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.
OUR COMMITMENT TO YOUR PRIVACY At South Miami Sports medicine we are committed to protecting the privacy and security of your Protected Health Information (PHI). This Notice of Privacy Practices describes how we may use and disclose your PHI, your rights regarding your PHI, and our obligations under the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws.
HOW WE MAY USE AND DISCLOSE YOUR PHI We may use and disclose your PHI for the following purposes without your authorization:
1. Treatment: We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This includes sharing information with other health care providers involved in your care.
2. Payment: We may use and disclose your PHI to obtain payment for the health care services we provide. This may include billing your insurance company or other third parties.
3. Health Care Operations: We may use and disclose your PHI for activities necessary to operate our facility, such as quality improvement, staff training, and compliance with legal and regulatory requirements.
OTHER USES AND DISCLOSURES We may also use or disclose your PHI in the following situations without your authorization, as permitted or required by law:
· To public health authorities for purposes such as disease prevention and reporting.
· To government agencies for purposes such as audits, investigations, and oversight.
· To law enforcement officials in response to a court order, subpoena, or other legal process.
· To avert a serious threat to health or safety.
· For workers’ compensation or similar programs.
· As required by state or federal law.
USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION For any other purposes not described above, we will obtain your written authorization before using or disclosing your PHI. You may revoke your authorization at any time, in writing, except to the extent that we have already relied on it.
YOUR RIGHTS REGARDING YOUR PHI You have the following rights regarding your PHI:
1. Right to Access: You have the right to inspect and obtain a copy of your PHI, with certain exceptions.
2. Right to Amend: You may request an amendment to your PHI if you believe it is incorrect or incomplete.
3. Right to an Accounting of Disclosures: You may request a list of disclosures of your PHI made by us, except for those related to treatment, payment, health care operations, or authorized by you.
4. Right to Request Restrictions: You may request restrictions on how we use or disclose your PHI, though we are not required to agree to all requests.
5. Right to Request Confidential Communications: You may request that we communicate with you about your PHI in a specific way or at a specific location.
6. Right to a Paper Copy of This Notice: You may request a paper copy of this Notice at any time.
OUR RESPONSIBILITIES We are required by law to:
· Maintain the privacy and security of your PHI.
· Provide you with this Notice of our legal duties and privacy practices.
· Notify you if a breach occurs that may have compromised the privacy or security of your PHI.
· Abide by the terms of the Notice currently in effect.
CHANGES TO THIS NOTICE We reserve the right to update this Notice of Privacy Practices. If we make material changes, we will post the revised Notice in our facility and on our website (if applicable) and provide you with a copy upon request.
CONTACT INFORMATION If you have any questions about this Notice or wish to exercise any of your rights, please contact our Privacy Officer:
· Name: Nancy Millares Phone: 3056667116 Email: [email protected]
COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
ACKNOWLEDGEMENT OF RECEIPT You will be asked to sign an acknowledgement that you have received this Notice. Your signature is not a condition of receiving treatment.
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