Inspired Medical Services, LLC

Notice of Privacy Practices and Policies

Please review carefully

Introduction

Inspired Medical Services (IMS) is required by law to maintain the privacy of your health information (PHI) and to provide individuals with notice of its legal duties and privacy practices with respect to health information.  IMS is required to abide by the terms of notice currently in effect.  IMS reserves the right to change the terms of its notice and to make the new notice provisions effective for all PHI that it maintains.

This Notice of Privacy Practices and Policies outlines our practices, policies and legal duties to maintain confidentiality and protect against prohibited disclosure of protected health information (“PHI”) under the privacy regulations mandated by the Health Insurance Portability and Accountability Act (“HIPAA”) and further expanded by the Health Information Technology for Economic Clinical Health Act (“HITECH”).

PHI includes your demographic information such as name, address, telephone number,and family; past, present, or future information about your physical or mental health or condition; and information about the medical services provided to you, including your payment information, if any of that information may be used to identify you.  Your PHI may be maintained electronically and/or on paper.

This notice describes and discloses PHI to which you have consented, that you may be asked to authorize in the future, and that are permitted by state and federal law.  Also, it advises you of your rights to access and control your PHI.  We may amend the Notice of Privacy Practices and Policies periodically.  Upon your request, we may provide you a revised Notice of Privacy Practices via mail or at the time of your appointment.

We regard the safeguarding of your PHI as an important duty.  The elements of this notice and the authorizations you may sign are required by state and federal law for your protection and to ensure your informed consent to the use and disclosure of PHI necessary to support your relationship with IMS.  If you have any questions about IMS’s Notice of Privacy Practices and Policies, please contact out Privacy Officer at 502-963-0487.

Safeguarding PHI with IMS

We have in place the appropriate administrative, technical, and physical safeguards to protect and to secure the privacy and security of your PHI.  We orient our staff to the regulations and policies developed to protect the privacy of your PHI, and to review their obligation to maintain privacy and security annually.  We hold medical records in a secure area within our practice , and our electronic medical record system is monitored and updated to address security risks in compliance with the HIPAA Security Rule.  Only staff members who have a legitimate “need to know” are permitted access to your medical records and other PHI.  Our staff understands the legal and ethical obligation to protect your PHI and that a violation of this Notice of Practice Policies may result in disciplinary action in accordance with our Human Resource policies.

Uses and Disclosures of PHI

Treatment.  Treatment mean the provision, coordination, or management of your health care and related services by IMS and health care providers involved in your care.  Students may be a member of the health care team.  It includes the coordination and management of health care by a provider with the third party insurance carrier, communication with lab or imaging providers for test results, consultation between our clinical staff and other health care providers relating to your care, or our referral of you to a physician or facility.

Payment.  Payment means our activities to obtain reimbursement for the medical services provided to you, including billing, claims management, and collection activities.  Payment also may include your insurance carrier’s efforts in determining eligibility, claims processing, assessing medical necessity, and utilization.