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.
Why am I receiving this Notice? To the extent required by law, companies will maintain the privacy of your health information. To the extent required by law, we are required to inform you of our legal duties and privacy practices where your protected health information is concerned.
This notice contains a summary of our health information privacy practices and of your rights relating to your health information. In the absence of an express statement to the contrary by us in writing, this notice is not intended to preclude or restrict uses or disclosures of health information that are otherwise permitted by law, or to give you rights that we are not required by law to give you. By providing you this notice, we are not consenting to or otherwise waiving our rights to dispute any claim under law. This notice is provided subject to the provisions of applicable law – to the extent applicable law imposes restrictions applicable to us of lesser degree than set forth herein, the restrictions imposed under law shall govern.
To the extent required by law, we are required to follow the terms of this Notice of Privacy Practices. We also have the right to change the terms of this notice, and to make the new notice effective for all health information we maintain. If we change the notice, we will post an updated copy of it and make it available on this site.
How do we use and disclose health information? We maintain health information about you, including health information, billing and payment information which we receive from you or testing we provide for you. We use this information and disclose it to others for the following purposes:
Treatment. We use your health information to provide health care to you and to coordinate your health care with other providers, and we disclose it to other health care providers to enable them to provide health care services to you. For example, we use your health information to fulfill your request for laboratory testing and disclose your health information to laboratories that provide testing.
Payment. We use and disclose your health information to obtain payment for health care services we provide to you, including processing any tests you request. For example, we disclose your health information in order to properly invoice you for testing you may have requested.
Health care operations. We use and disclose your health information as necessary to enable us to operate our health care operations. For example, we use your health information for our internal financial accounting activities and we review health information to ensure quality.
We also disclose health information to our contractors and agents who assist us in our uses described herein. All such persons are bound to an obligation of confidentiality on your health information. For example, companies that provide or maintain computer networking functions may have access to computerized health information in the course of providing services to us. As used herein, for the purposes of permitted uses and disclosures, “we”, “us” and such like terms shall mean PWNHealth and/or such contractors and agents.
Contacting you. We may contact you to provide appointment reminders or other information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Other disclosures. We may disclose and use your health information with your authorization. We may disclose and use your health information to provide and offer you treatment alternatives, health related offerings and services which may be of benefit to you and, accordingly, make disclosures in connection therewith to offerrors of such offerings and services. We may receive remuneration in exchange therefor. If you do not wish to receive communication on such offerings and services, you may opt-out by contacting us pursuant to the contact details set forth below. We may also use your health information to conduct population-based research studies. We may also disclose and use your health information without your authorization in a variety of circumstances in which we are required or permitted by law to do so. Generally, the kinds of disclosures we may be required or allowed to make without your authorization include:
- Disclosures that are required by state or federal law where use or disclosure thereof complies with and is limited to the requirements of such law
- Disclosures to public heath authorities or to other persons in connection with public health activities
- Disclosures to government authorities authorized to receive reports of abuse, neglect, or domestic violence
- Disclosures to health oversight agencies responsible for overseeing activities authorized by law, including audits, inspections or investigations
- Disclosures in the course of judicial and administrative proceedings such as lawsuits
- Disclosures to law enforcement officials for law enforcement purposes
- Disclosures to coroners and medical examiners
- Disclosures to organ procurement agencies
- Disclosures to researchers conducting research under the auspices of an Institutional Review Board or privacy board
- Disclosures to avert a serious threat to health or safety
- If you are a member of the armed forces, we may release health information to your military command authority or to the veteran’s administration to assist in determining your eligibility for veteran’s benefit
- Disclosures to assist authorized federal officials in national security activities, or for the provision of protective services to officials
- If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release health information about you to the institution or law enforcement official
- Disclosures to other agencies administering government health benefit programs as authorized or required by law
- Disclosures to comply with workers’ compensation laws
Limitations. In some circumstances, your health information may be subject to restrictions required by law that may limit or preclude some uses or disclosures described above. For example, there may be special restrictions required by law on the disclosure of health information relating to HIV/AIDS status, mental health treatment, developmental disabilities and drug and alcohol abuse treatment. We comply with these restrictions under law in our use of your health information.
Authorization. Except as described above, to the extent required by law, we will not permit other uses and disclosures of your health information without your written authorization, which you may revoke at any time in the manner described in your authorization form.
What rights do I have? You have the following rights with respect to your health information, to the fullest extent permitted under law:
- You have the right to ask us to restrict certain uses and disclosures of your health information. However, we are not required to agree to any restrictions.
- You have the right to receive confidential communications from us. For example, by asking us to contact you at a particular telephone number, post office box or other address.
- You have the right to inspect and copy any health information about you that we maintain. These include medical records and billing records concerning you and your health information. Under certain circumstances, we may deny your request. If your request is denied, we will tell you the reason for denial. You have the right to have such denial reviewed.
- If you feel the information in our records is wrong, you have the right to request us to amend the health information. We may deny your request in certain circumstances. If your request is denied you have the right to submit a statement for inclusion in the record.
- You have the right to receive a report of accounting on disclosures that we have made to your health information up to six years prior to the date of your request. There are some exceptions which include the following: we don’t maintain records of disclosures made with your authorization, disclosures made for the purposes of treatment, obtaining payment for health services, or operating our health operations, disclosures made to you, and certain other disclosures
- If you received this notice electronically, you have the right to request a paper copy from us at any time
The foregoing is a general statement of your rights. They are subject to all limitations permitted or required by law.
How do I exercise these rights? You can exercise any of your rights by sending a written request to our Privacy Official at the address below.
How do I file a complaint if my privacy rights are violated? You have the right to file a complaint with our Privacy Official if you believe your privacy rights have been violated. You must provide us with specific, written information to support your complaint. You may also file a complaint with the Secretary of Health and Human Services. We will not retaliate against you in any way for filing a complaint.
55 Broad Street, 16th Floor
New York, NY 10004
Attn: Privacy Officer
Contact the Secretary of Health and Human Services at:
Secretary of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
Dated effective: November 15, 2010