HIPAA Notice of Privacy Practices
Revised April 2014
Biotech Clinical Laboratories, Inc.
25775 Meadowbrook Rd.
Novi, MI 48375
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 of Privacy Practices is NOT an authorization. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. “Protected Health Information” includes lab test orders and test results as well as invoices for the healthcare services we provide.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Your protected health information may be used and disclosed for the purpose of providing laboratory services to you, to pay your health care bills, to support the operation of the physician’s practice, and any other use required by law.
Treatment: We will use and disclose your protected health information to provide laboratory testing upon your physicians request. For example, your protected health information will be provided to a physician who orders tests for treatment purposes.
Payment: Your protected health information will be used, as needed, to obtain payment for our laboratory services. For example, we may disclose your PHI to health plans or other payers to determine whether you are enrolled with the payer or eligible for health benefits or to obtain payment for our services.
Healthcare Operations: We may use or disclose, as-needed, your protected health information in order to support our healthcare operations. These activities include, but are not limited to, quality assessment, employee review, training of medical students and licensing.
We may use or disclose your protected health information in the following situations without your authorization. These situations include: as required by law, public health issues as required by law, communicable diseases, health oversight, abuse or neglect, food and drug administration requirements, legal proceedings, law enforcement, coroners, funeral directors, organ donation, research, criminal activity, military activity and national security, workers’ compensation, inmates, and other required uses and disclosures. Under the law, we must make disclosures to you upon your request. Under the law, we must also disclose your protected health information when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements under Section 164.500.
The following are statements of your rights with respect to your protected health information.
Patient Access to Test Information – You have the right to receive a copy of your PHI that we have created. You may receive a copy of your test results online by visiting our website at biotechclinical.com. You may call us at 248-912-1700 to request a copy as well. If your request for your results is denied, you may request that the request be reviewed.
You have the right to request a restriction of your protected health information – This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. We are not required to agree to your requested restriction except if you request that we not disclose protected health information to your health plan with respect to healthcare for which you have paid in full out of pocket.
You have the right to request to receive confidential communications – You have the right to request confidential communication from us by alternative means or at an alternative location.
You have the right to request an amendment to your protected health information – If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures – You have the right to receive an accounting of certain disclosures, paper or electronic, except for: purposes of treatment, payment, healthcare operations; required by law, that occurred prior to April 14, 2003, or six years prior to the date of the request.
You have the right to receive notice of a breach – We will notify you if your unsecured protected health information has been breached.
You have the right to obtain a paper copy of this notice
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our Compliance Officer of your complaint. We will not retaliate against you for filing a complaint.
Contact: HIPAA COMPLIANCE OFFICER 248-912-1700
We are required by law to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to protected health information. We are also required to abide by the terms of the notice currently in effect. If you have any questions in reference to this form, please ask to speak with our HIPAA Compliance Officer in person or by phone at our main phone number.