PHI to accrediting agencies during surveys or use it to contact you regarding the status of your equipment.
We may also disclose your PHI in certain situations without your authorization, such as those required by law (e.g., public health concerns, communicable diseases, abuse or neglect, FDA requirements, legal proceedings, law enforcement, criminal activity, military activity, national security, and workers’ compensation). Additionally, as required by law, we may make disclosures to you and to the Secretary of the Department of Health and Human Services to ensure compliance with HIPAA regulations.
Other Permitted and Required Uses and Disclosures will be made only with your consent, authorization, or opportunity to object, unless required by law.
You may revoke any authorization at any time in writing, except where Breakaway Health Corporation or your physician has taken action in reliance on the initial authorization.
Your Rights Regarding Your Protected Health Information:
- Right to Inspect and Copy: You have the right to inspect and copy your PHI. However, federal law prohibits inspecting or copying certain records, such as psychotherapy notes or information prepared for legal proceedings.
- Right to Request Restrictions: You may request restrictions on how your PHI is used or disclosed for treatment, payment, or healthcare operations, or to limit disclosures to family members or friends involved in your care. Requests must specify the restriction and to whom it applies. Note that Breakaway Health Corporation is not required to agree to all restriction requests, and if we do not agree, you may choose another healthcare provider.
- Right to Confidential Communications: You have the right to request confidential communications by alternative means or at alternative locations.
- Right to Obtain a Paper Copy: You may request a paper copy of this notice, even if you have agreed to receive it electronically.
- Right to Amend: You may request an amendment to your PHI. If we deny the amendment, you have the right to submit a statement of disagreement, and we may provide a rebuttal with a copy for your review.
- Right to an Accounting of Disclosures: You have the right to receive an accounting of certain disclosures of your PHI.
Breakaway Health Corporation reserves the right to change this notice’s terms and will inform you by mail of any changes. You may then object or withdraw as indicated in this notice.
Complaints: If you believe your privacy rights have been violated, you may file a complaint with Breakaway Health Corporation or the Secretary of Health and Human Services. You may file a complaint with us by notifying our Privacy Contact at 714-927-8229. There will be no retaliation for filing a complaint.
Breakaway Health Corporation is legally required to maintain the privacy of your PHI and to provide this notice outlining our privacy practices. If you have any questions or objections to this form, please speak with our Privacy Contact at 714-927-8229.
For more information, please visit HIPAA Notice of Privacy Practices.
