Privacy Policy & HIPAA Notice of Privacy Practices
Effective Date: 10/June/2025
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 COMMITMENT TO YOUR PRIVACY
At Superior Hospice, Inc., we understand that your health information is personal. We are committed to protecting the confidentiality of your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Minnesota state laws.
This Notice applies to all records of your care created or maintained by Superior Hospice, Inc. We are legally required to maintain the privacy of your PHI and to provide you with this notice outlining our legal duties, privacy practices, and your rights.
We reserve the right to update this notice at any time. Any changes will apply to all existing and future PHI in our possession. The most current version of this notice will be posted at our office and on our website at www.superiorhospice.net.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use or disclose your PHI without additional authorization for the following purposes:
Treatment – To provide and coordinate your care. For example, we may share information with your physician, therapists, or other healthcare providers involved in your care.
Payment – To bill for services and obtain payment from you, your insurance, Medicare/Medicaid, or other payers.
Healthcare Operations – To manage our operations, including quality assessment, staff training, licensing, and compliance monitoring.
Appointment Reminders – To remind you of scheduled visits or deliveries by phone, email, or text message.
Health-Related Services – To inform you of hospice-related or supportive services that may be of benefit to you.
Family and Friends Involved in Your Care – To share information with a family member or friend involved in your care or payment for care, unless you object.
As Required by Law – When required by federal, state, or local law.
SPECIAL USES AND DISCLOSURES
We may use or disclose your PHI in certain special circumstances, such as:
- Public Health (e.g., reporting abuse, communicable diseases, drug reactions)
- Health Oversight (e.g., audits, inspections, licensure)
- Legal Proceedings (e.g., court orders, subpoenas)
- Law Enforcement (e.g., investigation of a crime, reporting suspected abuse)
- Threats to Health or Safety (e.g., to prevent serious harm)
- Military and National Security (as required for armed forces or national security purposes)
- Correctional Institutions (if you are an inmate or under legal custody)
- Workers’ Compensation (for claims processing)
We will follow Minnesota state laws when they are more restrictive than federal law.
USES AND DISCLOSURES WITH YOUR AUTHORIZATION
We will obtain your written authorization for any use or disclosure not described in this notice, such as:
- Use of psychotherapy notes (if applicable)
- Marketing communications
- Sale of PHI
You may revoke your authorization in writing at any time. Revocation does not apply to disclosures already made under that authorization.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to:
- Request Confidential Communications – Ask us to contact you in a specific way (e.g., at home, not at work).
- Request Restrictions – Request limits on how we use or disclose your PHI.
- Inspect and Copy – Request access to your PHI. A reasonable fee may apply.
- Request Amendment – Ask us to correct your records if you believe they are inaccurate or incomplete.
- Receive an Accounting of Disclosures – Ask for a list of certain disclosures we’ve made of your PHI.
- Get a Paper Copy of This Notice – Request a printed version at any time.
To exercise these rights, please submit your request in writing to:
Privacy Officer
Superior Hospice, Inc.
800 Boone Avenue North, Suite 194
Golden Valley, MN 55427
Phone: 763-277-8777
COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care or result in retaliation.
To file a complaint with Superior Hospice, please send a written complaint to the Privacy Officer at the address above.
Contact Information For questions about this notice, or to exercise your privacy rights, please contact:
Privacy Officer
Superior Hospice, Inc.
800 Boone Avenue North, Suite 194
Golden Valley, MN 55427
Phone: 763-277-8777
Thank you for trusting Superior Hospice with your care.