HIPAA Notice of Privacy Practices

Your Rights

You have the right to:

• Get a copy of your medical record

• Request corrections to your medical record

• Request confidential communications

• Ask us to limit certain uses or disclosures

• Get a list of disclosures

• Receive a copy of this Notice

• File a complaint without fear of retaliation

To exercise any of these rights, contact our office at the number listed below.

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How We May Use and Disclose Your Information

We may use and disclose your health information for:

Treatment

To provide, coordinate, or manage your care.

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Payment

To bill Medicare, insurance companies, or other payers for services provided.

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​Healthcare Operations

For quality assessment, accreditation (including ACHC), licensing, training, and business management.

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As Required by Law

Including public health reporting, law enforcement requests, or regulatory audits.

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Family & Caregivers

With your permission, we may share relevant information with family members or caregivers involved in your care.

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Special Situations

We may disclose your information for:

• Public health activities

• Health oversight activities

• Judicial and administrative proceedings

• Workers’ compensation

• To prevent serious threats to health or safety

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Our Responsibilities

We are required to:

• Maintain the privacy of your information

• Provide this Notice

• Notify you of any breach of unsecured PHI

• Follow the terms of this Notice

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Changes to This Notice

We reserve the right to change this Notice. Updated versions will be available upon request and on our website.

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Complaints

If you believe your privacy rights have been violated, you may:

• Contact Ultimate Home Health directly

• File a complaint with the U.S. Department of Health and Human Services

You will not be retaliated against for filing a complaint.