8400 Belleview Drive, Suite 110
Plano, TX, 75024
Phone: (972) 777-3000
Fax: (972) 777-3100
Email: care@liftedhospice.com
HIPAA Notice Privacy Practices
Effective Date: 9/7/2023
1. Introduction
This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.
2. Use and Disclosure of Health Information
We may use your health information, which is considered protected health information under the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), for the following purposes:
2.1. Providing Treatment: Your health information may be used to coordinate your care within our agency and with other healthcare professionals involved in your treatment.
2.2. Obtaining Payment: We may use your health information for billing purposes, such as invoices and insurance claims.
2.3. Conducting Health Care Operations: Your health information may be used for our internal operations, including quality assessment, training, accreditation, and business management.
2.4. Fundraising: We may use your information for fundraising activities unless you opt out.
3. Additional Uses and Disclosures
3.1. Legally Required: We will disclose your health information when required by federal, state, or local laws.
3.2. Risks to Public Health: Your health information may be disclosed to prevent or control disease, report vital events, or conduct public health investigations.
3.3. Reporting Abuse, Neglect, or Domestic Violence: We may notify authorities if we believe you are a victim of abuse, neglect, or domestic violence, as required by law or with your consent.
3.4. Health Oversight Activities: Your health information may be disclosed for audits, investigations, inspections, and licensure purposes to health oversight agencies.
3.5. Judicial and Administrative Proceedings: We may disclose your health information in response to court orders, subpoenas, or lawful processes, with efforts to notify you.
3.6. Law Enforcement Purposes: We may disclose your health information to law enforcement officials in specific situations, as permitted by state law.
3.7. Coroners, Medical Examiners, and Funeral Directors: Your health information may be shared with these parties for legal and investigative purposes or funeral arrangements.
3.8. Organ, Eye, or Tissue Donation: Your health information may be disclosed for organ, eye, or tissue donation purposes.
3.9. Research: We may use your health information for research with appropriate approvals.
3.10. Serious Threat to Health or Safety: In certain circumstances, we may disclose your health information to prevent a serious and imminent threat to your health, safety, or public safety.
3.11. Specified Government Functions: Federal regulations authorize us to disclose health information for specific government functions.
3.12. Worker’s Compensation: We may release your health information for worker’s compensation or similar programs.
4. Authorization to Use or Disclose Health Information
We will not disclose your health information other than with your written authorization. You may revoke this authorization in writing at any time.
5. Your Rights
You have the following rights regarding your health information:
5.1. Request Restrictions: You may request restrictions on certain uses and disclosures of your health information, although we are not obligated to agree.
5.2. Receive Confidential Communications: You may request confidential communication methods, and we will accommodate reasonable requests.
5.3. Inspect and Copy: You may inspect and copy your health information, with reasonable fees for copying.
5.4. Amend Health Information: You may request amendments to your health information if you believe it is incorrect or incomplete.
5.5. Accounting of Disclosures: You can request an accounting of disclosures for specific purposes, with the first request within a 12-month period provided at no charge.
5.6. Paper Copy of Notice: You have the right to a separate paper copy of this Notice upon request.
6. Duties of the Agency
We are required to maintain the privacy of your health information and provide this Notice of its duties and privacy practices. We reserve the right to change the terms of this Notice and will provide you with an updated copy when necessary. You have the right to file complaints with us or the Secretary of State if you believe your privacy rights have been violated.
7. Contact Information
For questions, concerns, or to exercise your rights, please contact:
Privacy Officer: info@liftedhospice.com
Agency Name: Lifted Hospice
Agency Address: 5345 Town Square Drive, Suite 245, Plano, TX 75024
Agency Phone: 972.777.3000
Effective Date: This Notice is effective as of September 7th 2023
8400 Belleview Drive, Suite 110
Plano, TX, 75024
Phone: (972) 777-3000
Fax: (972) 777-3100
Email: care@liftedhospice.com