To Obtain Payment. The Hospice may include your health information in invoices to collect payment from third parties for the care you receive from the Hospice. For example, the Hospice may be required by your health insurer or potential insurer to provide information regarding your health care status so that the insurer will reimburse you or the Hospice. The Hospice also may need to obtain prior approval from your insurer and may need to explain to the insurer your need for hospice care and the services that will be provided to you.
To Conduct Health Care Operations. The Hospice may use and disclose health information for health care operations in order to facilitate the function of the Hospice and as necessary to provide quality care to all of the Hospice's patients.
- Professional review and performance evaluation.
- Accreditation, certification, licensing or credentialing activities.
- Review and auditing, including compliance reviews, medical reviews, legal services and compliance programs.
- Business management and general administrative activities of the Hospice.
Example: Members of the Hospice staff, the risk or quality improvement staff, or members of the quality assurance team may use information in your health record to assess the care and outcomes in your case. We will use this information in an effort to continually improve the quality and effectiveness of the Hospice services we provide.
For Appointment Reminders The Hospice may use and disclose your health information to contact you as a reminder that you have an appointment for a home visit.
For Treatment Alternatives The Hospice may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.