Phoenix Recovery Services LLC
1601 College Way, Mount Vernon, WA 98273
360-848-8437 Toll Free 1-800-840-1583 FAX 360-848-5250
Information regarding your healthcare, including payments for healthcare, is protected by two federal laws: The Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42CFR through 45CFR Parts 160 & 164 and the Confidentiality Law, 42CFR 290 dd-2, 42CFR Part 2. Under these laws, Phoenix Recovery Services LLC (PRS) may not disclose to anyone your protected healthcare information except as permitted by federal law. PRS must obtain your written consent before disclosing any of your healthcare records. However, federal law permits PRS to disclose information without your written permission in the following conditions:
You have the right to request that communication with you is by alternative means or at an alternative location. PRS will accommodate such requests that are reasonable and will not request an explanation from you. Under the HIPAA law, you also have the right to inspect a copy of your healthcare information maintained by PRS, except in the case whereby information is intended for use in a civil, criminal or administrative proceeding or in other limited circumstances. In addition, you have the right, with some exceptions, to amend your record at PRS, and to request an accounting of disclosures of your health-related information made by PRS during the six years prior to your request. You also have the right to receive a paper copy of this notice.
Phoenix Recovery Services LLC and its employees, interns, and/or volunteers collect data through a variety of means including but not necessarily limited to letters, phone calls, emails, voice mails, and from the submission of applications that is either required by law, or necessary to process applications or other requests for assistance through our organization.
Information about your financial situation and medical condition(s) and care that you provide to us in writing, via email, on the phone (including information left on voice mails), contained in or attached to applications, or directly or indirectly given to us, is held in strictest confidence.
We do not give out, exchange, barter, rent, sell, lend, or disseminate any information about clients who apply for or actually receive PRS services, which is considered patient confidential, is restricted by law, or has been specifically restricted by a patient/client in a signed HIPAA consent form.
If you apply or attempt to apply to receive healthcare through us and provide information with the intent or purpose of fraud or that results in either an actual crime of fraud for any reason including willful or un-willful acts of negligence whether intended or not, or in any way demonstrates or indicates attempted fraud, your non-medical information can be given to legal authorities including police, investigators, courts, and/or attorneys or other legal professionals, as well as any other information as permitted by law.
Information is only used as is reasonably necessary to process your application or to provide you with healthcare or counseling services which may require communication between Phoenix Recovery Services and other healthcare providers to verify your medical information is accurate and current; for coordination of healthcare; and lastly, insurance companies for payment for services provided to you.
PRS is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. PRS is required by law to abide by the terms of this notice and to make new notice provisions effective for all protected health information it maintains. A revised notice will be made available in the reception area, and a copy will be provided to each individual who receives treatment from PRS.
You may complain to the Privacy Officer at Phoenix Recovery Services LLC, and the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated under the HIPAA law. Should you want to file a complaint, please contact Sandy Brown, 360-848-8437 ext. 313. You may also call the toll free number, 1-800-840-1583 and ask for Sandy Brown. You will not be retaliated against for filing a complaint. Violation of the Confidentiality Law by a program is considered a crime. Suspected violations of the Confidentiality Law may be reported to the United States Attorney in the district where the violation occurs.
For further information, please contact Sandy Brown, 360-848-8437 ext. 313 or call 1-800-840-1583 and ask for Sandy Brown.
Effective Date: December 15, 2016