HIPAA 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.
This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) 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” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related health care services.
Uses & Disclosure of Protected Health Information
Your protected health information may be used and disclosed by your provider(s), our office staff, and others outside of our office involved in your care and treatment for the purpose of providing health care services, to pay your health care bills, to support the operation of the clinic, and any other use required by law.
Treatment
Your protected health information may be used and disclosed by your physician, our office staff, and others outside of our office involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of the physician’s practice, and any other use required by law.
Payment
Your protected health information will be used, as needed, to obtain payment for your health care services. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan.
Healthcare Operations
We may use or disclose your protected health information to support the business activities of the clinic. These include quality assessment, employee review, training of students or interns, licensing, and conducting other business activities. We may disclose information to graduate students under supervision, call you by name in the waiting room, contact you for appointment reminders, or inform you about treatment alternatives or other health-related benefits and services.
We may also use or disclose your PHI without your authorization in situations required by law, such as public health issues, communicable diseases, abuse or neglect, legal proceedings, organ donation, research, criminal activity, military activity, national security, workers’ compensation, inmates, and other required uses.
We may disclose health information to our business associates (e.g., billing services). All business associates are required to protect your privacy and comply with HIPAA standards.
Other Permitted Uses and Disclosures Requiring Your Authorization
- Most uses and disclosures of psychotherapy notes
- Uses and disclosures for marketing purposes
- Disclosures that constitute a sale of your protected health information
You may revoke authorization at any time in writing, except to the extent your provider or the clinic has already acted in reliance on it.
Your Rights
- You have the right to inspect and copy your PHI (fees may apply), with certain exceptions such as psychotherapy notes and research information.
- You have the right to request an electronic copy of your record if maintained electronically.
- You have the right to request restrictions on uses and disclosures of your PHI.
- You have the right to request confidential communications via alternative means or locations.
- You have the right to request amendments to your PHI.
- You have the right to receive an accounting of certain disclosures.
- You have the right to receive Breach Notifications.
Complaints
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated. To file a complaint with us, contact:
Stephanie Goode
Vice President of Recovery Services
Stephanieg@horowitzservices.com
We will not retaliate against you for filing a complaint. We are required by law to maintain the privacy of PHI and provide individuals with this notice of our legal duties and privacy practices. For questions, contact our HIPAA Compliance Officer in person or by phone at our main office number.
