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Privacy
Policy
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.
The Health Insurance Portability and Accountability
Act of 1996 (HIPAA) is a federal program that
requires that all medical and dental records and
other individually identifiable health information
used or disclosed by us in any form, whether
electronically, on paper or orally, are kept
properly confidential. This Act gives you, the
patient, significant new rights to understand and
control how your health information is used. HIPAA
provides penalties for covered entities that misuse
Protected Health Information (PHI).
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 or condition and related
health care services.
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 health care
services to you, to pay your health care bills, to
support the operation of the practice, and any other
use required by law.
Treatment: We will use
and disclose your Protected Health Information to
provide, coordinate, or manage your health care and
any related services. This includes the coordination
or management of your health care with a third
party. For example, your protected health
information may be provided to a physician to whom
you have been referred to ensure that the health
care professional has the necessary information to
diagnose or treat you.
Payment: Your
protected health information will be used, as
needed, to obtain payment for 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 to
obtain approval for the hospital admission.
Healthcare
Operations: We may use or disclose, as-needed,
your protected health information in order to
support the business activities of your physician’s
practice. These activities include, but are not
limited to, quality assessment activities, employee
review activities, and conducting or arranging for
other business activities. We may use or disclose,
as needed, your protected health information to
support the business activities of this practice. In
addition, we may use a sign-in sheet at the
registration desk where you will be asked to sign
your name and indicate your physician. We may also
call you by name in the waiting room when your
physician is ready to see you. We may use or
disclose your protected health information, as
necessary, to contact you to remind you of your
appointment. We may call your home and leave a
message (either on an answering machine or with the
person answering the phone) to remind you of an
upcoming appointment, the need to schedule a new
appointment or to call our office. We may also mail
a postcard reminder to your home address. If you
would prefer that we call or contact you at another
telephone number or location, please let us know.
We may use or disclose
your protected health information in the following
situations without your authorization. These
situations include: as Required By Law, Public
Health issues required by law, Communicable
Diseases: Health Oversight: Abuse or Neglect: Food
and Drug Administration requirements: Legal
Proceedings: Law Enforcement: Coroners, Funeral
Directors, and Organ Donation: Research: Criminal
Activity: Military Activity and National Security:
Workers’ Compensation: Inmates: Required Uses and
Disclosures: 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 HIPAA.
Other Permitted and
Required Uses and Disclosures Will Be Made Only With
Your Consent, Authorization or Opportunity to Object
unless required by law.
You may revoke this authorization, at any time, in
writing, except to the extent that your physician or
the physician’s practice has taken an action in
reliance on the use or disclosure indicated in the
authorization.
Your Rights
The Following is a
statement of your rights with respect to your
protected health information.
You have the right to
inspect and copy your protected health information.
Under federal law, however, you may not inspect or
copy the following records; psychotherapy notes;
information compiled in reasonable anticipation of,
or use in, a civil, criminal, or administrative
action or proceeding, and protected health
information that is subject to law that prohibits
access to protected health information.
You have the right to
request a restriction of your health information.
This means you may ask us not to use or disclose any
part of your protected health information for the
purposes of treatment, payment or healthcare
operations. You may also request that any part of
your protected health information not be disclosed
to family members or friends who may be involved in
you care or for notification purposes described in
this Notice of Privacy Practices. Your request must
state the specific restriction and to whom you want
the restriction to apply.
Your physician is not
required to agree to a restriction you may request.
If your physician believes it is in your best
interest to permit use and disclosure of your
protected health information, your protected health
information will not be restricted. You then have
the right to use another Healthcare Professional.
You have the right to request to receive
confidential communications from us by alternative
means or at an alternative location. You have the
right to obtain a paper copy of this Notice from us,
upon request, even if you have agreed to accept this
Notice alternatively (i.e. electronically).
You may have the right
to have your physician amend your protected health
information. If we deny your request for amendment,
you have the right to file a statement of
disagreement with us and we may prepare a rebuttal
to your statement and will provide you with a copy
of any such rebuttal.
You have the right to receive an accounting of
certain disclosures we have made, if any, of your
protected health information.
We reserve the right
to change the terms of this Notice and will inform
you of any changes. You then have the right to
object or withdraw as provided in this Notice.
Complaints
You may complain to us
or to the Secretary of Health and Human Services if
you believe your privacy rights have been violated
by us. You may file a complaint with us by notifying
our privacy officer of your complaint at our office
and main telephone number. We will not retaliate
against you for filing a complaint.
This Notice was published and becomes effective
on/or before June 14, 2007. Visionary Ophthalmology,
6410 Rockledge Drive, Suite 610, Bethesda, MD 20817
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