To provide information to state or federal public health authorities, as required by law to: prevent or control disease, injury, or disability report births and deaths report child abuse or neglect report reactions to medications or problems with products notify persons of recalls of products they may be suing notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition and notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence (if you agree or when required or authorized by law).Where the use or disclosure of medical information about you is required by federal, state, or local law.Where we are required by law to provide treatment and we are unable to obtain consent.Where substantial barriers to communicating with you exist and we determine that the consent is clearly inferred from the circumstances.In emergency treatment situations, if we attempt to obtain consent as soon as practicable after treatment.We are permitted to use or disclose information about you without consent or authorization in the following circumstances: For example, our agency periodically holds clinical record review meetings where the consulting professional of our record review committee will audit clinical record for meeting professional standards and utilization review. Health Care Operations: General agency administrative and business functions quality assurance/improvement activities medical review auditing functions developing clinical guidelines determining the competence or qualifications of health care professionals evaluating agency performance conducting training programs with students or new employees licensing, survey, certification, accreditation, and credentialing activities internal auditing and certain fundraising and marketing activities.For example, occasionally the insurance requests a copy of the medical record be sent to them for review prior to paying the bill. Payment: Billing and collecting for services provided, determining plan eligibility and coverage, utilization review (UR), pre-certification, medical necessity review. For example, we meet on a regular basis to discuss how to coordinate care to patients and schedule visits. Treatment: Providing, coordinating, or managing health care and related services consultation between health care providers relating to a patient or referral of a patient for health care from one provider to another.Examples of information that must be disclosed: As our patient, information about you must be used and disclosed to other parties for purposes of treatment, payment, and health care operations.
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