HIPPA Compliance
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.
Our Commitment to Your Privacy
Vantis Health ("Vantis Health," "we," "us," or "our") is committed to protecting the privacy and security of your health information.
This Notice of Privacy Practices ("Notice") describes how we may use and disclose your Protected Health Information ("PHI"), as permitted by applicable law, and explains your rights regarding your health information.
Protected Health Information means information about your health, healthcare services, or payment for healthcare services that identifies you or could reasonably be used to identify you.
We are required by law to:
Maintain the privacy of your health information
Provide you with this Notice describing our privacy practices
Follow the terms of the Notice currently in effect
Notify you following a breach of your unsecured PHI when required by law
How We May Use and Disclose Your Health Information
The following sections describe common ways we may use or disclose your PHI.
Treatment
We may use and disclose your health information to provide, coordinate, and support your healthcare services.
Examples include:
Coordinating care with your healthcare providers
Communicating with physicians, specialists, hospitals, pharmacies, and other healthcare professionals involved in your care
Developing and managing care plans
Payment
We may use and disclose your health information for payment-related purposes.
Examples include:
Confirming eligibility for care coordination programs
Providing information to health plans for payment and coverage purposes
Supporting billing and reimbursement activities
Healthcare Operations
We may use and disclose your health information for healthcare operations necessary to operate and improve our services.
Examples include:
Quality improvement activities
Care management program evaluation
Population health analysis
Compliance activities
Auditing and performance reviews
Other Permitted Uses and Disclosures
We may use or disclose your PHI without your written authorization when permitted or required by law, including:
Individuals Involved in Your Care
We may share information with family members, caregivers, or other individuals involved in your care when appropriate and permitted by law.
Health-Related Communications
We may contact you regarding:
Appointments
Care coordination activities
Treatment-related services
Health-related programs or services
Public Health Activities
We may disclose health information for public health purposes, including:
Disease prevention and control
Reporting certain conditions
Public health investigations
Required by Law
We may disclose health information when required by federal, state, or local law.
Health Oversight Activities
We may disclose information to government agencies authorized to conduct oversight activities.
Legal Proceedings
We may disclose health information in response to court orders, subpoenas, or legal proceedings when permitted by law.
Law Enforcement
We may disclose information to law enforcement when permitted or required by law.
Preventing Serious Threats
We may disclose information when necessary to prevent a serious threat to health or safety.
Uses and Disclosures Requiring Your Authorization
Certain uses and disclosures require your written authorization, including:
Most uses and disclosures of psychotherapy notes (when applicable)
Uses and disclosures for marketing purposes
Disclosures that constitute a sale of PHI
You may revoke an authorization in writing at any time, except where we have already relied on the authorization.
Your Health Information Rights
You have the following rights regarding your PHI:
Right to Access
You have the right to inspect and obtain a copy of your health information maintained by Vantis Health.
Right to Request an Amendment
You may request correction of health information that you believe is inaccurate or incomplete.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your health information made by Vantis Health.
Right to Request Restrictions
You may request limits on how we use or disclose your health information.
We are not required to agree to every restriction request unless required by law.
Right to Request Confidential Communications
You may request that we communicate with you through alternative methods or at alternative locations.
Right to Receive a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
Our Responsibilities Regarding Your Information
Vantis Health maintains administrative, technical, and physical safeguards designed to protect your health information, including:
Role-based access controls
Workforce privacy training
Secure technology systems
Encryption where appropriate
Audit monitoring
Vendor security requirements
Only individuals who need access to your information to perform their responsibilities are permitted access.
SMS and Electronic Communications
Vantis Health may use text messages, phone calls, email, patient portals, and other electronic communications to coordinate care and provide healthcare-related information.
Before receiving SMS communications, you may be asked to provide consent.
Text messages may include:
Appointment reminders
Care coordination communications
Follow-up reminders
Program information
Standard messaging rates may apply.
You may opt out of SMS communications by following the instructions provided in the message.
Please note that electronic communications may carry privacy risks, and Vantis Health uses reasonable safeguards to protect your information.
Health Plan and Provider Relationships
Vantis Health may coordinate care with health plans, healthcare providers, and other organizations involved in your healthcare.
Examples may include:
Medicaid managed care organizations
Medicare Advantage plans
Hospitals
Physician practices
Community-based organizations
Information may be shared as necessary to coordinate care, improve outcomes, and support healthcare operations as permitted by law.
Breach Notification
Vantis Health will notify affected individuals of breaches involving unsecured PHI when required by HIPAA and applicable law.
Changes to This Notice
Vantis Health reserves the right to change this Notice at any time.
Changes will apply to all PHI we maintain. Updated versions will be available upon request and posted on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Vantis Health 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 Information
For questions, requests, or privacy concerns, contact:
Email: privacy@vantishealthcare.com
Phone: (224) 353-0333
Mailing Address:
Vantis Health
Privacy Officer
2634 Patriot Blvd, Suite C, Glenview, IL 60026
U.S. Department of Health and Human Services Office for Civil Rights
You may file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Website: https://www.hhs.gov/ocr
Acknowledgment of Receipt
You may be asked to acknowledge that you received this Notice of Privacy Practices. Your signature does not indicate agreement with the Notice; it only confirms receipt.
Patient Name: ___________________________
Signature: ______________________________
Date: __________________________________