NOTICE OF PRIVACY PRACTICES
The notice of Privacy practices is required by the Privacy Regulations stemming from the health Insurance Portability and Accountability Act of 1996 (HIPAA). 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.
This practice is determined to protect the privacy of your medical information. As we provide service to you, we create and store health information (a medical record) that identifies you. It is often necessary to share or disclose this health information in order to provide treatment for you, to obtain payment, and to conduct health care operations in our office.
This Notice of Privacy Practices requires us to:
- Keep your medical records private and provide you with this notice
- Update our privacy practices and the terms of this notice at any time, ensuring our notice is effective, even for information recently obtained
We reserve the right to make an important change in our privacy practice and change this notice to that effect. You may contact us to request a new copy of our notice and we will make the new notice available upon request.
The following are descriptions of the different circumstances that may require our practice to use or disclose your medical information:
- Sharing medical data with another provider who is responsible for your care (physicians, audiologists, nurses, any other health care professionals, technicians, students in health care, or any other people who take care of you), making referrals, and/or placing lab or prescription orders.
- Sharing with your health insurance plan information about a treatment you received at our practice when filing a claim for reimbursement or determination of benefits.
- Sharing with business associates to perform functions on our practice’s behalf, if the business associate has signed an agreement to protect the confidentiality of the information.
- haring information about your condition(s), location, and/or death with family member(s) or your personal representative(s). Prior permission from you will be obtained unless in case of emergency. If we are unable to obtain permission, we will share only the health information directly necessary for your health care.
- Provide treatment communications concerning treatment alternatives or other health-related products or services, unless we or a business associate receive financial remuneration in exchange for the communication, in which case we must receive your written authorization, unless the communication is made face-to-face or involves gifts of nominal value.
- Disclosing medical information to a medical examiner to identify a deceased person or to determine the cause of death, or for tissue donations.
- Medical information may be disclosed if you are military personnel, either active or a veteran, and if required by the appropriate authorities.
- Sharing medical data with the public health and/or law enforcement official whose job it is to prevent or control disease, injury, disability, or criminal conduct.
- Sharing medical data with a representative from the Food and Drug Administration for the purpose of reporting adverse effects stemming from defective products, etc.
- Medical information may be disclosed when necessary to comply with workers’ compensation.
- Medical information may be disclosed in response to a court and/or administrative order in a lawsuit or similar proceeding.
- In order to contact you for fundraising activities supported by our practice. You have the option to opt out of receiving these communications by sending a written request to the privacy officer.
- For marketing purposes for which our practice or our business associates may receive remuneration, for a disclosure that constitutes a sale of protected health information, and in all other situations not described in this policy, your written authorization will be obtained before our practice will use or disclose your health information to third parties outside our practice. You have the right to revoke such authorization by providing our practice with a written request to revoke the specific authorization.
- If a use or disclosure is required by law, the disclosure will be made in compliance with the law and will be limited to such requirements. State and federal laws may be more stringent and may prohibit certain uses and disclosures identified above. When another law is more stringent than HIPAA, we will follow the more stringent requirements.
You have individual rights as part of the Notice of Privacy Practices. As a patient of Thigpen Hearing Center, you have the right to:
- Request that our practice restrict uses and disclosures of your health information. However, we are not required to agree to the requested restriction unless you are requesting a restriction on the use and disclosure of your protected health information to a health plan for payment or health care operations and such information pertains to a health care item or service which you paid for in full or out of pocket. These requests should be made in writing to the address given in this privacy notice. In your request, you must tell us (a) what information you want to limit; (b) whether you want to limit our use, disclosure, or both; and (c) to whom you want the limits to apply.
- Be notified upon a breach of any of your unsecured protected health information.
- Request that we communicate with you regarding your confidential medical information by different means or at different locations. This request must be made to our practice in writing.
- Request photocopies of your medical records on file and/or a copy of this Notice of Privacy Practices. If you need a photocopy, please notify the receptionist.
- Request a change to your health information if you think it is incomplete or inaccurate. However, if the audiologist, hearing health care professional, or office personnel believe the patient’s health information is complete and accurate, he/she can refuse to make the requested changes. This request must be made in writing to our practice.
- Receive a list of all the times your medical information has been shared by our office or our business associates for six years prior to the request date, other than treatment, payment, health care operations, and/or other specified exceptions.
- Request a paper copy if you have received this Notice of Privacy Practices electronically. This request must be made in writing to Thigpen Hearing Center.
This notice shall be effective January 2017.
According to HIPAA regulations, you have the right to restrict the uses or disclosures of your information made for purposes of treatment, payment, and/or health care operations.
- Treatment is the provision, coordination, or management of hearing health care. For example, we may use and disclose your information to consult with a third party or to refer you to other health care providers. We will get your written consent prior to making disclosures outside our practice for treatment purposes, except in emergencies.
- Payment includes the activities necessary to obtain reimbursement for the provision of hearing health
care. For example, we may need to give your health plan information about treatment you received at our practice so your health plan will pay us or reimburse you for the treatment. We will get your written consent prior to making disclosures for payment purposes.
- Health care operations include the activities necessary for our practice to run its business operations. For example, we may use your information to review treatment and services and to evaluate the performance of our staff.
- We may use or share your information for health research
If you have any questions regarding our privacy practices or think we may have violated your privacy rights, please contact us at: Thigpen Hearing Center, 315 Robert Rose Drive, Suite E, Murfreesboro, TN 37129.