Notice of Privacy Practices

Page 3

For treatment

According to applicable law, "treatment" means the provision, coordination and management of healthcare services, including consultation between healthcare providers and others relating to persons whom we may examine or become engaged in consultation. Since this definition appears to describe our services, we wish to inform potential consumers that NANpc does not provide psychological treatment or intervention in the traditional sense except under unusual circumstances. NANpc offers neuropsychological and psychological examination and consultation services for clinical-medical, legal and administrative purposes. Psychotherapy, counseling, cognitive rehabilitation and other psychological and neurobehavioral treatment modalities and interventions are not provided. There are no "on-call" doctors for emergency or urgent consultations. No "doctor-patient" treatment relationship is implied or offered. Our primary purpose is to provide neuropsychological examinations and consultations to examinees and referring parties. NANpc does not assume the role of a primary care or treating doctor with any of our examinees. We also do not prescribe or manage medications.

We may disclose your PHI  to others who provide treatment to you. We are likely to share your information with your referring doctor, attorney or other referral source.

If you are being treated by a team we can share some of your PHI with them so that the services you receive will be coordinated. We may refer you to other professionals or consultants for specialized services that we cannot offer. When we do this, we need to tell them some things about you and your conditions. We will obtain the records of some of your treating healthcare providers and others and that information will become part of your record.

For payment

We may use your information to bill you or others in order to be paid for the services we provide. Please be advised that advance payment is required for all services unless alternate arrangements are made prior to scheduling your appointment(s) and guaranteeing the dates of service. Third party payers are usually given copies of examination reports including history and diagnostic information. They may need dates of service, service location information and so forth. NANpc will only assist you in billing insurance companies. Any questions that you may have about insurance coverage, deductibles, and covered services should be addressed by you with your insurer. NANpc is not a Medicare provider and special forms must be read and signed by Medicare beneficiaries  who desire us to provide services outside of Medicare reimbursement.

For health care operations

We must use your PHI to compile statistics about our practice, to monitor our performance, or for research purposes. We may be required to supply some information to government health agencies or others so they can study disorders and make plans for service provisions. If we do, your name and identity will be removed from what we send.

1b. Other uses in health care

We may use and disclose medical information to schedule and reschedule or remind you of appointments for examinations and/or consultation services. For IME's and some other types of legal or administrative examinations, we may be required to provide information to allow another party to schedule and reschedule your appointment(s). We may use and disclose your PHI to tell you about or recommend certain treatments or alternatives that may of interest to you. We may also use and disclose your PHI to tell you about health-related benefits or services that may be of interest to you.

NANpc is involved in clinical research activities from time to time. We may use or share your information to do research. In all cases, your name, address, and other information that reveals who you are will be removed from the research information and will not be available to third party research consultants.