Compliance

Notice of Privacy Practices

This document describes how medical information about you may be used and disclosed, your rights and how you can get access to this information. Please review carefully.


Health Integrated does not collect or use personally identifiable member information on this website.


Introduction. WE HAVE A LEGAL DUTY TO SAFEGUARD YOUR PROTECTED HEALTH INFORMATION. We are required by law to maintain the privacy of your PHI and to provide you with notice of our legal duties and privacy practices with respect to your PHI. This Notice of Privacy Practices describes how we may collect, use and disclose your PHI, and your rights concerning your PHI. With some exceptions, we will avoid using or disclosing any more of your health information than is necessary to accomplish the purpose of the use or disclosure. We are legally required to follow the privacy practices that are described in this document, which is currently in effect.


How We Obtain PHI. As a healthcare company, we engage in routine activities that result in receiving PHI from health care providers - such as physicians and hospitals – from your health plan through subcontracting services.


How We Use and Disclose Your PHI. We have the right to use and disclose health information for your treatment, to pay for your health care and to operate our business. For example, we may use or disclose your health information:


  • For Payment of services due us, to determine your coverage, and to process claims for health care services you receive, including for coordination benefits. For example, we may tell a doctor whether you are eligible for coverage and what percentage of the bill may be covered.
  • For Treatment. We may use or disclose health information to aid in your treatment or the coordination of your care. For example, we may disclose information to your physicians or hospitals to help them provide medical care to you.
  • For Health Care Operations. We may use or disclose health information as necessary to operate and manage our business activities related to providing and managing your health care coverage. For example, we might talk to your physician to suggest a case management special needs program that could help improve your health or we may analyze data to determine how we can improve our services.

The following describes the types of uses and disclosures of PHI that federal law permits us to make without your specific authorization:


  1. Organizations That Assist Us
  2. Public Health and Safety; Health Oversight
  3. Legal Process; Law Enforcement; Specialized Government Activities
  4. Research; Death; Organ Donation
  5. Workers' Compensation
  6. Required by Law

Additional Restrictions on Use and Disclosure. Certain federal and state laws may require special privacy protections that restrict the use and disclosure of certain health information, including highly confidential information about you. "Highly confidential information" may include confidential information under Federal laws governing alcohol and drug abuse information and genetic information as well as state laws that often protect the following types of information:


  1. HIV/AIDS
  2. Mental health
  3. Genetic tests
  4. Alcohol and drug abuse
  5. Sexually transmitted diseases and reproductive health information
  6. Child or adult abuse or neglect, including sexual assault

If none of the above reasons apply, we will not use or disclose your PHI without your written permission ("authorization"), or according to client contractual requirements. An authorization must be in writing. If you have given us an authorization, you may revoke it at any time, if we have not already acted on it. Where state or other federal laws offer you greater privacy protections, we will follow those more stringent requirements.


How We Protect PHI Within Our Organization. Health Integrated protects oral, written and electronic PHI throughout our organization. We do not sell PHI to anyone. We maintain physical, electronic and procedural safeguards in compliance with state and federal standards to guard your PHI. These measures include computer safeguards, secured files and buildings, and restrictions on who may access your personal information. Our policies and procedures address, for example, use of PHI by our employees. In addition, we train all employees about these policies and procedures. Our policies and procedures are evaluated and updated for compliance with applicable laws annually.


Your Individual Rights. The following is a summary of your rights with respect to your PHI:


Right of Access to PHI: You have the right to inspect and get a copy of most PHI your plan and Health Integrated have about you. Under certain circumstances, we may deny your request. If we do so, we will send you a written notice of denial describing the basis of our denial. We may charge a reasonable fee for the cost of producing and mailing the copies. Requests must be made in writing and reasonably describe the information you would like to inspect or copy.


Right to Opt-Out of Fundraising: You have the right to opt out of receiving such communications if you are contacted about activities related to fundraising efforts.


Right to Request Restrictions: You have the right to ask that we restrict uses or disclosures of your PHI to carry out treatment, payment and health care operations; and disclosures to family members or friends. We will consider your request(s). However, we are not required to agree to it. You may also request restrictions on disclosures for out-of-pocket payments.


Right to Receive Confidential Communications: You have the right to ask us to send communications of your PHI to you at an address of your choice or that we communicate with you in a certain way.


Right to Amend PHI: You have the right to have us amend most PHI we have about you. We may deny your request under certain circumstances. If we deny your request, we will send you a written notice of denial.


Right to Receive an Accounting of Disclosures: You have the right to a written accounting of the disclosures of your PHI that we made in the last ten years prior to the date you request the accounting. However, except as otherwise provided by law, this right does not apply to:


  1. Disclosures we made for treatment, payment or health care operations;
  2. Disclosures made to you or people you have designated;
  3. Disclosures you or your personal representative have authorized;
  4. Disclosures made before April 14, 2003; and
  5. Certain other disclosures, such as disclosures for national security purposes. If you request an accounting more than once in a 12-month period, we may charge you a reasonable fee.
  6. All requests for an accounting of disclosures must be made in writing to your health plan.

Right to be Notified: You have the right to be notified following a breach of your unsecured protected health information.


Right to this Document: You have a right to receive a paper copy of this document from us upon request.


