Treatment, Payment and Health Care Operations. The following section describes different ways that we may use and disclose your health and financial information for purposes of treatment, payment, and health care operations. We have not listed every type of use or disclosure, but the ways in which we use or disclose your information will fall under one of these purposes.
Treatment, Payment and Health Care Operations. Treatment is when we provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be when we consult with another health care provider, such as your family physician or another psychologist. • Payment is when we obtain reimbursement for your healthcare. Examples of payment are when we disclose your PHI to your health insurer to obtain reimbursement for your health care or to determine eligibility or coverage. • Health Care Operations are activities that relate to the performance and operation of our practice. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination. • “Use" applies only to activities within our (office, clinic, practice group, etc.) such as sharing, employing, applying, utilizing, examining, and analyzing information that identifies you.
Treatment, Payment and Health Care Operations. Treatment is when we provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be when we consult with another health care provider, such as your family physician, psychiatrist, or another psychologist. - Payment is when we obtain reimbursement for your healthcare. Examples of payment are when we disclose your PHI to your health insurer to determine eligibility or coverage. We also provide you with a receipt that contains PHI so that you may obtain reimbursement for your health care. - Health Care Operations are activities that relate to the performance and operation of my practice. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination.
Treatment, Payment and Health Care Operations. “Treatment,” “Payment” and “Health Care Operations” shall have the same meanings given under 45 CFR Section 164.501
Treatment, Payment and Health Care Operations. The most common reason why we use or disclose your health information is for treatment, payment or health care operations Examples of how we use or disclose information for treatment purposes are setting an appointment examining your teeth prescribing medications and faxing them to be filled referring you to another doctor or getting copies from another professional that you may have seen before us Examples of how we use or disclose your health information for payment purposes are asking you about your health or dental care plans, or other sources of payment preparing and sending bills or claims and collecting unpaid amounts (wither ourselves or through a collection agency or attomey) Health care operations" mean those administrative and manageable functions that we have to do in order to run our office Examples of how we use or disclose your health information for health care operations are financial or billing audits personnel decisions defense of legal matters business planning and outside storage of our records. We routinely use your health information inside our office for these purposes without any special permission If we need to disclose your health information outside of our office for these reasons, we usually will not ask you for special written permission. We will ask for special written permission in the following situation
Treatment, Payment and Health Care Operations. StarCare can use your health information to provide treatment to you, to obtain payment for services provided to you, or for health care operations of Silver Star, as allowed by law. Treatment: Silver Star can use your health information to provide, coordinate or manage health care or related services. This includes providing care to you, consulting with another health care provider about you, and referring you to another provider. Example: Silver Star can use your health information to prescribe medication for you. Payment: Silver Star can use your health information to get paid for providing health care to you or to provide benefits to you under a health plan such as the Medicaid program. Example: Silver Star can use your health information to bill your insurance company for the services provided to you, or to provide benefits to you under a health plan such as the Medicaid program. Health Care Operations: Silver Star can use your health information for its health care operations. This includes: activities to improve the quality of health care; evaluating Silver Star programs; developing procedures; case management; case coordination; reviewing the competence, qualification and performance of health care professionals and others; conducting training programs in areas related to health care; conducting accreditation, certification, licensing or credentialing activities; providing medical review, legal services, or auditing functions; resolution of internal grievances; and engaging in business, planning and management or the general administrative activities of Silver Star. Example: Silver Star can use your health information to develop procedures for managing your health needs. If you are receiving treatment for chemical dependency, Silver Star will not disclose information related to your treatment to anyone without your written authorization. However, we can use that information to provide services to you. Silver Star will not disclose health information about you pertaining to HIV or AIDS without your specific authorization. In a license revocation proceeding. Silver Star may disclose your health information if you have filed a complaint against a doctor or other mental health or mental retardation professional and the information is needed in a license revocation proceeding. In a proceeding to collect payment. Silver Star may disclose your health information to a court or administrative judge to collect payment for mental or emotional services provide...
Treatment, Payment and Health Care Operations. Treatment is when I provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be when I consult with another health care provider, such as your family physician or another psychotherapist. Payment is when I obtain reimbursement for your healthcare. Examples of payment are when I disclose your PHI to your health insurer to obtain reimbursement for your health care or to determine eligibility or coverage. Health Care Operations are activities that relate to the performance and operation of my practice. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination.
