HIPAA NOTICE OF PRIVACY PRACTICES This notice describes how medical billing information about you may be used and disclosed and how you can get access to this information. Please review it carefully. |
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This Notice of Privacy Practices describes how The Practice of Anita I. Inveiss, M.D. may use and disclose your protected health information (PHI) to carry out treatment, payment or healthcare operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI. PHI is information about you, including demographics that may identify you and that relates to your past, present or future physical or mental health condition and related health care services. Uses and disclosures of PHI. Your PHI may be used and disclosed by The Practice of Anita I. Inveiss, M.D. and medical professionals, office staff, our independent medical transcriptionist and others outside of our office that are involved in your care and treatment for the purpose of providing healthcare services to you, to pay your healthcare claims, to support the operation of this medical billing agency and any other use required or allowed by law. Treatment. We will use and disclose your PHI to provide, coordinate or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third party. Payment. Your PHI will be used, as needed, to obtain payment for your health care services. Healthcare operations. The Practice of Anita I. Inveiss, M.D. may use or disclose your PHI in order to support the business activities of this medical billing agency. These activities include but are not limited to; Governmental site approvals, quality assessment, employee reviews, employee and medical assistant training, licensing and conducting or arranging for other business activities. We may use or disclose your PHI without your permission in the following circumstances; as required by law, public health issues as required by law, communicable diseases, health oversight, abuse or neglect, Food & Drug Administration requirements, legal proceedings, law enforcement, coroners, funeral directors, organ donations, research, criminal activity, military activity, national security, workers compensation, inmates. We must make disclosures to you and when required by DHHS to investigate or determine our compliance with the requirements of Section 164.500. Other permitted and required uses and disclosures. Will be made only with your consent, authorization with the opportunity to object unless required by law. You may revoke this authorization. At any time, in writing, except to the extent that this practice has taken an action in reliance on the use of a disclosure previously authorized. Your rights. You have the right to inspect and copy your PHI except for; psychotherapy notes, information compiled in anticipation of or use in a civil, criminal or administrative action or proceeding. Also, PHI that is subject to law that prohibits access to PHI. You have the right to ask The Practice of Anita I. Inveiss, M.D. not to use or disclose any part of your PHI for the purposes of treatment, payment or healthcare operations, or family members and friends who may be involved in your care. Your written request must state the specific restriction requested and to whom you want the restriction to apply. The Practice of Anita I. Inveiss, M.D. Compliance Officer may not agree to a requested restriction if it is believed that it is in your best interest to permit its use and disclosure. You will be notified in writing if this is the case. You have the right to request confidential communications from The Practice of Anita I. Inveiss, M.D. by alternative means or at an alternative location. You have the right to obtain a paper copy of this Notice from us even if you have previously received it in an alternative method. You have the right to request an amendment to your PHI. If this request is denied you have the right to file a disagreement statement to try and sway your case and we have the right to prepare a rebuttal to your statement and provide you with copies of all of this correspondence. Your Doctor’s decision is final. You have the right to receive an accounting of certain disclosures this practice or any of our affiliates have made of your PHI. You have the right to file a complaint with this office, any of our affiliates or with the DHHS if you believe The Practice of Anita I. Inveiss, M.D. has violated your privacy rights. You have the right of non-retaliation because of a complaint filing. Please notify Mr. Peter Siltumens, Compliance Officer, at 262-654-0260. We reserve the right to change the terms of this notice and will inform you of such changes via this website. You have the right to object or withdraw as provided in this notice. This notice becomes effective on April 14, 2003. Peter Siltumens |
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