Policies
Cancellation Policy
A $45 fee will be charged for cancellations with less than 12-hour advance notice.
Price of service will be charged for no-shows and cancellations less than 12 hours prior to service.
Website Use Disclaimer
Acupuncture by Andrea, LLC. maintains this website as a health information resource for educational and informational purposes. It is not provided as a professional service or as medical advice for specific conditions, but rather provides general information about certain health and medical conditions. It is not a substitute for professional medical advice. If you have, or suspect you may have, a health condition, you should consult your health care provider for specific medical advice.
This website provides links to other resources that we make available simply as a convenience to our users. We do not control or endorse any such other sites, or any products or services sold on such other sites and disclaim any responsibility for the content of such third-party sites. Any reference to specific products or services on such other sites does not constitute or imply recommendation or endorsement by Acupuncture by Andrea, LLC. Users of this site assume full responsibility for their use of the information obtained from this site, and understand and agree that Acupuncture by Andrea, LLC is not responsible or liable for any claim, loss or damage arising from the use of the information.
Acupuncture Policy
I do not offer to diagnose or treat any disease or condition other than the quality, quantity and balance of Qi. However, if during the course of an acupuncture examination I encounter non-acupuncture or unusual findings, I will advise you. If you desire advice, diagnosis or treatments of those findings, I will recommend that you seek the services of a health care provider qualified to treat those problems. The ONLY practice objective is to detect and correct imbalances within Meridian pathways using Acupuncture and Chinese medical techniques.
Massage Policy
Massage is provided for the basic purpose of relaxation and relief of muscular tension. Massage should not be construed as a substitute for medical examination, diagnosis, or treatment and that a physician, chiropractor, or other qualified medical specialist should be obtained for any mental or physical ailment. Massage therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness. I should be updated as to any changes in a client’s medical profile maintain no liability should you fail to do so.
Acupuncture by Andrea, LLC. may use your health information, that is, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA“), for purposes of making or obtaining payment for your care and conducting health care operations. Acupuncture by Andrea, LLC has established a policy to guard against unnecessary disclosure of your health information.
Generally, we may not use or disclose your Health Information without your permission. Further, once your permission has been obtained, we must use or disclose your health information in accordance with specific terms of that permission.
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED:
To Make or Obtain Payment. Acupuncture by Andrea, LLC may use or disclose your health information to make payment to or collect payment from third parties, such as
other health plans or providers, for the care you receive.
To Conduct Health Care Operations. Acupuncture by Andrea, LLC may use or disclose health information for its own operations to facilitate the administration of Acupuncture by Andrea, LLC and as necessary to provide coverage and services to all of Acupuncture by Andrea, LLC’s participants.
Health care operations includes such activities as:
Quality assessment and improvement activities.
Activities designed to improve health or reduce health care costs.
Clinical guideline and protocol development, case management and care coordination.
Contacting health care providers and participants with information about treatment alternatives and other related functions.
Health care professional competence or qualifications review and performance evaluation.
Accreditation, certification, licensing or credentialing activities. g) Underwriting, premium rating or related functions to create, renew or replace health insurance or health benefits.
Review and auditing, including compliance reviews, medical reviews, legal services and compliance programs.
Business planning and development including cost management and planning related analyses and formulary development.
Business management and general administrative activities of Acupuncture by Andrea, LLC, including customer service and resolution of internal grievances. For example, Acupuncture by Andrea, LLC may use your health information to conduct case management, quality improvement and utilization review, and provider credentialing activities or to engage in customer service and grievance resolution activities.
For Treatment Alternatives. Acupuncture by Andrea, LLC may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
For Distribution of Health-Related Benefits and Services. Acupuncture by Andrea, LLC may use or disclose your health information to provide to you information on health-related benefits and services that may be of interest to you.
To Individuals Involved in Your Care or Payment for Your Care. Acupuncture by Andrea, LLC may release medical information about you to a friend or family member who is involved in your medical care. Acupuncture by Andrea, LLC may also give information to someone who helps pay for your care. In addition, Acupuncture by Andrea, LLC may disclose medical information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status, and location.
For Appointment Reminders. Acupuncture by Andrea, LLC may use your health information to contact you as a reminder that you have an appointment for treatment or medical care at this office.
When Legally Required. Acupuncture by Andrea, LLC will disclose your health information when it is required to do so by any federal, state or local law.
To Conduct Health Oversight Activities. Acupuncture by Andrea, LLC may disclose your health information to a health oversight agency for authorized activities including audits, civil administrative or criminal investigations, inspections, licensure or disciplinary action. Acupuncture by Andrea, LLC, however, may not disclose your health information if you are the subject of an investigation and the investigation does not arise out of or is not directly related to your receipt of health care or public benefits.
