THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION
Please review the full Notice of Privacy Practices (NPP) which is attached. If you have any question about this notice, please contact Anne Brown, Privacy Official at (301) 989-2300.
WHO WILL FOLLOW THIS NOTICE:
Drs. Hauck, Bianchi & Drsicoll, P.A.
Musgrove ENT Ambulatory Surgery Center, LLC.
This notice describes our privacy practices. All these entities, sites, and locations follow the terms of the notice. In addition, these entities, sites, and location may share health information with each other for treatment, payment, or health care operations purposes described in this notice.
OUR PLEDGE REGARDING HEALTH INFORMATION:
We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this health care practice, whether made by your personal doctor or others working information about you. We also describe your rights to the health information we keep about you, and describe certain obligation we have regarding the use and disclosure of your health information.
We are required by law to:
make sure that health information that identifies you is kept private;
give you this notice of our legal duties and privacy practices with respect to health information about you; and
follow the terms of the notice that is currently in effect.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU.
The following categories describe different ways that we use and disclose health information. By coming for care, you give us the right to use your information for treatment, to get reimbursed for your care, and to operate our organization.
There are also various other ways in which we may use or disclose your information:
Appointment Reminders
To Allow Oversight of the Quality of the Healthcare We Provide
To Allow Workers’ Compensation Claims
As Required by Subpoena in Lawsuits and Disputes
Various Uses as Required by Law or to Avert a Serious Threat to Health or Safety
The full details for all these uses are contained in the full NPP.
YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU.
You have the following rights regarding health information we maintain about you:
Right to Inspect and Copy
Right to Amend
Right to an Accounting of Disclosures
Right to Request Restrictions
Right to Request Confidential Communications
Right to a Paper Copy of This Notice
Information on how to exercise these rights can be seen in the NPP or can be obtained from Anne Brown, Privacy Official at (301) 989-2300.
CHANGES TO THIS NOTICE
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our facility. The notice will contain on the first page, in the top right-hand corner, the effective date. In addition, each time you register for treatment or health care services, we will offer you a copy of the current notice in effect.
COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact Anne Brown, Privacy Official. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
OTHER USES OF HEALTH INFORMATION
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclosure health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclosure health information about take back any disclosure we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
