The HIPAA Privacy Standards

The United States Department of Health and Human Services has adopted privacy standards – the “HIPAA Privacy Standards” – which protect your health information. The HIPAA Privacy Standards establish rules for healthcare providers and billing agents, such as NCDS Medical Billing, may use or disclose your health information. Activities that are not permitted under HIPAA will require your written authorization.

How NCDS Medical Billing may use or disclose your health information

The HIPAA Privacy Standards allow us to use and disclose your health information, without your authorization, to perform the activities listed below in our role as a medical billing service and management company.

Payment: We are permitted to use and disclose your health information to receive payments for our services. For example, we may:

  • Contact your health plan or its agents to check your co-payment amount
  • Check to see if specific treatments are covered under your plan
  • Provide your health plan or its agents with the health information they need to pay our client for the services they provided.

Healthcare operations: We are permitted to use and disclose your health information for the general administrative and business activities necessary for us to operate as a medical management company. For example, we may:

  • Review and evaluate the performance of our clients
  • Conduct audits and compliance programs
  • Collect medical history and treatment information from y
  • Provide customer service
  • Review and resolve grievances