How to Exercise Your Rights: To exercise any of the individual rights described above or if you if you think your privacy rights have been violated, please call a member services coordinator at 1-877-267-7577 or write to:

Health Integrated
10008 North Dale Mabry Hwy.
Tampa FL, 33618
Attn: HIPAA Compliance Officer


You also have a right to complain to the Secretary of Health and Human Services. We will not retaliate against you for filing a complaint.


Effective Date of Patient Bill of Rights: This document takes effect April 14, 2003. We must follow the privacy practices described in this document while it is in effect. This document will remain in effect until we change it. This document replaces any other information you have previously received from us with respect to privacy of your medical information. We reserve the right to change the terms of this document at any time in the future and make the new document effective for all PHI that we maintain. The revised notice will be made available to individuals upon request.


CODE OF CONDUCT

A Message from the Chief Executive Officer


At Health Integrated, we are committed to an absolute standard of the highest ethical behavior and unquestionable integrity in all of our financial and business activities. As employees, vendors, or subcontractors of this company, you provide the ethical foundation upon which the success of this company is known.


To further promote our company core values of ethical business practices, we have developed a Code of Conduct (the “Code”) to outline our ethical and legal obligations. This program sets forth guidelines of professional conduct and will provide assistance should you have questions or doubts if ethical situations arise. It is not intended as a substitute for legal advice concerning compliance with applicable laws. You may always direct your questions to the Compliance Officer or the Hotline.


The health care industry continues to be a highly competitive environment, and the pressure to perform is intense and relentless. Results are always important, but how we achieve those results is equally important. We must always conduct ourselves with the highest degree of ethical standards.


In doing so, we not only protect the rights of all our customers and their members, we also protect our reputation as a leader in medical management services.


The Code is an important tool for preserving our corporate culture and core values. Your knowledge and support of the guidelines outlined in the Code will further advance Health Integrated’s position in the market place. I join with you to continue building upon the foundation that many dedicated employees have created for our great company.


Zac Fritz, Chief Executive Officer


STANDARDS OF CONDUCT

The following Standards of Conduct apply to all Health Integrated Employees (including officers, permanent and temporary employees), and Associates (including the Board of Directors, consultants, independent contractors and FDRs (first tier, downstream and related entities as defined by CMS).


While the specific provisions of the Standards of Conduct cannot address every circumstance you may encounter, they underscore the basic Standards of Conduct that should guide all of our activities: good judgment, personal honesty and sound business ethics.


This Code sets forth general standards applicable to all business and operations. In addition, there are a number of more detailed and specific policies covering particular departments or subject matters. A current set of such policies is available for review by all Employees on the Health Integrated Intranet. Health Integrated will communicate applicable policies to Associates who are particularly affected by and who must comply with them in the course of the Health Integrated’s business.


  1. Health Integrated will operate its business in full compliance with applicable state and federal laws. Achieving business results by illegal acts or unethical conduct is not acceptable. Employees and Associates shall act in compliance with the requirements of applicable law and this Code, and in a sound ethical manner when conducting business operations.
  2. Health Integrated will follow all necessary procedures to protect employees and associates against any retaliation or retribution for exercising their rights to report compliance concerns or participating in any process pursuant to policies, applicable law or regulation.
  3. Employees and Associates are responsible for acquiring sufficient knowledge to recognize potential compliance issues applicable to their duties and for appropriately seeking advice regarding such issues.
  4. No Employee or Associate may offer or give any bribe, payment, gift, or thing of value to any person or entity with whom Health Integrated has or is seeking any business or regulatory relationship except for gifts of a nominal value which are legal and given in the ordinary course of business.
  5. No Employee or Associate may directly or indirectly authorize, pay, promise, deliver, or solicit any payment, gratuity, or favor for the purpose of influencing any political official or government employee in the course of that person's responsibilities.
  6. All Employees and Associates shall be completely honest in all dealings with Health Integrated customers, government agencies and representatives. No misrepresentations shall be made, and no false bills or requests for payment or other documents shall be submitted directly or indirectly to government agencies or representatives. Individuals certifying the correctness of records submitted to government agencies, including bills or requests for payment, shall have knowledge that the information is accurate, complete, and truthful before giving such certification.
  7. Employees and Associates shall not accept any bribe, payment, gift, item, or thing of more than a nominal value from any person or entity with which Health Integrated has or is seeking any business or regulatory relationship.
  8. Employees and Associates shall not engage in any financial, business, or other activity which competes with Health Integrated’s business, which may interfere or appear to interfere with the performance of their duties, or that involve the use of Health Integrated property, facilities, or resources, except to the extent consistent with Health Integrated policies.
  9. Employees and Associates shall maintain the confidentiality of Health Integrated’s business information and of information relating to Health Integrated’s customers, vendors, providers, and persons covered by any of Health Integrated’s products/services. Employees and Associates shall not use any such confidential or proprietary information except as is appropriate for business.
  10. Employees and Associates are responsible for ensuring that the work environment is free of discrimination or harassment due to age, race, gender, color, religion, national origin, disability, sexual orientation, or covered veteran status. Any form of sexual harassment, including the creation of a hostile working environment, is completely prohibited.
  11. Health Integrated provides information about the Code of Conduct and Standards of Conduct on its website. This information is located at the following: http://www.healthintegrated.com/compliance

Marketing and Advertising Disclosures

  • Health Integrated markets our products and services directly to clients.  We do not advertise, market or promote products or services to client members or practitioners.
  • Health Integrated does not have any financial ownership relationships between it and other organizations that may be engaged in marketing, advertising or the provision of goods and services offered through Health Integrated.