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NOTICE OF PRIVACY PRACTICES Effective Date: December 01, 2002
This notice describes how your medical information may be used and disclosed and how you can access this information. Please read and review it carefully.
If you have any questions about this Notice, please contact our on site HIPAA Coordinator (Center Administrator).
Millennium Medical Group and similar health care providers are required by the Health Insurance Portability Accountability Act of 1996 (“HIPAA”) to maintain the privacy of patient’s protected health information and to abide by the terms of its Notice of Privacy Practices.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, receive payment or to support the operations of the health care facility or for other purposes that are permitted or required by law. This Notice also describes your rights to access and control your protected health information. Protected health information refers to information about you, including demographic information that may identify you and relates to your past, present, and future physical or mental health or condition, and related health care services.
Millennium Medical Group is required to abide by the terms of this Notice of Privacy Practices. The terms of this notice may be changed at any time. If this happens, the terms of the new notice will be effective for all protected health information that we maintain at that time. You may request to receive a revised Notice of Privacy Practice by calling your medical center and requesting a revised copy be mailed to you, or by asking for one at the time of your next appointment.
- Uses and Disclosures of Protected Health Information
Your protected health information may be used and disclosed by your physician, our office staff and others outside of our office that are involved in your care and treatment, for the purpose of providing healthcare services to you. Your protected health information may also be used and disclosed to obtain payment of your health care bills and to support the operation of the medical center.
The following examples explain the type of uses and disclosures of your protected health care information that our medical office is permitted to make. These examples are not meant to be exhaustive.
We will use and disclose your protected health information for the purpose of:
-Providing, coordinating or managing your health care and any related services. This includes the coordination or management of your health care with a third party who will have access to the information. For example, your protected health information may be shared, if necessary, with a home health agency that provides care for you or with other physicians who may be treating you or to whom you have been referred to ensure that they have the necessary information to diagnose or treat you. Your protected health information may also be disclosed to other physician or health care provider who, at the request of your physician, becomes involved in your care.
-Obtaining payment for health care services you have received. Your health insurance plan may need this information to be able to determine if approval or payment for services we recommend is warranted by reviewing eligibility or coverage, medical necessity and undertaking utilization review activities. For example, the information may be used to obtain approval from the plan for a hospital admission.
-Supporting the business activities of your medical center. These activities include, but are not limited to: quality assessment, employee review, training of medical students, licensing, and marketing. For example: 1) we may share your information with medical students if they were to see patients in the office; 2) ask that you sign your name and indicate your physician on a sign-in sheet at the registration desk; 3) call you by your name in the waiting room when your physician is ready to see you; 4) contact you to remind you of an appointment. Other examples include third party business associates that perform duties such as billing and transcription services. We will make sure that we have a written contract with these business associates that contains terms protecting the privacy of your health information. We may use or disclose your information to be able to provide you with treatment alternatives and other health related benefits and services, use your name and address to mail you a newsletter, information about products or services that may be beneficial to you. If you do not wish to receive these materials, please contact your medical center administrator. Please be advised that our office may post thank you cards and other holiday cards received from patients in general areas.
Uses and disclosures of protected health information based upon your written authorization
Under certain circumstances, your protected health information will be used or disclosed only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke your authorization, in writing, at any time, except to the extent that your physician or the center has taken an action in reliance on the use or disclosure indicated in the authorization.
Uses and disclosures permitted and required that may be made without your authorization or opportunity to object
Under the following circumstances, your protected health information may be used or disclosed without you having the opportunity to agree or object to all or part of this use and disclosure.
-If you are not present or able to agree or object to this use or disclosure, your physician, using his professional judgment, will determine whether such disclosure is in your best interest. In this case, only information relevant to your health care will be disclosed.
-If you approve, your protected medical information may be disclosed to any person you identify. In this case, the information released will directly relate to that person’s involvement in your health care. If you are unable to agree or object to such disclosure, the information may be released if it is determined that such disclosure is in your best interest based on our professional judgment. This information may be released to notify of your location, general condition or death to any person that is responsible for your care or to an authorized public or private entity to assist in disaster relief efforts.
-In an emergency treatment situation.
Other uses and disclosures permitted and required that may be made without your authorization or opportunity to object
We may use or disclose your protected health information without your authorization under the following conditions:
-If it is required by law. This information will be limited to the relevant requirements of the law. The law also requires that we notify you of any such uses or disclosures.
