Legal Disclaimer
Please review this agreement carefully before using this website. By accessing this website, you agree to be bound by the terms and conditions below. If you do not wish to be bound by these terms and conditions, do not access or use this website.
Optimized Wellness Center presents the information on this website as a service to its patients as well as to the public. While medical information is contained on this website, this website was not designed to provide medical advice and does not provide medical advice. People seeking medical advice or assistance should contact a physician, either at Optimized Wellness Center or through some other source. Moreover, due to the changing nature of medicine and information provided by some outside sources, Optimized Wellness Center makes no warranty or guaranty concerning the accuracy or reliability of the content at this site or other sites to which it links. Any unauthorized downloading and distribution of any copyrighted material from this site or sites to which it links, without copyright owner’s permission, is strictly prohibited.
NO SERVICE WARRANTIES
This website and the information, and other material available on or accessible from this website is provided on an “as is” and “as available” basis without warranties of any kind, either express or implied, including but not limited to warranties of title, noninfringement or implied warranties of merchantability or fitness for a particular purpose. Optimized Wellness Center does not warrant that this website service will be uninterrupted or error free or that any information, software, or other materials available on or accessible through the website is free of viruses, worms, trojan horses, or other harmful components.
Under no circumstances shall Optimized Wellness Center be liable for any direct, indirect, incidental, special, punitive, or consequential damages that result in any way from your use of or inability to use this website, your reliance on or use of information, services, or merchandise provided on or through this website, or that results from mistakes, omissions, interruptions, deletion of files, errors, defects, delays in operation, or transmission or any failure of performance.
INDEMNIFICATION
You agree to defend, indemnify, and hold Optimized Wellness Center harmless from any and all liabilities, costs, and expenses, including attorney’s fees, related to any violation of these terms and conditions by you.
OWC Posted Notice: No Surprise Act, Good Faith Estimates
Optimized Wellness Center (OWC, 81-1851434) is compliant with (PHSA 2799B-6; 45 CFR 149.610) and will provide the right to good faith estimates in advance of scheduled services/items or upon request. If all the appropriate information is provided by the patient, including name, email address, health concern(s) among other things, OWC will provided to patients who don’t have certain types of health care coverage for example self-pay and Medicare individuals even if the individual has a health benefits plan under chapter 89 of title 5, United States Code, but does not seek to have a claim submitted to their plan, issuer, or carrier for the item or service.
OWC will provide in an appropriate and timely manner an estimate, furnished either by paper or electronically and orally for scheduled, requested items or services as well as those that are reasonably expected to be provided. Services will be provided by Dr. Heath DC, CCEP, MBA (33437) or an authorized representative of Optimized Wellness Center located at 3800 Piedmont Ave, Oakland, CA 94611 or via an agreed-upon means of synchronous and/or asynchronous communication.
Depending on when you schedule your appointments and based on the information the patient provided OWC will give the patient a Good Faith Estimate within 1-3 days. The patient can also ask us for a Good Faith Estimate before scheduling services or purchasing an item. A Good Faith Estimate does not obligate purchase.
The estimate is based on information known at the time the estimate was created. Unknown, unexpected costs for things like complications and special circumstances will not be included. The more detailed information provided, the more detailed the estimate OWC can offer. Once OWC meets the patient and performs our own evaluation the initial estimate may change. Moreover, as we progress through care it may be determined that the patient needs additional services/products, the patient has either reached maximum medical improvement, or sufficient improvement was achieved not warranting additional care. It is also possible that new issues arise that merit further investigation and possibly care which was not initially foreseen. If the patient receives a bill that is substantially more than the Good Faith Estimate the patient may pay a fee and initiate a dispute resolution.
Make sure to save a copy or picture of your Good Faith Estimate and the bill.
For questions or more information about the right to a Good Faith Estimate, visit www.cms.gov/nosurprises/
PRIVACY ACT STATEMENT: CMS is authorized to collect the information on this form and any supporting documentation under section 2799B-7 of the Public Health Service Act, as added by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to determine whether any conflict of interest exists with the independent dispute resolution entity selected to decide your dispute. The information may also be used to: (1) support a decision on your dispute; (2) support the ongoing operation and oversight of the PPDR program; (3) evaluate selected IDR entity’s compliance with program rules. Providing the requested information is voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could cause your dispute to be decided in favor of the provider or facility.
