Privacy Policy

AHK Convenience Fee

AFTER HOURS KIDS is a pediatric convenient care clinic staffed by Certified Pediatric Nurse Practitioners as an after hours extension to Pediatric Associates of Austin, P.A. We are not an Emergency Center nor an Urgent Care Center and, therefore, do not collect the higher co-pays that these type of centers usually charge. Although it is more expensive to operate an after hours clinic seven days a week, insurance companies will not reimburse After Hours Kids for any added cost.

After Hours Kids utilizes a full laboratory operated by licensed Registered Nurses. All the lab work is done on-site with results while you wait. In addition, when indicated, cultures are run on quick strep and urine tests so that we can more accurately ensure that no infection is present. If the culture returns a positive result when the quick test was negative, then a prescription will be sent to your preferred pharmacy along with a follow-up call to you. We will also notify your primary care physician. The cost for these services are not adequately covered by insurance companies.

At After Hours Kids, our goal is to provide high quality, pediatric acute care at a convenient time in a non-emergency room environment. Our providers specialize in pediatric care who provide a personal, relaxed encounter with your child.

AHK Required Deposit at time of Booking

Due to limited appointments in the evening, we require a $30.00 deposit at the time of booking your appointment.Your deposit is refundable IF you cancel at least 4 hours prior to your scheduled appointment time. To cancel your appointment, select the “cancel” option that can be found in your email confirmation.

Financial Policy Agreement

Our office expects payment at the time of service unless specific arrangements have been made in advance with our billing department. This includes co-pays, deductibles and non-covered services.
IT IS YOUR RESPONSIBILITY TO INFORM US OF ANY CHANGES WITH YOUR INSURANCE. Many insurance plans have “timely filing deadlines”. If we are not provided with accurate information at the time of service, you may be responsible for payment in full for all services rendered.
Please keep in mind that your insurance is a contract between you and the insurance company.
Not all insurances cover all procedures.
While we make a good faith attempt to verify coverage, we are not able to guarantee that the information given to us by you or your insurance is correct.
It is your responsibility to know your child’s insurance benefits and preventive (“well”) services schedule limitations. Specifically, the number of visits allowed at each age and whether the schedule is based on a calendar year or every 365 days.
Well checks/and services scheduled too early or in excess of patient benefits will be your responsibility.
If your child is diagnosed with an illness while being examined for a well check, there will be two visits billed. One visit for the illness and the other for the well check. You understand that in this rare instance, a copay or deductible will apply and will be collected for the sick visit.
You understand that payments collected at the time of the appointment are only ESTIMATES and that there is a possibility that you will receive a bill for additional charges or a credit to your account.
You agree to keep a credit card, debit card, or HSA card on file with our office OR place a deposit on your account for an estimated patient responsibility payment of services at each appointment.
Lastly, you understand that if the payment card is declined for any reason an additional fee of $35.00 will be applied to your account (same as a bad check fee).

Uninsured/Self Pay

Patients without Insurance/Self-Pay Patients have the right to receive a “Good Faith Estimate” explaining how much your medical expenses will cost. Please call our office to request an estimate prior to your appointment.

Payments & Required Card on File

We require a credit card to be on file and current for all appointments. Your credit card information is not kept on file in this office. It is kept securely offsite by our Payment Gateway known as Health iPASS and our office does not have access to the full credit card number.

Separated & Divorced Parents

After Hours Kids Clinic providers and staff are dedicated to our patients and to providing quality medical care to your child(ren.) Our focus is on your child’s medical, emotional, psychological and physiological health. We are not party to your divorce decree or to be involved in any legal issues involving divorce, separation or custody.

The responsibility for payment and the presentation of active insurance cards at the time of service is the responsibility of the accompanying adult.

Termination from our Practice

Our office values its patient relationship and wants to protect patients’ rights. We will terminate the patient relationship with cause and after careful consideration. Reasons for termination include: repeatedly not showing up for scheduled appointments, not complying with recommended medical care, not complying with our vaccine policy, being hostile or abusive to staff, not paying bills or requesting a payment plan in a timely manner.

Notice of Privacy Practices

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.

Purpose of this Notice

After Hours Kids Clinic is required by law to maintain the privacy of your protected health information (PHI). This notice applies to all records of the health care and services you received at PAA. This notice will tell you about the ways in which we

may use and disclose your PHI. This notice also describes your rights and certain obligations we have regarding the use and disclosure of your PHI. A more detailed version of this notice may be found on PAA’s website and a paper copy will be provided upon request.

After Hours Kids Clinic Commitment

We are required by law to: (i) make sure that your PHI is kept private; (ii) give you this notice of our legal duties and privacy practices with respect to your PHI; (iii) follow the terms of this notice as long as it is currently in effect (if we revise this notice, we will follow the terms of the revised notice as long as it is currently in effect); (iv) train our personnel concerning privacy and

confidentiality; and (v) mitigate (lessen the harm of) any branch of privacy/confidentiality.

