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.
Badger Mobile Wound Care PLLC ("Badger," "we," "us") is required by law to maintain the privacy of your protected health information (PHI), to provide you this Notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI. We are required to abide by the terms of this Notice currently in effect.
How we may use and disclose your health information
Treatment
We use and disclose your PHI to provide, coordinate, and manage your wound care — for example, sharing information with the referring home-health agency, nurses, physicians, and other providers involved in your care.
Payment
We use and disclose your PHI to obtain payment for services — for example, to verify insurance eligibility, obtain prior authorization, and bill Medicare, Medicaid, or your insurer.
Health care operations
We use and disclose your PHI for operations such as quality assessment, care coordination, training, and business management.
Other uses and disclosures permitted or required by law
- To business associates who perform services for us (under written agreements that require them to protect your PHI).
- As required by law, for public health activities, and to report abuse, neglect, or domestic violence.
- For health oversight, judicial and administrative proceedings, and law enforcement as permitted by law.
- To avert a serious threat to health or safety, and for specialized government functions.
- For workers' compensation as authorized by law.
Your rights regarding your health information
- Access: inspect and obtain a copy of your PHI in the designated record set, including an electronic copy.
- Amendment: request that we correct PHI you believe is incorrect or incomplete.
- Accounting of disclosures: request a list of certain disclosures we made of your PHI.
- Restrictions: request limits on how we use or disclose your PHI; you may also restrict disclosure to a health plan for services you paid for in full out of pocket.
- Confidential communications: request that we contact you a certain way or at a certain location.
- Paper copy: obtain a paper copy of this Notice at any time.
- Breach notification: be notified if a breach of your unsecured PHI occurs.
Our duties
We are required to maintain the privacy of your PHI, provide this Notice, abide by its terms, and notify you of breaches of unsecured PHI. We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any we receive in the future. The current Notice is posted at badgermwc.com and available on request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.
Contact — Privacy Officer
Badger Mobile Wound Care PLLC · 2800 E Enterprise Ave, Ste 333, Appleton, WI 54913
Phone: (262) 455-9117 · Email: badgermobilewc@gmail.com
