Page 19 - Home Health Marketing

Home Health Agency (HHA)
Outcome and Assessment Information Set (OASIS)

Statement of Patient Privacy Rights (Medicare/Medicaid)

As a home health patient, you have these privacy rights:
 You have the right to know why we need to ask you questions.
We’re required by law to collect health information to make sure you get quality health care, and that
payment for Medicare and Medicaid patients is correct.
 You have the right to have your personal health care information kept confidential.
We may ask you to tell us information about yourself so that we’ll know which home health services
will be best for you. We keep anything we learn about you confidential.
This means only those legally authorized or with a medical need to know will see your personal health information.
 You have the right to refuse to answer questions.
We may need your help to collect your health information.
If you choose not to answer, we’ll fill in the information as best we can. You don’t have to answer
every question to get services.
 You have the right to look at your personal health information.
It’s important that the information we collect about you is correct. If you think we made a mistake, ask
us to correct it.
If you’re not satisfied with our response, you can ask the Centers for Medicare & Medicaid Services (the
federal Medicare and Medicaid agency) to see, review, copy or correct your personal health information.
See the Privacy Act Statement for more details about your privacy rights.

Need to correct your personal information?
To see, review, copy, or correct your personal health information in federal records call
1-800-MEDICARE (1-800-633-4227) for help contacting the HHA OASIS System Manager.
TTY users call 1-877-486-2048.

NOTICE ABOUT PRIVACY
For Patients Who Do Not Have Medicare or Medicaid Coverage

 As a home health patient, there are a few things that you need to know about our
collection of your personal health care information.
— Federal and State governments oversee home health care to be sure that we furnish quality home
health care services, and that you, in particular, get quality home health care services.
— We need to ask you questions because we are required by law to collect health information to make
sure that you get quality health care services.
— We will make your information anonymous. That way, the Centers for Medicare & Medicaid
Services, the federal agency that oversees this home health agency, cannot know that the
information is about you.
 We keep anything we learn about you confidential.

This is a Medicare & Medicaid Approved Notice.

15