-To comply with the request of a public health authority that is authorized by law to receive this information for the purpose of controlling disease, injury or disability. If directed by the public health authority, we may have to disclose your information to a foreign government agency that is collaborating with the health authority.
-If authorized by law, the information may be released to a person who may have been exposed to a communicable disease or otherwise be at risk of contracting or spreading the disease or condition.
-If requested by a health oversight agency, for activities authorized by law such as audits, investigations, and inspections. Examples of oversight agencies are government agencies overseeing the healthcare system, government benefit programs, and other government regulatory programs and civil rights laws.
-If requested by a public health authority authorized by law to receive reports of child abuse or neglect. We may also release this information, consistent with the requirements of applicable federal or state laws, to the government entity authorized to receive such information if we believe that you have been a victim of abuse, neglect or domestic violence.
-To a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biological products deviations, track products, enable product recalls, make repairs or replacements or conduct post marketing surveillance, as required.
-In the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extend such disclosure is expressly authorized), in response to a subpoena, discovery request or other lawful process.
-For law enforcement purposes when applicable legal requirements are met which include 1) legal processes and otherwise required by law, 2) limited information requests for identification and location purposes, 3) when pertaining to victims of a crime, 4) when there is suspicion that death has occurred as a result of criminal conduct, 5) in the event that a crime occurs on the premises of the medical center, and 6) in the event of a medical emergency (not on the center’s premises) where it is likely that a crime has occurred.
-When requested by a coroner or medical examiner for identification purposes, to determine cause of death or to perform other duties authorized by law. If the information requested by a funeral director as authorized by law, to allow the director to carry out their duties. Protected information may be released in reasonable anticipation of death or for cadaver organ, eye or tissue donation purposes.
-To researchers when their research has been approved by an institutional review board who has reviewed the proposal and established protocols to ensure the privacy of your protected health information.
-To abide with applicable federal and state laws, when we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public or if it is necessary for law enforcement authorities to identify or apprehend an individual.
-Of individuals who are in the Armed Forces for 1) activities deemed necessary by appropriate military command authorities; 2) for the Department of Veteran Affairs to determine your eligibility for benefits; 3) to foreign military authority if you are a member of that foreign military services. For conducting national security and intelligence activities, including providing protective services to the President or others legally authorized.
-To comply with workers’ compensation laws and other similar legally established programs.
-If you are an inmate of a correctional facility and your physician created or received your protected information in the course of providing care to you.
-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 et. seq.
- Your rights
The following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.
You have the right to inspect and copy your protected health information. You may inspect and obtain a copy of your protected health information that is contained in a designated record set for as long as we maintain such information. A designated record set contains medical, billing and any other records that your physician or the medical center uses for making decisions about you.
Under federal law, you may not inspect the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil criminal or administrative action or proceeding; or information that is subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewed. Please contact your medical center administrator if you have any questions about access to your medical record.
You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part your information for the purposes of treatment, payment, healthcare operations or to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. You must state the specific restriction and to whom it applies.
If he believes that a restriction is not in your best interest, your physician is not required to agree to such a restriction and the information will not be restricted. If your physician does agree with the restriction, we may not use or disclose your protected health information unless it is needed to provide emergency treatment. You may request a restriction by contacting your physician and documenting the specific restrictions that you and your physician agree to.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may need to ask you information as to how payment will be handled or specifics on an alternative address or method of contact. We will not ask you the reason for your request. Please write to your medical center administrator to make this request.
You may have the right to have your physician amend your protected health information. You may request an amendment to your protected health information in a designated record set for as long as we maintain this information. In certain circumstances, your request for an amendment may be denied. If your request is denied, you have the right to file a statement of disagreement with us. We may prepare a rebuttal to your statement. If this were the case, we will provide you with a copy of the rebuttal. If you have questions about amending your record, please contact your medical center administrator.
If we have made certain disclosures of your protected health information, you have the right to receive an account. This applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices. You have the right to receive specific information regarding such disclosures that occur after December 01, 2002, although your right to receive this information is subject to certain exceptions, restrictions and limitations.
Upon request, you have the right to obtain a copy of this notice from us, even if you have agreed to accept this notice electronically.
You may complain to us or to the Secretary of Health and Human Services if you believe we have violated your privacy rights. Please call your medical center administrator if you wish to file a complaint against us. Be assured that we will not retaliate against you for filling a complaint. Please contact your center administrator for further information regarding filing a complaint. This notice was published and becomes effective December 01, 2002.