THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THAT INFORMATION.
PLEASE REVIEW THIS NOTICE CAREFULLY
This Notice of privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or healthcare operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected Health Information” (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services.
We are required to abide by the terms of this notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices by calling the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.
This practice is committed to maintaining the privacy of your Protected Health Information (PHI), which includes information about your medical condition and the care and treatment you received from the Practice and other health care providers. This Notice details how your PHI may be used and disclosed to third parties for purposes of your care, payment for your care, health care operations of the Practice, and for other purposes permitted or required by law. This Notice also details your rights regarding PHI.
USE OR DISCLOSURE OF PHI
1. The Practice may use and/or disclose your PHI for purposes related to your treatment, payment for your care, and healthcare operations of the Practice. The following are examples of the types of uses and/or disclosures of your PHI that may occur. These examples are not meant to include all possible types of use and/or disclosure.
Treatment – In order to provide care to you, the Practice will provide your PHI to those health care professionals, whether on the Practice’s staff or not, directly involved in your treatment so that. They can understand your medical condition and needs and provide advice or treatment (e.g., your physician). For example, your physician may need to know how your condition is responding to the treatment provided by the practice.
Payment – In order to get paid for some or all of the health care provided by the Practice, the Practice may provide your PHI, directly or through a billing service to appropriate third party payers, pursuant to insurance carrier with information about health care services that you received from the Practice so that the Practice can be properly reimbursed.
Health Care Operations – In order for the Practice to operate in accordance with applicable law and insurance requirements in order for the PRactice to provide quality and efficient care, it may be necessary for the Practice to compile use and/or disclose your PHI. For example, the Practice may use your PHI in order to evaluate the performance of the Practice’s Personnel in providing care to you.
AUTHORIZATION NOT REQUIRED
2. The Practice may use/and or disclose your PHI, without a written Authorization from you in the following insurance.
De-identified Information – Your PHI is altered so that it does not identify you and, even without your name, cannot be used to identify you.
Business Associate – To a business associate which is someone who the Practice contracts with to provide a service necessary for your treatment payment and health care operations (e.g. billing services or transcription service). The Practice will obtain satisfactory written assurance, in accordance with applicable law, that the business associate will appropriately safeguard your PHI.
Personal Representative – To a person who, under applicable law, has the authority to represent you in making decisions related to your health care.
Public Health Activities – Such activities include, for example information collected by a public health authority, as authorized by a law to prevent or control disease, injury, or disability. This includes reports of child abuse or neglect.
Federal Drug Administration – If required by the Food and Drug Administration to report adverse events, product defects or problems, or biological product deviations, or to track products, or to enable product recalls, repairs or replacement, or to conduct post marketing surveillance.
Abuse, Neglect, or Domestic Violence – To a government authority if the Practice is required by law to make such disclosure. If the Practice is authorized by law to make such a disclosure, it will do so if it believes that the disclosure is necessary to prevent serious harm or if the Practice believes that you have been the victim of abuse, neglect, or domestic violence. Any such disclosure will be made in accordance with the requirements of law, which may also involve notice to you of the disclosure.
Health Oversight Activities – Such activities, which must be required by law, ivolve government agencies involved in oversight activities that relate to the health care system, government benefit programs, government regulatory programs, civil rights law. Those activities include, for example, criminal investigations audits, disciplinary actions, or general oversight activities relating to the community’s health care system.
Judicial and Administrative Proceeding – For example, the Practice may be required to disclose your PHI in response to a court order or a lawfully issued subpoena.
Law Enforced Purposed – In certain instances, your PHI may have to be disclosed to a law enforcement official for law enforcement purposes. Law enforcement purposes include: (1) complying with a legal process (i.e. subpoena) or as required by law; (2) information for identification and location purposes (e.g. suspect or missing person); (3) information regarding a person who is suspected to be a crime victim; (4) in situations where the death of an individual may have resulted from criminal conduct; (5) in the event of a crime occurring on the premises of the Practice; and (6) a medical emergency (not on the Practices’s premises) has occurred, and it appears that a crime has occurred.
Coroner or Medical Examiner – The Practice may disclose your PHI to a coroner or medical examiner for the purpose of identifying you or determining your cause of health, or to a funeral director as permitted by law and as necessary to carry out its duties.
Organ, Eye or Tissue Donation – If you are an organ donor, the Practice may disclose your PHI to the entity to whom you have agreed to donate your organs.
Research – If the Practice is involved in research activities, your PHI may be used, but such use is subject to numerous governmental requirements intended to protect the privacy of your PHI such as approval of the research by an institutional review board and the requirement that protocols must be followed.
Avert at Threat to Health of Safety – The practice may disclose your PHI if it believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public and the disclosure is to an individual who is reasonably able to prevent or lessen the threat.
Specialized Government Functions – When the appropriate conditions apply, the practice may use PHI of individuals who are Armed Forces personnel: (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the department of Veteran Affairs or eligibility for benefits; or (3) to a foreign military authority if you are a member of that foreign military service. The Practice may also disclose your PHI to authorized federal officials for conducting national security and intelligence activities including the provision of protective services to the PResident or others legally authorized.