Privacy Policy
Logan City Fire & EMS - Effective April 14, 2003
This notice describes the privacy practices of our organization. It also describes the privacy
practices of affiliated providers while they are performing services on our behalf unless they
provide you with a notice of their own privacy practices. Affiliated providers are not employed
by
us but are either authorized for providing services to our organization or are approved
participants for providing services to our organization. Other organizations may have differing
privacy practices from those described in this notice.
Please Read Carefully
YOUR PRIVACY
We understand that medical and health information should be protected. We have taken steps to
insure that your personal healthcare information (PHI) will be strictly maintained and remain
confidential.
PERMITTED USES OF PHI
When you receive care from us, we must obtain certain information that will allow us to treat,
bill for services rendered, follow-up, and conduct our normal business operations. We may use your
PHI for the following.
TREATMENT
We must keep records of the services that are provided to you and in some cases share that
information with doctors, hospitals, and other related healthcare providers for the purpose of
diagnosing and treating your healthcare needs. Some disclosures of your PHI may have additional
restrictions as dictated by State and Federal Laws.
PAYMENT
The PHI we obtain from you as well as financial information may be used to obtain payments from
you, your insurers, or other applicable third parties. Verification of insurance coverage and
notification for ongoing treatments and payments is a permissible use of your PHI.
OPERATIONS
Your information may also be used to evaluate internal policies, procedures, cost management,
quality control, customer service, training, and other related operational activities.
WHERE TO LEARN MORE
For more information on HIPAA (Health Insurance Portability and Accountability Act and it's impact
on you and your family, you may contact the U.S. Department of Health and Human Services.
OTHER SERVICES
Some of the other possible uses of your PHI include:
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Utilizing your information with other agencies that may assist us in treatment, payment, or
operations such as hospitals, collection agencies, and billing companies.
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Your information may be shared with family or friends for the purpose of treatment and payment
decisions when applicable.
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Our business associates must protect your information by ad hearing to the same privacy
practices
as regulated by State and Federal Law.
YOUR RIGHTS - you may....
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Request copies of your PHI for inspection and corrections where applicable. Access may be denied
under certain circumstances at which point a review may be requested. (Must be in writing)
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Ask for restrictions on usage of your PHI, which may or may not be considered.
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Request certain communication processes such as address and phone numbers.
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Ask for a copy of this notice. Receive this notice electronically.
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Request an accounting in writing of certain disclosures that do not fall under the uses allowed
under the provisions of treatment, payment, and operations as well as some disclosures as
required
by law. Any such requests must include the time period (limited to the last 6 years and exclude
any disclosures prior to April 14, 2003). A fee may apply for such requests.
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File a written complaint with the Office of Civil Rights of the U.S. Department of Health and
Human Services.