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Notice of
Privacy Practices
THIS NOTICE
DESCRIBES HOW PERSONAL and MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT
CAREFULLY. This privacy notice describes our practices for safeguarding
information about the individuals who apply for and/or are referred to VP
Medical Consulting, LLC for services, including, but not limited to Medical Case
Management, Legal Nurse Consulting, Life Care Planning and/or Ergonomic
Assessments.
Protecting Your Privacy
We know the
importance of an individual’s right to privacy so protecting your personal
information is our priority. Our privacy and security policies and procedures
are strictly enforced to ensure that the information we have about you is
accessed only by authorized employees and/or agents of VP Medical Consulting,
LLC and only as is required to render the services requested.
We maintain
physical, electronic, and procedural safeguards to protect your information to
prevent unauthorized access to that information. Some examples of safeguards
used include:
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All our Case Managers and
administrative staff are housed a private office.
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The office is equipped
with private telephones, fax, shredder, and locking filing system
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Office is key-Locked
when staff is out of the office
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Computers are password
protected for single user access
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Computers are shut down
at close of business day and when assigned user is out of the office
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Emails from VP Medical
Consulting, contain Confidentiality and Disclosure Statement
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Emails are sent and
received via VP-Medical addresses only
How We
Obtain Information
We get most
our information directly from you or your authorized representative. If
additional information is needed, we may, with your signed authorization (or an
authorization signed by your Guardian or Proxy), collect it from the following
sources:
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Family members
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Physicians
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Hospitals
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Medical Records
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Other Medical Personnel
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Your Employer
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Insurance Carriers
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Claims Adjusters
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Claims Data
The
information we may request and collect depends on the purpose for which you were
referred and/or for the services for which you have contracted and consented to
use. Information will, at the least, include your name, address, telephone
number, date of birth, and social security number. Additional information may
be collected regarding your health status, medical history, medical care
services utilization, education, vocation, financial status, environmental
situation, family support system, and social situation.
Disclosing/Sharing of Information
VP Medical
Consulting, LLC
does not sell or provide your personal information to any person or business
whose purpose is to sell products or services to you. We do not disclose any
“nonpublic” personal information to anyone, except as authorized by you in
writing or as permitted and/or commanded by law.
We may
disclose any information we collect when we believe it is necessary for us to
conduct our business on your behalf and/or on behalf of the referral source
and/or where disclosure is permitted and/or required by law. Information may be
disclosed to the following:
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Anyone to whom you have
authorized us to disclose information
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Health Insurance Carrier:
their authorized employees, agents, representatives, and business associates
as required for your claim.
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Service Providers:
Companies engaged to
perform services on our behalf (providers such as Home Health, Medical
Equipment, Orthotics/Prosthetics, Therapists, Pharmacies, etc.) to effect,
administer, or enforce a service that is prescribed by your physician(s),
recommended by us, requested by you, and/or approved by your health care
payer.
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Physicians:
when you are engaged in our services of Medical Management or Life Care
Planning.
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Prospective Providers of
Services and/or Financial Assistance Programs
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Employer:
Worker’s
Compensation Claims cases and/or when Educational and Vocational interventions
are requested and/or required.
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Legal Guardian, Proxy,
designated family member, or significant other designee
Other
disclosures may be made only with your authorization, which may be revoked at
any time by written request to us.
Any person or
entity with which we share information will be expected to maintain like
standards of privacy and confidentiality that are required of our own employees,
agents, representatives, and business associates.
Access
to your Information
You may
request copies of documents in our files that we have received and/or prepared
related to the services we have provided at the request of the referral source.
Submit a request for the documents you wish to access to the referral source in
writing and copy us. We will release the requested documents upon receipt of
written approval from the referral source.
Accuracy
of Information
We strive to
keep our records updated and accurate. If you believe we have misinformation,
you should notify us immediately and in writing. If we agree with your
findings, we will make the appropriate corrections. If we do not agree, you may
submit a short statement of dispute, which we will include in any future
disclosures of information.
For
information, complaints or reporting a suspected violation please contact our
Privacy Officer:
By Phone:
1-501-778-3378
By Mail:
Privacy Officer
VP Medical Consulting, LLC
823 South Market
Benton, AR 72015
Future Notices
Federal law
requires us to provide this summary of our Privacy Policy each
year. Should we modify our privacy practices any changes will be reflected here
with the appropriate date of change.
These
practices effective
September 1,
2007.
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