Notice of Privacy Practices
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.
We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We make a record of the laboratory testing we provide and may receive such records from others. We use these records to provide or enable other health care providers to provide quality medical care, to obtain payment for services provided to you as allowed by your health plan and to enable us to meet our professional and legal obligations to operate this clinical laboratory properly. We are required by law to maintain the privacy of protected health information and to provide individuals with notice of our legal duties and privacy practices with respect to protected health information. This notice describes how we may use and disclose your medical information. It also describes your rights and our legal obligations with respect to your medical information. If you have any questions about this Notice, please contact our Privacy Officer listed at the bottom of this Notice of Privacy Practices.
Permitted Uses and Disclosures
(1) To the Individual – A covered entity may disclose protected health information to the individual who is the subject of the information.
(2) Treatment, Payment, Health Care Operations.
Treatment – is the provision, coordination, or management of health care and related services for an individual by one or more health care providers, including consultation between providers regarding a patient and referral of a patient by one provider to another.
Payment – encompasses activities of a health plan to obtain premiums, determine or fulfill responsibilities for coverage and provision of benefits, and furnish or obtain reimbursement for health care delivered to an individual and activities of a health care provider to obtain payment or be reimbursed for the provision of health care to an individual.
Patient Refund Policy – If we owe you a refund due to an overpayment, we will credit your credit card or send you a check, depending on how you made the initial payment. Once determined, refunds are generated within 7 business days. For any questions concerning a refund due, call West Pacific Medical Lab Billing Dept @ 562-906-5227
Health Care Operations – are any of the following activities: (a) quality assessment and improvement activities, including case management and care coordination; (b) competency assurance activities, including provider or health plan performance evaluation, credentialing, and accreditation; (c) conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs; (d) specified insurance functions, such as underwriting, risk rating, and reinsuring risk; (e) business planning, development, management, and administration; and (f) business management and general administrative activities of the entity. These are companies or individuals who need your information in order to provide specific services to us. These entities known as business associates must comply with the terms of a contract designed to ensure that they maintain the privacy and security in the same manner that we do for treatment, payment or health care operations that they perform on our behalf. Examples would be outside courier companies or reference laboratories that we utilize when we do not perform the test in house.
Other Possible Ways We May Disclose Your Protected Health Information
Required by Law - Covered entities may use and disclose protected health information without individual authorization as required by law. When the law requires us to report abuse, neglect or domestic violence, or respond to judicial or administrative proceedings, or to law enforcement officials, we will further comply with the requirement set forth below concerning those activities.
Public Health Activities - To public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, disability or other government authorities authorized to receive reports of child abuse and neglect.
Health Oversight Activities - To health oversight agencies (as defined in the Rule) for purposes of legally authorized health oversight activities, such as audits and investigations necessary for oversight of the health care system and government benefit programs.
Judicial and Administrative Proceedings - In a judicial or administrative proceeding if the request for the information is through an order from a court or administrative tribunal.
Law Enforcement - We may, and are sometimes required by law, to disclose your health information to a law enforcement official for purposes such as identifying of locating a suspect, fugitive, material witness or missing person, complying with a court order, warrant, grand jury subpoena and other law enforcement purposes.
Coroners – To funeral directors as needed, and to coroners or medical examiners to identify a deceased person, determine the cause of death, and perform other functions authorized by law. Organ or Tissue Donation – We may disclose your health information to organizations involved in procuring, banking or transplanting organs and tissues. Public Safety – We may, and are sometimes required by law, to disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public.
Essential Government Functions - For certain essential government functions assuring proper execution of a military mission and conducting intelligence and national security activities.
Workers’ Compensation - To comply with workers compensation laws and other similar programs providing benefits for work-related injuries or illnesses.
Change of Ownership – In the event that this clinical laboratory is sold or merged with another organization, your health information/record will become the property of the new owner, although you will maintain the right to request copies of your health information be transferred to another physician or medical group.
When this Clinical Laboratory May Not Use or Disclose You Health Information
Except as described in the Notice of Privacy Practices, this clinical laboratory will not use or disclose health information which identifies you without your written authorization. If you do authorize this clinical laboratory to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.
Rights Concerning Privacy and Confidentiality.
Right to Request Special Privacy Protections - Individuals have the right to request/restrict use or disclosure of protected health information for treatment, payment or health care operations, disclosure to persons involved in the individual’s health care or payment for health care, or disclosure to notify family members or others about the individual’s general condition, location, or death. A covered entity is under no obligation to agree to requests for restrictions.
Right to Request Confidential Communications - You have the right to request that you receive your health information in a specific way or at a specific location. For example, you may ask that we send information to a particular e-mail account or to your work address. We will comply with all reasonable requests submitted in writing which specify how or where you wish to receive these communications.
Right to Inspect and Copy - You have the right to inspect and copy your health information as permitted by the Clinical Laboratory Improvement Act or other laws. To access your medical information, you must submit a written request detailing what information you want access to and whether you want to inspect it or get a copy of it. We will charge a reasonable fee, as allowed by California and federal law. We may deny your request under limited circumstances.
Amendment - The Rule gives individuals the right to have covered entities amend their protected health information in a designated record set when that information is inaccurate or incomplete. If a covered entity accepts an amendment request, it must make reasonable efforts to provide the amendment to persons that the individual has identified. If the request is denied, covered entities must provide the individual with a written denial and allow the individual to submit a statement of disagreement for inclusion in the record.
Accounting - Individuals have a right to an accounting of the disclosures of their protected health information by a covered entity or the covered entity’s business associates. The maximum disclosure accounting period is the six years immediately preceding the accounting request, except a covered entity is not obligated to account for any disclosure made before its Privacy Rule compliance date.
Workforce Training and Management – We provide training for all workforce members on our privacy policies and procedures, as necessary and appropriate for them to carry out their functions. Appropriate sanctions against workforce members who violate its privacy policies and procedures or the Privacy Rule are in place.
Data Safeguards - We maintain reasonable and appropriate administrative, technical, and physical safeguards to prevent intentional or unintentional use or disclosure of protected health information in violation of the Privacy Rule and to limit its incidental use and disclosure pursuant to otherwise permitted or required use or disclosure.
If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to:
Department of Health and Human Services
Office of Civil Rights
Hubert H. Humphrey Bldg.
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
We reserve the right to change the terms of this Notice of Privacy Practices and to make the provisions of the new Notice of Privacy Practices effective for all Protected Health Information that we maintain. The current notice will be displayed on our website and a paper copy is available upon request. If you have further questions please contact us at:
West Pacific Medical Laboratory
10200 Pioneer Blvd, Suite 500
Santa Fe Springs, Ca. 90670
Attn: Amy Johnson