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HIPPA
PRIVACY POLICY
This notice
is effective April 14, 2003
I. 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.
II. WE HAVE
A LEGAL DUTY TO SAFEGUARD YOUR PROTECTED HEALTH INFORMATION (PHI).
We are legally
required to protect the privacy of your health information. We call
this information "protected health information," or "PHI"
for short. It includes information that can be used to identify
you and that we've created or received about your past, present,
or future health condition, the provision of health care to you,
or the payment for this health care. We are required to provide
you with this notice about our privacy practices. It explains how,
when, and why we use and disclose your PHI. With some exceptions,
we may not use or disclose any more of your PHI than is necessary
to accomplish the purpose of the use or disclosure. We are legally
required to follow the privacy practices that are described in this
notice.
We reserve
the right to change the terms of this notice and our privacy policies
at any time. Any changes will apply to the PHI we already have.
Whenever we make an important change to our policies, we will promptly
change this notice and post a new notice in the Main Reception Area.
You can also request a copy of this notice from our office and can
view a copy of this notice on our Web site at www.southwesteyecare.com.
III. HOW
WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION.
We use and
disclose health information for many different reasons. For some
of these uses or disclosures, we need your specific authorization.
Below, we describe the different categories of uses and disclosures.
A. Uses
and Disclosures, Which Do Not Require Your Authorization.
We may use
and disclose your PHI without your authorization for the following
reasons.
1. For treatment.
We may disclose your PHI to hospitals, physicians, nurses, and
other health care personnel in order to provide, coordinate or manage
your health care or any related services, except where the PHI is
related to HIV/AIDS, genetic testing, or federally funded drug or
alcohol abuse treatment facilities, or where otherwise prohibited
pursuant to State or Federal Law. For example, we may disclose PHI
to an optician for purposes of having a lens prescription verified
or filled.
2. To obtain
payment for treatment. We may use and disclose your PHI in order
to bill and collect payment for the treatment and services provided
to you. For example, we may provide portions of your PHI to our
billing staff and your health plan to get paid for the health care
services we provided to you. We may also disclose patient information
to another provider involved in your care for the other provider's
payment activities. For example we may disclose your demographic
information to anesthesia care providers for payment of their services.
3. For health
care operations. We may disclose your PHI, as necessary, to
operate this facility and provide quality care. For example, we
may use your PHI in order to evaluate the quality of health care
services that you received or to evaluate the performance of the
health care professionals who provided health care services to you.
We may also provide your PHI to our accountants, attorneys, consultants,
and others in order to make sure we're complying with the laws that
affect us.
4. When
a disclosure is required by federal, state or local law, judicial
or administrative proceedings, or law enforcement. For example,
we may disclose PHI when a law requires that we report information
to government agencies and law enforcement personnel about victims
of abuse, neglect, or domestic violence; when dealing with gunshot
or other wounds; for the purpose of identifying or locating a suspect,
fugitive, material witness or missing person; or when subpoenaed
or ordered in a judicial or administrative proceeding.
5. For public
health activities. For example, we may disclose PHI to report
information about deaths, various diseases, adverse events and product
defects to government officials in charge of collecting that information;
to prevent, control, or report disease, injury or disability as
permitted by law; to conduct public health surveillance, investigations
and interventions as permitted or required by law; or to notify
a person who has been exposed to a communicable disease or who may
be at risk of contracting or spreading a disease as authorized by
law.
6. For health
oversight activities. For example, we may disclose PHI to assist
the government or other health oversight agency with activities
including audits; civil, administrative, or criminal investigations,
proceedings or actions; or other activities necessary for appropriate
oversight as authorized by law.
7. To coroners,
funeral directors, and for organ donation. We may disclose PHI
to organ procurement organizations to assist them in organ, eye,
or tissue donations and transplants. We may also provide coroners,
medical examiners, and funeral directors necessary PHI relating
to an individual's death.
8. For research
purposes. In certain circumstances, we may provide PHI in order
to conduct medical research.
9. To avoid
harm. In order to avoid a serious threat to the health or safety
of you, another person, or the public, we may provide PHI to law
enforcement personnel or persons able to prevent or lessen such
harm.
10. For
specific government functions. We may disclose PHI of military
personnel and veterans in certain situations. We may also disclose
PHI for national security and intelligence activities.
11. For
worker's compensation purposes. We may provide PHI in order
to comply with worker's compensation laws.
12. Appointment
reminders and health-related benefits or services. We may use
PHI to provide appointment confirmations, recall cards or give you
information about treatment alternatives, or other health care services
or benefits we offer. Please let us know if you do not wish to have
us contact you for these purposes, or if you would rather we contact
you at a different telephone number or address.