How We May Use and Disclose Information about You

The following categories (listed in bold-face print, below) describe different ways that we use and disclose your protected health information (PHI). For each category of uses or disclosures we will explain what we mean and give you some examples, but not every use or disclosure in a category will be listed.

For Treatment.

We are permitted to use and disclose your PHI to doctors, nurses, technicians, medical students or other personnel who are involved in taking care of you or providing you with medical treatment or services. For example, a doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. We also may disclose your PHI to health care providers that are not affiliated with After Hours Kids Clinic who may be involved in your medical care, such as physicians, who will provide follow-up care, physical therapy organizations, medical equipment suppliers, and skilled nursing facilities.

For Payment. We are permitted to use and disclose your PHI so that the treatment and services you receive at/by AHK may be billed to (and payment may be collected from) your insurance company or a third party. For example, we may need to give your health plan information about the procedure you received at AHK so your health plan will pay us or reimburse you for the procedure.

For Health Care Operations. We are permitted to use and disclose your PHI for our business operations. These uses and disclosures are necessary to run AHK and to make sure that all of our patients receive quality care. For example, we may use PHI to review our treatment and services and to evaluate the performance of our staff in caring for you.

To Business Associates for Treatment, Payment, and Health Care Operations. We are permitted to disclose your PHI to our business associates in order to carry out treatment, payment of health care operations. For example, we may disclose your PHI to a company we hire to bill insurance companies on our behalf to help us obtain payment for health care services we provide.

Individuals Involved in Your Care or Payment for Your Care. We may release your PHI to a family member, other relative, or close personal friend who is involved in your medical care if the PHI released is directly relevant to the person’s involvement in your care. WE also may release information to someone who helps pay for your care. We may tell your family or friends that you are at PAA and what your general condition is.

Other Uses/Disclosures. We may use and disclose medical information: (i) to tell you about health-related benefits or services that may be of interest to you; (ii) to give you information about treatment options or alternatives that may be of interest to you; or (iii) to contact you as a reminder that you have an appointment for treatment or medical care at AHK.

Special Situations: We will disclose your PHI when required to do so by federal, state, or local law.

Public Health Activities: We may disclose your PHI for certain public health activities (e.g., controlling disease, injury, or disability; reporting abuse or neglect; reporting drug reactions), but only if you agree or when required or authorized by law.

Health Oversight Activities. WE may disclose PHI to a government health oversight agency for activities authorized by law such as audits, investigations, inspections, and licensure.

Lawsuits and Disputes. If you are involved in a lawsuit or dispute, we may disclose your PHI in response to a court of administrative order or in response to a subpoena, discovery request or other lawful process by someone else involved in the dispute.

Law Enforcement. In certain designated situations, we may release PHI if asked to do so by a law enforcement official.

Coroners, Medical Examiners, and Funeral Directors. We may release PHI: (i) to a coroner or medical examiner to identify a deceased person or to determine the cause of death; or (ii) to a funeral director as necessary to help them carry out their duties.

Other Special Situations. We may use and/or disclose PHI: (i) to organizations that handle or facilitate organ procurement or transplantation; (ii) to law enforcement when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person; (iii) as required by applicable military command authorities (if you are a member of the armed forces); (iv) to authorize federal officials for certain national security purposes; or (v) for workers compensation purposes.

When Your Authorization is Required

Uses or disclosures of your PHI for other purposes or activities not listed above will be made only with you written authorization (permission). If you provide us authorization to use or disclose your PHI, you may revoke your authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose your PHI for the reasons covered by your written permission.

However, we are unable to take back any disclosures we have already made with your permission.

Your Rights: You have the following rights regarding the PHI we maintain about you:

Right to Request Restrictions. You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for you care. We are not required to agree with your request. If we do agree, we will comply with your request unless the information is needed to provide you with emergency treatment.

Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you by telephone at work or that we only contact you by mail at home. We will accommodate all reasonable requests.

Right to Inspect and Receive a Copy. You have the right to inspect and receive a copy of PHI that may be used to make decisions about your care. Psychotherapy notes may not be inspected or copied. We may deny your request to inspect or receive a copy in certain very limited circumstances.

Right to Amend. If you believe that PHI we have about you is incorrect or incomplete, you may ask us to amend the information.

You have the right to request an amendment for as long as the information is kept by or for PAA. You must include a reason that supports your request. We may deny your request for an amendment in certain limited circumstances.

Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures” that has been made by PAA in the past six (6) years.

Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice (even if you have agreed to receive this notice electronically). You may ask us to give you a copy of this notice at any time.

Changes to this Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice 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 the current notice on AHK premises and on AHK’s website. The notice will contain, in the lower left-hand corner, the effective date. In addition, each time you register at, or are admitted to, AHK for treatment purposes, you may request a copy of the current notice in effect.

Requests, Questions, and Complaints

If you have any questions or would like additional information on these rights, you may contact the AHK Privacy Officer at 512-499-2452. Additionally, if you believe your privacy rights have been violated, you may file a complaint with either AHK’s Privacy Officer or with the Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Room 509F, HHH Building, Washington, D.C. 20201. You will not be penalized in any way for filing a complaint.