NOTICE OF PRIVACY PRACTICES
Health Insurance Portability Accountability Act (HIPAA)
Client Rights & Provider Duties
Effective Date: 7/24/24
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.
We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We make a record of the medical care we provide and may receive such records from others. We use these records to provide or enable other healthcare providers to provide quality medical care, to obtain payment for services provided to you as allowed by your health plan, and to enable us to meet our professional and legal obligations to operate this medical practice properly. We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information.
A. How This Medical Practice May Use or Disclose Your Health Information
This medical practice collects health information about you and stores it in a chart and on a computer. This is your medical record. The medical record is the property of this medical practice, but the information in the medical record belongs to you. The law permits us to use or disclose your health information for the following purposes:
1. Treatment: We use medical information about you to provide your medical care. We disclose medical information to our employees and others who are involved in providing the care you need. For example, we may share your medical information with other physicians or other healthcare providers who will provide services that we do not provide. We may also disclose medical information to members of your family or others who can help you when you are sick or injured, or after you die.
2. Payment: We use and disclose medical information about you to obtain payment for the services we provide. For example, we give your health plan the information it requires before it will pay us. We may also disclose information to other healthcare providers to assist them in obtaining payment for services they have provided to you.
3. Healthcare Operations: We may use and disclose medical information about you to operate this medical practice. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence and qualifications of our professional staff. We may also use your information to tell you about services, educational activities, and programs that we feel might be of interest to you.
4. Appointment Reminders: We may use and disclose medical information to contact and remind you about appointments. If you are not home, we may leave this information on your answering machine or in a message left with the person answering the phone.
5. Sign-In Sheet: We may use and disclose medical information about you by having you sign in when you arrive at our office. We may also call out your name when we are ready to see you.
6. Notification and Communication With Family: We may disclose your health information to notify or assist in notifying a family member, your personal representative, or another person responsible for your care, about your location, your general condition, or, unless you have instructed us otherwise, in the event of your death. We may also disclose information to someone who is involved with your care or helps pay for your care.
7. Marketing: Provided we do not receive any payment for making these communications, we may contact you to give you information about products or services related to your treatment, case management, or care coordination, or to direct or recommend other treatments, therapies, healthcare providers, or settings of care that may be of interest to you.
8. Sale of Health Information: We will not sell your health information without your prior written authorization.
9. Other Situations: We may use or disclose your protected health information in the following situations without your authorization. These situations include: as Required BY Law, Public Health issues as required by law, Communicable Diseases: Health Oversight: Abuse or Neglect: Food and Drug Administration requirements: Legal Proceedings: Law Enforcement: Coroners, Funeral Directors, and Organ Donation: Research: Criminal Activity: Military Activity and National Security: Worker’s Compensation: Inmates: Required Uses and Disclosures: Under the Law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.
B. When This Medical Practice May Not Use or Disclose Your Health Information
Except as described in this Notice of Privacy Practices, this medical practice will, consistent with its legal obligations, not use or disclose health information that identifies you without your written authorization.
C. Your Health Information Rights
1. Right to Request Special Privacy Protections: You have the right to request restrictions on certain uses and disclosures of your health information.
2. Right to Request Confidential Communications: You have the right to request that you receive your health information in a specific way or at a specific location.
3. Right to Inspect and Copy: You have the right to inspect and copy your health information with limited exceptions.
4. Right to Amend or Supplement: You have a right to request that we amend your health information that you believe is incorrect or incomplete.
5. Right to an Accounting of Disclosures: You have a right to receive an accounting of disclosures of your health information made by this medical practice.
6. Right to a Paper or Electronic Copy of this Notice: You have a right to notice of our legal duties and privacy practices for your health information, including a right to a paper copy of this Notice of Privacy Practices even if you have previously requested its receipt by e-mail.
D. Changes to this Notice of Privacy Practices
We reserve the right to amend this Notice of Privacy Practices at any time in the future. Until such amendment is made, we are required by law to comply with the terms of this Notice currently in effect.
E. Complaints
Complaints about this Notice of Privacy Practices or how this medical practice handles your health information should be directed to our Privacy Officer listed at the top of this Notice of Privacy Practices. If you are not satisfied with how this office handles a complaint, you may submit a formal complaint to: OCRMail@hhs.gov.