B. Uses
and Disclosures Where You to Have the Opportunity to Object:
Disclosure to family, friends, or others. We may provide your
PHI to a family member, friend, or other person that you indicate
is involved in your care or the payment for your health care, unless
you object in whole or in part.
C. All Other
Uses and Disclosures Require Your Prior Written Authorization. Other
than as stated above, we will not disclose your PHI without your
written authorization. You can later revoke your authorization in
writing except to the extent that we have taken action in reliance
upon the authorization.
D. Incidental
Uses and Disclosures. Incidental uses and disclosures of information
may occur. An incidental use or disclosure is a secondary use or
disclosure that cannot reasonably be prevented, is limited in nature,
and that occurs as a by-product of an otherwise permitted use or
disclosure. However, such incidental uses or disclosure are permitted
only to the extent that we have applied reasonable safeguards and
do not disclose any more of your PHI than is necessary to accomplish
the permitted use or disclosure. For example, disclosures about
a patient within the office that might be overheard by persons not
involved in your care would be permitted.
IV. WHAT
RIGHTS YOU HAVE REGARDING YOUR PHI.
You have the
following rights with respect to your PHI:
A. The Right
to Request Limits on Uses and Disclosures of Your PHI. You have
the right to request in writing that we limit how we use and disclose
your PHI. You may not limit the uses and disclosures that we are
legally required to make. We will consider your request but are
not legally required to accept it. If we accept your request, we
will put any limits in writing and abide by them except in emergency
situations. Under certain circumstances, we may terminate our agreement
to a restriction.
B. The Right
to Choose How We Send PHI to You. You have the right to ask
that we send information to you at an alternate address (for example,
sending information to your work address rather than your home address)
or by alternate means (for example, via e-mail instead of regular
mail). We must agree to your request so long as we can easily provide
it in the manner you requested.
C. The Right
to See and Get Copies of Your PHI. In most cases, you have the
right to look at or get copies of your PHI that we have, but you
must make the request in writing. If we don't have your PHI but
we know who does, we will tell you how to get it. We will respond
to you within 30 days after receiving your written request. In certain
situations, we may deny your request. If we do, we will tell you,
in writing, our reasons for the denial and explain your right to
have the denial reviewed.
If you request a copy of your information, we may charge you a reasonable
fee for the cost of copying, mailing or other costs incurred by
us in complying with your request. Instead of providing the PHI
you requested, we may provide you with a summary or explanation
of the PHI as long as you agree to that and to the cost in advance.
D. The Right
to Get a List of the Disclosures We have Made. You have the
right to get a list of instances in which we have disclosed your
PHI. The list will not include uses or disclosures made for purposes
of treatment, payment, or health care operations, those made pursuant
to your written authorization, or those made directly to you or
your family. This list also won't include uses and disclosures made
for national security purposes, to corrections or law enforcement
personnel, or prior to April 14, 2003.
E. The Right
to Correct or Update Your PHI. If you believe that there is
a mistake in your PHI or that a piece of important information is
missing, you have the right to request, in writing, that we correct
the existing information or add the missing information. You must
provide the request and your reason for the request in writing.
We will respond within 60 days of receiving your request in writing.
We may deny your request if the PHI is (i) correct and complete,
(ii) not created by us, (iii) not allowed to be disclosed, or (iv)
not part of our records. Our written denial will state the reasons
for the denial and explain your right to file a written statement
of disagreement with the denial. If you don't file one, you have
the right to have your request and our denial attached to all future
disclosures of your PHI. If we approve your request, we will make
the change to your PHI, tell you that we have done it, and tell
others that need to know about the change to your PHI.
F. The Right
to Get This Notice by E-Mail. You have the right to get a copy
of this notice by e-mail. Even if you have agreed to receive notice
via e-mail, you also have the right to request a paper copy of this
notice.
V. HOW TO
COMPLAIN ABOUT OUR PRIVACY PRACTICES.
If you think
that we may have violated your privacy rights, or you disagree with
a decision we made about access to your PHI, you may file a complaint
with our Compliance Officer. You may also send a written complaint
to the Secretary of the Department of Health and Human Services
at 200 Independence Avenue, S.W.; Room 615F; Washington, DC 20201.
We will take no retaliatory action against you if you file a complaint
about our privacy practices.
VI. PERSON
TO CONTACT FOR INFORMATION ABOUT THIS NOTICE OR TO COMPLAIN ABOUT
OUR PRIVACY PRACTICES.
If you have
any questions about this notice or any complaints about our privacy
practices, or would like to know how to file a complaint with the
Secretary of the Department of Health and Human Services, please
contact our Privacy Officer, 7110 Wyoming Blvd., NE, Albuquerque
NM 87109; 505-346-0500.
V. EFFECTIVE
DATE OF THIS NOTICE
This notice
is effective April 14, 2003
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