HIPAA Notice of Privacy Practice for Personal Health Information
This Notice Describes How Medical Information About You May Be Used and Disclosed and How You Can Get Access to The Information.
Please Review It Carefully. If You Have Any Questions About This Notice Please Contact Us At Our Office.
Who Will Follow This Notice?
This notice describes out facility’s practice and that of:
Any physician or health care professional authorized to enter information into your medical chart.
All departments and units of our facility.
All employees, staff and other office personnel.
All these individuals, sites and locations follow the terms of this notice. In addition, these individuals, sites and locations may share medical information with each other or with third party specialists for treatment, payment or office operations purposes described in this notice.
Our Pledge Regarding Medical Information:
We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at our facility. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all the records of our generated by our facility.
This notice will tell you about the ways in which you may use and disclose medical information about your self. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
The law requires us to:
Maintain the privacy of your Personal Health Information;
Provide you this notice of our legal duties and privacy with respect to your
personal Health Information: and Follow the terms of this notice.
The main reason for which we may use and disclose your Personal Health Information are to evaluate and process any request for coverage and claims for benefits you may make or in connection with other health-related benefits or services that may be of interest to you. The following describes these and other uses and disclosures, together with some examples.
For Treatments. We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to the facility’s office personnel who are involved in taking care of you at the facility or elsewhere. We also may disclose medical information about you to people outside our facility who may be involved in your care after you leave the facility, such as family members or others we use to provide services that are part of your care, provided you have consented to such disclosers. These entities include third party physicians, hospitals, nursing homes, pharmacies or clinical labs with whom the office consults or makes referrals.
For Payments. We may use or disclose medical information about you so that the treatment and services that you receive at our office may be billed to and payment may be collected from you, an insurance or third party. For example, we may need to give your health plan information about procedures received at the facility so your health plan will pay us or reimburse you for the services. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your pain will cover treatment.
For Your Care Operations. We may use and disclose medical information about you for our internal operations. These uses and disclosures are necessary to run our facility and make sure that all of our patients receive quality care. For example, we may use medical information about you to review our treatment and services and to evaluate our performance and staff in caring for you. We may also combine medical information about many patients to decide what additional services the facility should offer, what services are not needed, and whether certain new treatments are effective. We may also disclose information to our physicians, staff and other office personnel for review and learning purposes.
Individuals Involved in Your Care or Payment for Your Care. We may release medical information about you to a friend or family member who is involved in your medical care provided you have consented to such disclosures. We may also give information to some one who helps pay for your care. In addition, we may disclose medical information to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location.
To Avert a Serious Threat to Health and Safety.
We may disclose Personal Health information to avert a serious threat to
someone’s health or safety. We may also disclose Personal Health Information to
federal, state, or local agencies engaged in a disaster relief or disaster assistance
For Health-Related Benefits or Services.
We may use Personal Health Information provide you with information about benefits available to you under your current coverage or policy and, in limited situations, about health-related products or services that may be of interest to you.
For Law Enforcement or Specific Government Functions.