Esta Política de privacidad cubre los servicios que le brinda nuestra oficina. Por ley, estamos obligados a mantener la privacidad de la información médica protegida y brindarle la Política de nuestros deberes legales y prácticas de privacidad con respecto a la información médica protegida. La información de salud protegida consiste en información sobre usted (incluida la información demográfica) que puede identificarlo y que se relaciona con su salud o condición física o mental pasada, presente o futura. También incluye los servicios de atención médica relacionados.
La Política describe cómo Implant Dentistry By Doc Rok puede usar y divulgar su salud protegida para realizar tratamientos, pagos u operaciones de atención médica. Otros usos y divulgaciones de su información se realizarán únicamente con su autorización por escrito (a menos que la ley lo permita o exija lo contrario). La Política también describe sus derechos para acceder y controlar su información médica protegida y le informa sobre sus derechos para presentar una queja ante la oficina o ante el Secretario de Salud y Servicios Humanos si cree que hemos violado sus derechos.
Estamos obligados a cumplir con los términos de la Política. Podemos cambiar los términos de la política en cualquier momento. El nuevo aviso entrará en vigencia para toda la información médica protegida que mantenemos en el momento del cambio. Podemos proporcionarle cualquier Política revisada si lo solicita. Puede comunicarse con nuestra oficina de una de estas dos maneras: llamando a nuestro gerente de oficina y solicitando que se le envíe una copia revisada por correo, o solicitando una en su próxima cita.
Lea esta Política detenidamente.
AVISO DE PRÁCTICAS DE PRIVACIDAD
Este Aviso describe cómo se puede usar y divulgar su información médica y cómo puede acceder a esta información. Por favor revísela detenidamente.
Si tiene alguna pregunta sobre este Aviso, comuníquese con el GERENTE DE OFICINA.
La ley nos exige mantener la privacidad de la información médica de nuestros pacientes y proporcionarle este Aviso de nuestras obligaciones legales y prácticas de privacidad con respecto a la información médica protegida. La información médica protegida consiste en información sobre usted, incluida la información demográfica, que puede identificarlo y que se relaciona con su salud o condición física o mental pasada, presente o futura y los servicios de atención médica relacionados.
1 USOS Y DIVULGACIONES DE INFORMACIÓN MÉDICA PROTEGIDA
Usos y divulgaciones de información médica protegida para tratamiento, pago u operaciones
Su médico puede utilizar su información médica protegida para tratamiento, pago y operaciones de atención médica como se describe aquí sin su autorización. Puede ser utilizado y divulgado por su médico, el personal del consultorio y otras personas fuera de nuestro consultorio que estén involucradas en su atención y tratamiento con el fin de brindarle servicios de atención médica y pagar sus facturas de atención médica, que se utilizan para respaldar el funcionamiento de la práctica del médico.
Los siguientes son ejemplos de las formas en que su médico y el personal del consultorio pueden utilizar su información médica protegida sin su autorización específica. Tenga en cuenta que estos ejemplos no pretenden ser exhaustivos, solo describen los tipos de usos y divulgaciones que posiblemente pueda realizar nuestra oficina.
- Treatment: Your protected healthcare information may be used and disclosed to provide, coordinate, or manage your health care and any related services, including services rendered from another doctor, consultation with another doctor, or the management of your health care with a third party.
- Payment: Your information may be used, as needed, to obtain or provide payment for your medical services. This includes disclosures to other entities, such as in the case that your health insurance plan may undertake certain activities (for example, making a determination of eligibility or coverage for benefits, reviewing services provided, and undertaking utilization review activities) before it approves or pays for services recommended to you.
- Operations: Your protected health information may be disclosed or used, as needed, to support the business activities of your doctor’s practice. These activities include – but are not limited to – quality assessment and improvement activities; reviewing the competence or qualifications of professionals; business planning and development; and conducting or arranging for other business activities.
In conducting business activities, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your treating provider. We may also call you by name in the waiting room and use or disclose your protected health information, as needed, to contact you to remind you of your appointment.
Whenever your protected health information is used or disclosed in an arrangement between our office and a business associate, we will have a written contract that contains terms that will protect the privacy of your information.
We may use or disclose your protected health information, as necessary, to provide you with information about a product or service to encourage you to purchase or use the product or service. This may be done for a few specific, limited purposes.
Your protected health information may be disclosed to another provider, health plan, or health care clearinghouse for limited operational purposes as long as the other entity has, or has had, a relationship with you.
Uses and Disclosures of Protected Health Information Based upon Your Written Authorization
Other uses and disclosures of your protected health information will only be made with your written authorization unless otherwise permitted or required by law. You may revoke this authorization at any time in writing, except to the extent that your doctor or the practice has taken action in reliance on the use or disclosure indicated in the authorization.
2 YOUR RIGHTS
The following is a statement of your rights, with respect to your protected health information, and a brief description of how these rights may be exercised.
You have the right to inspect and copy your protected health information. This means that you may inspect and obtain a copy of your protected health information that is contained in your chart, including medical and billing records. It also includes any other records that your doctor and the practice may use to make decisions about your treatment.
You may not, however, inspect or copy information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding. Depending on the circumstances, a decision made to deny access may be reviewable. Please contact our Office Manager if you have questions about what access you are allowed to your medical record.
You have the right to request a restriction of your protected health information, wherein you ask our office 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 not to have your protected health information disclosed to family members or friends who may be involved in your care. Any request made must state the specific restriction requested and to whom you want the restriction to apply.
Your doctor is not required to agree to a restriction that you may request but may permit use and disclosure of your protected health information if he or she believes it is in your best interest. If your doctor does agree to the requested restriction, we may not use or disclose your information unless it is needed to provide emergency treatment. If you wish to place any restriction on your protected health information, speak with the office manager.
You have the right to request confidential communications from us by alternative means or at an alternative location; we will accommodate reasonable requests. We will not request an explanation as to the basis for the request, but may condition this accommodation by asking you for information in regards to how payment will be handled or specification of an alternative address or another method of contact. Please make this request in writing and submit it to our Office Manager.
You may have the right to have your provider amend your protected health information, though we reserve the right to deny this request. This may include a request for an amendment of protected health information about you in a designated record set for as long as we handle that information. If we deny your request for an amendment, you have the right to file a statement of disagreement. In this case, we may prepare a rebuttal to your statement and provide you with a copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures made by us, if any, of your protected health information. This applies to disclosures made for purposes other than treatment, payment, or healthcare operations as described in this Policy, though it excludes any disclosures made to you, for a facility directory, to family members or friends involved in your care, or for notification purposes. It also excludes any disclosures for which you have signed an authorization. The right to receive this information is subject to certain exceptions, restrictions, and limitations.
3 COMPLAINTS
You may make a complaint to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated. You may file a complaint with us by notifying our Office Manager. We will not retaliate against you for filing a complaint.
For further information about the complaint process, contact the Office Manager.
This Policy was published and becomes effective on March, 21 2019.