HIPAA Notice of Privacy Practices (NPP) Privacy Policy


To Patients of Our Clients - Notice of Privacy Practices

This Notice is effective as of April 6, 2017

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Responsibilities

Alpha II, LLC is dedicated to protecting the privacy of the individuals on the medical healthcare claims we process. We call this information Protected Health Information or “PHI.” We are required by law to maintain the privacy of this protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to protected health information. Our business is required by law to abide by the terms of this Notice of Privacy Practices.

This Notice of Privacy Practices describes how we may use and disclose your protected health information to scrub claims used to process payments for our clients and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. Protected health information is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health condition and related health care services.

We may change the terms of our Notice at any time. The new Notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices. To request a revised Notice, you may call either our Tallahassee or Montgomery office and request that a revised copy be sent to you in the mail, or you may request a digital copy via email.

How We May Use and Disclose Protected Health Information (PHI)

Alpha II is not the System of Record (SOR) for your PHI; we do not create or modify PHI. We never talk with patients; we don’t deal with members or patients; we only receive and report on claims scrubbed, and we don’t translate any information. However, we may use and/or disclose PHI from your health care provider as permitted by federal and state privacy laws and regulations for the following purposes.

NOTE: Other uses and disclosures not described in this notice will only be made with your individual written authorization which can later be revoked by you.

Claim Payment Processing

We may use and disclose PHI to support our normal business functions that enable us to provide claims scrubbing services to our clients as part of their claim payment processing. These functions may include but are not limited to scrubbing healthcare claims, business management and general administrative activities. We may also disclose PHI to non-affiliated third parties where allowed by law (and as necessary) to help us fulfill our obligations to your health care provider.

Assist Your Health Care Provider

We may use and disclose your PHI to assist your health care provider in connection with payment processing activities. For example, we may disclose your PHI when needed by your health care professional to determine a coding error on a claim for payment.

Business Associates

We may contract with individuals and entities (called business associates) to perform various functions on our behalf. To perform these functions or services, business associates may receive, create, maintain, use or disclose your PHI, but only after they have agreed, in writing, to safeguard your PHI.

How We May Use and Disclose Protected Health Information (PHI) (Continued)

Legal Proceedings

We may disclose your PHI in the course of certain judicial or administrative proceedings.

Law Enforcement

We may disclose your PHI for law enforcement purposes of other specialized governmental functions.

Your Rights Regarding Your Medical Information

You have the following rights with respect to your medical information:

  • You may ask us to restrict certain uses and disclosures of your protected health information. Alpha II is not required to agree to any restriction except in case of a disclosure restricted under Federal Law 164.522(a)(1)(vi), but if we do, we will honor it. NOTE: Alpha II does not create or modify PHI and Alpha II is not a health care provider; we only scrub claims. We are not a Covered Entity in that case.
  • You have the right to be assured that your information will be kept confidential. Alpha II does not divulge personal health information to anyone outside of normal business claim processing operations or outside of required legal proceedings (i.e., in the course of judicial or administrative proceedings) or law enforcement purposes for specialized governmental functions.
  • You have the right to inspect and receive a copy of your protected health information from our clients that provide your personal care service. Generally, you may inspect and copy your medical information processed by Alpha II through your health care provider.
  • You have the right to amend your protected health information through your personal health care provider.
  • You have the right to receive an accounting of the disclosures of your medical information made by our operations during the last six years, except for disclosures which you authorized and certain other specific disclosure types.
  • You may request a paper or digital copy of this Notice of Privacy Practices for Protected Health Information.
  • You have the right to complain to us and/or to the United States Department of Health and Human Services if you believe that we have violated your privacy rights. If you choose to file a complaint, you will not be retaliated against in any way. To complain to us, please contact our Compliance Officer at the address and phone number at the top of this Notice.
  • Citizens of Switzerland, you have the right to view and correct your PHI if we have it in our possession.

If you would like further information regarding your rights or regarding the uses and disclosures of your medical information, you may contact our Compliance Officer at the address and phone number on the back of this notice.

Revision of Notice of Privacy Practices

We reserve the right to change the terms of this Notice, making any revision applicable to all the protected health information we maintain. If we revise the terms of this Notice, we will post a revised Notice at our office and will make paper or digital copies of the revised Notice of Privacy Practices available upon request.

References

“Standards for the Privacy of Individually Identifiable Health Information; Final Rule.” 45 CFR Parts 160 through 164. Federal Register, Vol. 65, No. 250 (December 28, 2000).

“Standards for the Privacy of Individually Identifiable Health Information; Final Rule.” 45 CFR Parts 160 through 164. Federal Register, Vol. 67, No. 157 (August 14, 2002)

“Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules Under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules; Final Rule.” 45 CFR Parts 160 and 164. Federal Register, Vol. 78, No. 17 (January 25, 2013 – Part II)

ALPHA II, LLC
2074 Summit Lake Drive
Tallahassee, FL 32317-7947
7480 Halcyon Pointe Dr., STE 204
Montgomery, AL 36117
Phone:
Florida - 850-668-3922
Alabama - 334-260-2150