NOTICE OF PRIVACY PRACTICES

This notice describes how psychological and clinical health care information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

The information All Things New Counseling Services, LLC (hereafter referred to as “ATN”) collects about you and places in your healthcare record is referred to by law as Protected Health Information (PHI). ATN is required by law to maintain the privacy of your PHI and to provide you with this notice of their legal duties and privacy practices. In order to provide care to you ATN needs to collect, use and, in some cases, share health information you provide, which requires your consent. Therefore, you must sign consent for treatment before you ATN can treat you.

How Your PHI May be Used or Disclosed

ATN may use or disclose your PHI for treatment, payment, and healthcare operations (TPO).

Treatment is when we provide, coordinate, or manage your mental health care and related services.  An example would be when your counselor consults with another health care provider, such as your family physician or another counselor.

Payment is when ATN is reimbursed for services provided to you. Examples of payment related disclosures are when information is disclosed to your health insurer for the purposes of reimbursement or to determine eligibility or coverage.

Healthcare Operations are activities that relate to the operation of ATN’s office practices. Examples are quality assessment and improvement activities, business related matters such as audits and administrative services, and case management, scheduling and care coordination.

Uses/Disclosures Requiring Authorization ATN may disclose PHI for purposes outside of regular treatment, payment, or health care operation only when you sign a specific authorization for that purpose.  An “authorization” is written permission above and beyond the general consent that permits the normal PHI disclosures.  An example would be if one of your family members wanted to know about your treatment.

You may revoke such authorizations for disclosures at any time, but it must be done in writing. You may not revoke an authorization to the extent that (1) ATN has already followed through on the action you authorized;or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

Uses / Disclosures Requiring Neither Consent nor Authorization

In the following circumstances ATN is required by law to use / disclose your PHI whether or not you have granted consent or authorization:

Child Abuse/Neglect - If ATN has reasonable cause to believe a child under the age of 18 has been abused / neglected, ATN must report this to the appropriate authorities.

Adult/Domestic Abuse- If ATN has reasonable cause to believe that a disabled adult or elderly person has had a physical injury or injuries inflicted upon them, other than by accidental means, or has been neglected or exploited, ATN must report that concern to the appropriate authorities.

Serious Threat to Health or Safety- If ATN has reasonable cause, or pursuant of the standards of their profession would determine, that you present a serious danger of violence to yourself or someone else, ATN must disclose information in order to provide protection against such danger for you or the intended victim.

Judicial / Administrative Proceedings- If you are involved in a court proceeding and a request is made about professional services you received from ATN, or the records thereof, such information is privileged under state law, and ATN will not release information without your written consent. The privilege does not apply when you are being evaluated for a third party or where the evaluation is court ordered. 

Worker’s Compensation- ATN may disclose your PHI as authorized by and to the extent necessary to comply with laws relating to worker’s compensation or other similar programs, established by law, that provide benefits for work-related injuries or illness without regard to fault.

Complaint/Lawsuit Filed against a Therapist- If you file a complaint or lawsuit against All Things New Counseling Services, LLC or J. Kristin McIntyre, MS, LPC, NCC, your  PHI may be disclosed for the purpose of defense.

Health Oversight Activities- ATN may disclose your PHI regarding to a health oversight agency for oversight activities authorized by law, including licensure and disciplinary activities.  Examples would be to the Missouri State Committee of Licensed Professional Counselors.

Collection of Fees- If a bill for fees incurred becomes neglected, the law allows for use of a collection agency if necessary.

Your Rights:

Right to Request Restrictions- You have the right to request restrictions on certain uses and disclosures of PHI. However, ATN is not required to agree to a restriction you request.

Right to Receive Confidential Communications- You have the right to request and receive confidential communications of PHI in a particular way or at a certain place which is more private for you. For example, you can request that no messages be left at specific phone numbers.

Right to Inspect and Copy- You have the right to look at and/or obtain a copy of your PHI for as long as your PHI is maintained in the record. ATN may deny your access to PHI under certain circumstances, but in some cases you may have this decision reviewed.    If you desire copies, ATN will charge a fee for costs associated with your request including the cost of copies, mailing or other supplies in accordance with Federal and/or State regulations

Right to Amend-You have the right to request an amendment of your PHI by submitting your request to ATN in writing. You must state the reasons you want the make the changes. Your request may be denied.

Right to an Accounting of Disclosures- You generally have the right to receive an accounting of the disclosures of your PHI. 

All Things New Counseling Service Duties-

ATN is required by law to maintain the privacy of PHI and to provide you with a notice of ATN’s legal duties and privacy practices with respect to PHI.

ATN reserves the right to change the privacy policies and practices described in this notice.  Unless ATN notifies you of such changes, however, ATN is required to abide by the terms currently in effect. A copy of any updated versions of this Notice will be provided to you at your request.

Right to File a Complaint- If you are concerned that ATN has violated your privacy rights, or you disagree with a decision made about your access to records, you may contact J. Kristin McIntyre, MS, LPC, NCC at 417-848-5574.

You may also send a written complaint to the Secretary of the U.S. Department of Health and Human Services. Information about filing such a complaint can be found online at: www.hhs.gov/ocr/privacyhowtofile.htm.  Please note that you will not receive retaliation for filing a complaint with eitherATN or the U.S. Department of Health and Human Services.

Changes to Privacy Practices- Privacy practices may be updated from time to time to comply with federal law and state laws. An updated Notice may be requested at any time from ATN. 

The effective date of this notice is March 1, 2000. A revision of text (but not general content) was made to this notice on January, 21, 2016