Notice of Privacy Practices
Effective Date: August 2025
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice of Privacy Practices explains how your protected health information (PHI) may be used and shared for treatment, payment, health care operations, and other purposes permitted or required by law. It also outlines your rights regarding your health information and how you may exercise those rights.
Our Commitment to Protecting Your Privacy
We are legally required to safeguard your protected health information, provide you with this notice explaining our legal responsibilities and privacy practices, and follow the terms of the notice currently in effect.
How We May Use and Disclose Your Protected Health Information
The following sections describe the different ways we may use and disclose your PHI. Each category includes an explanation and an example. Not every possible use or disclosure is listed.
For Treatment
We may use or share your PHI to provide, coordinate, or manage your health care services. For example, we may share information with physicians, nurses, therapists, or other health care professionals involved in your care.
For Payment
We may use and disclose your PHI to bill and collect payment for services provided. For instance, we may share necessary information with your insurance provider to obtain reimbursement.
For Health Care Operations
We may use and disclose your PHI to support our business operations and ensure quality care. This may include reviewing services, evaluating staff performance, conducting internal audits, and improving patient care processes.
Uses and Disclosures That Do Not Require Your Authorization
We may use or disclose your PHI without your written permission in the following situations:
- As Required by Law: When federal, state, or local laws mandate disclosure.
- Public Health Activities: To public health authorities to prevent or control disease, injury, or disability.
- Health Oversight Activities: For audits, inspections, investigations, or licensing conducted by authorized agencies.
- Judicial or Administrative Proceedings: In response to a valid court order or legal process.
- Law Enforcement: For specific law enforcement purposes, such as locating a suspect, fugitive, witness, or missing person.
- To Prevent a Serious Threat: To reduce or prevent a serious risk to the health or safety of an individual or the public.
- Workers’ Compensation: As necessary to comply with workers’ compensation laws or similar programs.
Your Rights Regarding Your Health Information
You have the following rights concerning your protected health information:
- Right to Inspect and Obtain Copies: You may review and request a copy of your PHI.
- Right to Request Amendments: If you believe your information is incorrect or incomplete, you may request a correction.
- Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI.
- Right to Request Restrictions: You may ask us to limit how we use or disclose your PHI for treatment, payment, or health care operations.
- Right to Request Confidential Communications: You may request that we contact you in a specific way or at a specific location.
- Right to Receive a Paper Copy of This Notice: You may request a printed copy at any time.
Our Responsibilities
We are required to:
- Maintain the confidentiality of your protected health information.
- Provide you with this notice of our privacy practices and legal obligations.
- Follow the terms of this notice currently in effect.
- Notify you if we are unable to honor a requested restriction.
- Accommodate reasonable requests for confidential communication.
- Inform you of any significant changes to this notice and provide an updated version upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
Contact Information
If you have questions about this Notice of Privacy Practices, please contact:
- Booming Grace LLC
- Owings Mills, MD 21117
- Phone: 443-501-9366
- Email: info@boominggracellc.org