Gauley River Physical Therapy and Rehabilitation, LLC

704 Professional Park Drive, Suite B

Summersville, WV  26651

(304) 872-0490

 

NOTICE OF PRIVACY PRACTICES

 

Effective: April 14, 2003

 

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION

ABOUT YOU MAY BE USED AND DISCLOSED

AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

 

 

This notice will tell you how we may use and disclose protected health information about you.  Protected health information means any health information about you that identifies you or for which there is a reasonable basis to believe the information can be used to identify you.  In the header above, that information is referred to as “medical information.”  In this notice, we simply call all of that protected health information, “health information.”

 

This notice also will tell you about your rights and our duties with respect to health information about you.  In addition, it will tell you how to complain to us if you believe we have violated your privacy rights.

 

 

How We May Use and Disclose Health Information About You.

 

We use and disclose health information about you for a number of different purposes. Each of those purposes is described below.

 

Ř       For Treatment.  

We may use health information about you to provide, coordinate or manage the services, supports, and health care you receive from us and other providers. We may disclose health information about you to doctors, nurses, direct support staff and other agency staff, volunteers and other persons who are involved in supporting you or providing care.  We may consult with other health care providers concerning you and, as part of the consultation, share your health information with them.  For example, staff may discuss your information to develop and carry out your individual plan of care.  Staff may share information to coordinate needed services, such as medical tests, transportation to a doctor’s visit, physical therapy, etc.  Staff may need to disclose health information to entities outside of our organization (for example, another provider or a state/local agency) to obtain new services for you.

 

Ř      For Payment.  

We may use and disclose health information about you so we can be paid for the services we provide to you.  This can include billing a third party payor, such as Medicaid or other state agency (for example, the West Virginia Workers Compensation Division), or your insurance company.  For example, we may need to provide the West Virginia Workers Compensation Division with information about the services we provide to you so we will be reimbursed for those services.

 

 

 

Ř       For Health Care Operations. 

We may use and disclose health information about you for our own operations.  These are necessary for us to operate Gauley River Physical Therapy and to maintain quality for our clients.  For example, we may use health information about you to review the services we provide and the performance of our employees supporting you.  We may disclose health information about you to train our staff and volunteers.  We also may use the information to study ways to more efficiently manage our organization, for accreditation or licensing activities, or for our compliance program.

CONTINUED