PATIENT CARE POLICIES and PRIVACY PRACTICES NOTICE
FACILTY ADMISSIONS POLICY:
Healing Therapeutics Physical Therapy PLLC (PROVIDER) does do not discriminate against persons without health insurance or those with financial hardship and will work with you to provide the medical care you need. Admission to a therapy program with Healing Therapeutics only requires compliance with the requirements of you insurance carriers (a current prescription in most cases) and a signed “Consent to Treatment Form”.
PRIVACY PRACTICES SUMMARY:
Healing Therapeutics Physical Therapy PLLC, in accordance with the provisions of the Health insurance Portability & Accountability Act of 1996 (“HIPPA”) agrees to maintain the confidentiality of all of your medical records and other individually identifiable health information used or disclosed by PROIVDER in any form, whether electronic, on paper or orally. PROVIDER reserves the right to use and disclose your medical records and information for the following reasons:
- Treatment (Providing, coordinating or managing healthcare and related services by one or more healthcare provider. For Example, notifying a referring Physician of your condition.)
- Payment (such activities as obtaining reimbursement for services, confirming coverage, billing or collection activities, and utilization review.)
- Healthcare Options (We may use and disclose certain limited information about you on our SIGN-IN SHEET (your name and who will be providing services that day). We also may identify you by name to call you for treatment)
Any uses or disclosures other than those mentioned in our policy will be made only with your prior-authorization.
Healing Therapeutics Physical Therapy PLLLC does not exclude, deny services to, or otherwise discriminate against any person on the grounds of race, color, or nationality; on the basis of disability or age in admission to, participation in, or receipt of services, whether carried out by PROVIDER directly or through a contractor or any other entity with which PROIVDER arranges to carry out its programs and activities.
(This statement is in accordance with provision of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination act of 1975, and the Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulation Pats 80, 84, and 91.)
POLICY FOR COMMUNICATION WITH PERSONS WITH LIMITED ENGLISH PROFICIENCY:
Healing Therapeutics Physical Therapy PLLC will take reasonable steps to ensure that persons with Limited English Proficiency (LEP) have meaningful access and an equal opportunity to participate in our services, activities, programs and other benefits or services. The policy of Healing Therapeutics Physical Therapy PLLC is to ensure that meaningful communication with LEP patients/clients and their authorized representatives involving their medical conditions and treatment occurs. The policy also provides for communication of information contained in vital documentation, including but not limited to: waivers of rights, consent to treatment forms, financial and insurance benefits forms are all translated or explained properly. All interpreters, translators and other aids needed to comply with this policy shall be provided without cost to the person being served, and patients/clients and their families will be informed of the availability of such assistance free of charge. Language assistance will be provided through use of competent bilingual staff, staff interpreters, contracts or formal arrangements with local organizations providing interpretation or translation services, or technology and telephonic interpretation services. All staff will be provided notice of this policy and procedure, and staff that may have direct contact with LEP individuals will be trained in effective communication techniques, including the effective use of an interpreter.
POLICY FOR AUXILIARY AIDS AND SERVICES FOR PERSONS WITH DISABILITES:
Healing Therapeutics Physical Therapy PLLC will take appropriate steps to ensure that persons with disabilities, including persons who are deaf, hard of hearing, or blind, or who have other sensory or manual impairments, have equal opportunity to participate in our services, activities, programs and other benefits. Our policy is intended to ensure effective communication with patients/clients involving their medical conditions, treatment, services and benefits. The procedures also apply to, among other types of communication, communication of information contained in important documents, including waivers of rights, consent to treatment forms, financial and insurance benefits forms. All necessary auxiliary aids and services shall be provided without cost to the person being served.