In Connection With Judicial and Administrative Proceedings. As permitted or required by state law, Acupuncture by Andrea, LLC may disclose your health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process, but only when Acupuncture by Andrea, LLC makes reasonable efforts to either notify you about the request or to obtain an order protecting your health information.
For Law Enforcement Purposes. As permitted or required by state law, Acupuncture by Andrea, LLC may disclose your health information to a law enforcement official for certain law enforcement purposes, including, but not limited to, if Acupuncture by Andrea, LLC has a suspicion that your death was the result of criminal conduct or in an emergency to report a crime.
In the Event of a Serious Threat to Health or Safety. Acupuncture by Andrea, LLC may, consistent with applicable law and ethical standards of conduct, disclose your health information if Acupuncture by Andrea, LLC, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health and safety of the public.
For Specified Government Functions. In certain circumstances, federal regulations require Acupuncture by Andrea, LLC to use or disclose your health information to facilitate specified government functions related to the military and veterans, national security and intelligence activities, protective services for the president and others, and correctional institutions and inmates.
For Workers’ Compensation. Acupuncture by Andrea, LLC may release your health information to the extent necessary to comply with laws related to workers’ compensation or similar programs.
Authorization to Use or Disclose Health Information. Other than as stated above, Acupuncture by Andrea, LLC will not disclose your health information other than with your written authorization. If you authorize Acupuncture by Andrea, LLC to use or disclose your health information, you may revoke that authorization in writing at any time.
YOU HAVE THE FOLLOWING RIGHTS REGARDING YOUR HEALTH INFORMATION THAT ACUPUNCTURE BY ANDREA, LLC MAINTAINS:
Right to Request Restrictions. You may request restrictions on certain uses and disclosures of your health information. You have the right to request a limit on Acupuncture by Andrea, LLC’s disclosure of your health information to someone involved in the payment of your care. However, Acupuncture by Andrea, LLC is not required to agree to your request. If you wish to make a request for restrictions, please make your request in writing to Acupuncture by Andrea, LLC owner, Amber L. Hollis (see contact info below).
Right to Receive Confidential Communications. You have the right to request that Acupuncture by Andrea, LLC communicate with you in a certain way if you feel the disclosure of your health information could endanger you. For example, you may ask that Acupuncture by Andrea, LLC only communicate with you at a certain telephone number or by email. If you wish to receive confidential communications, please make your request in writing to Acupuncture by Andrea, LLC owner. Acupuncture by Andrea, LLC will attempt to honor your reasonable requests for confidential communications.
Right to Inspect and Copy Your Health Information. You have the right to inspect and copy your health information. A request to inspect and copy records containing your health information must be made in writing to Acupuncture by Andrea, LLC owner. If you request a copy of your health information, Acupuncture by Andrea, LLC may charge a reasonable fee for copying, assembling costs and postage, if applicable, associated with your request.
Right to Amend Your Health Information. If you believe that your health information records are inaccurate or incomplete, you may request that Acupuncture by Andrea, LLC amend the records. That request may be made as long as the information is maintained by Acupuncture by Andrea, LLC. A request for an amendment of records must be made in writing to Acupuncture by Andrea, LLC owner. Acupuncture by Andrea, LLC may deny the request if it does not include a reason to support the amendment. The request also may be denied if your health information records were not created by Acupuncture by Andrea, LLC, if the health information you are requesting to amend is not part of Acupuncture by Andrea, LLC’s records, if the health information you wish to amend falls within an exception to the health information you are permitted to
inspect and copy, or if Acupuncture by Andrea, LLC determines the records containing your health information are accurate and complete.
Right to a Paper Copy of this Notice. You have a right to request and receive a paper copy of this Notice at any time, even if you have received this Notice previously or agreed to receive the Notice electronically. To obtain a paper copy, please contact the clinic.
Revisions to This Notice. We reserve the right to revise or amend This Notice at any time. Any revised Notice will be effective for medical information we already have about you, as well as any information we receive in the future. We will post a copy of any revised Notice in the clinic. In addition, each time you visit the clinic we will make a copy of the current Notice that is in effect, available to you.
Duties of Acupuncture by Andrea, LLC. Acupuncture by Andrea, LLC is required by law to maintain the privacy of your health information as set forth in this Notice and to provide to you this Notice of its duties and privacy practices. Acupuncture by Andrea, LLC is required to abide by the terms of this Notice, which may be amended from time to time. Acupuncture by Andrea, LLC reserves the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that it maintains. If Health Plan changes its policies and procedures, Acupuncture by Andrea, LLC will revise the Notice and will provide a copy of the revised Notice to you within 60 days of the change.
Complaints. You have the right to express complaints to Acupuncture by Andrea, LLC and to the Secretary of the Department of Health and Human Services if you believe that your privacy rights have been violated. Any complaints to Acupuncture by Andrea, LLC should be made in writing to Acupuncture by Andrea, LLC’s owner. Acupuncture by Andrea, LLC encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.