Privacy Policy

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.

This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

Uses and Disclosures of Protected Health Information

Your protected health information may be used and disclosed by your physician, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of the physician’s practice, and any other use required by law. These uses or disclosures do not require your signed authorization.

Treatment:

We will use and disclose your protected health information to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. As another example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.

Payment:

Your protected health information will be used, as needed, to obtain payment for your health care services. For example, your protected health information may be provided to other providers, insurers, and collection related agencies to obtain payment for services provided or to obtain prior approval for the provision of a service.

Healthcare operations:

We may use or disclose, as needed, your protected health information in order to support the business activities of your physician’s practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of clinical students, licensing, and conducting or arranging for other business activities. For example, we may disclose your protected health information to medical school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician. We may also call you by name in the waiting room when your physician is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment or medically advisable services, or provide you with a test result. We may disclose your protected information to the sponsor of your health plan. Our practice utilizes electronic health records and the services of health information exchanges. We may also use or disclose your information for purposes of research.

Use permitted or required by law:

We may use or disclose your protected health information when release is required or permitted by law, including in judicial settings and to health oversight regulatory agencies and law enforcement. We may use or disclose your protected health information in emergency situations, public health activities and health oversight or to avert serious health/safety situations or report abuse and neglect. We may disclose your protected information to medical examiners, coroners or funeral directors to aid in identifying you or to help them in performing their duties, and to organ, tissue and other donations organization, upon or proximate to your death, if we have no indication on hand about your donation preferences (or a positive indication).

Family Member:

We may disclose your protected health information to a family member, relative or others involved in your health care or payment thereof, unless you object, which you have the right to do.

Business Associates: 

We may disclose your protected health information to outside companies that assist in operating our health services, including but not limited to, billing, accounting, auditing and other services provided by these “business associates.”

Other Permitted and Required Uses and Disclosures will be made only with your consent, authorization or opportunity to object unless required by law. You may revoke any such authorization, at any time, in writing, except to the extent that your physician or the physician’s practice has taken an action in reliance on the use or disclosure indicated in the authorization.

Your Rights

The following is a statement of your rights with respect to your protected health information.

You have the right to inspect and copy your protected health information.

Under federal law, however, you may not be allowed to inspect or copy the following records; certain psychotherapy notes; information that relates specifically to legal preparations, including information protected by attorney-client privilege or rules of discovery, and certain other protected health information that is subject to law that allows prohibition of access to that information. Under some circumstances, you may have the right to appeal certain denials to access protected health information. To receive copies of your information or initiate an appeal for denial of access, please contact the clinic manager at 1810 Murchison, Suite 300, El Paso, TX 79902.

You have the right to request a restriction of all or part of your protected health information.

To do this, you must complete our form requesting the restrictions you wish. The form is available at our front desk. We are not required to grant your request unless the restriction is to not tell your insurance company about a treatment and you or someone on your behalf has paid out of pocket for that treatment in full. To request restriction of information to your insurance company, you must complete our form requesting the restriction and make payment in full prior to receiving treatment. The form is available at the front desk of our clinic. If the treatment requires a precertification, you will need to request the restriction and make payment prior to request of the precertification.

You have the right to request to receive confidential communications from us by alternative means or at an alternative location . Your request must be in writing and must state the specific alternatives you are requesting. Please ask personnel at the front desk of our clinic for a form. We will accommodate reasonable requests.

You have the right to request changes be made to your protected health information.

We are not required to grant your request. If we deny your request for amendment, you have the right to file an appeal or complain about the denial. A request for a change or to appeal/complain must be sent in writing to Attention: Privacy Officer at the address above. You must indicate the requested change and provide reasons to support any requested change.

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. To receive an accounting of disclosures, send your request, in writing to Attention: Privacy Officer at the address above.

You have the right to obtain a paper copy of this notice and any updates from us, upon request, even if you have agreed to accept this notice electronically.

To revoke an authorization you have previously provided,  send a letter requesting that your authorization be revoked to Attn: Privacy Officer at the address above.

You have the right to receive notifications of a breach of your information in the event that we or one of our business associates discovers a breach or unsecured protected health information involving your medical information.

Complaints:

You may complain to us or to the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. You may file a complaint with us by notifying our Privacy Officer of your complaint. We will not retaliate against you for filing a complaint.

We reserve the right to change the terms of this notice and to make new provisions effective retroactively to all the protected information we maintain.

We are required by law to maintain the privacy of your protected health information. We must abide by the terms of this notice or any update of this notice. For more information about our privacy practices, please contact our Privacy Officer at (915) 577-0051, PO box 3157, El Paso, TX 79923-3157.

This notice was published and becomes effective on September 20, 2013

Permitted disclosures may be made in either electronic or physical formats.

Privacy Officer: Bill Collins, (915) 577-0051

 

Sus Derechos.
La siguiente es una declaración de sus derechos con respecto a su información médica

Usted tiene el derecho de inspeccionar y copiar su información de salud protegida. Bajo la ley federal, sin embargo, es posible que no se le permita inspeccionar o copiar los siguientes registros: algunas notas de psicoterapia: la información que se refiere específicamente a los preparativos legales, incluyendo la información protegida por el secreto profesional o de reglas de descubrimiento, y alguna otra información de salud protegida que está sujeta a la ley que permite la prohibición de acceso a esa información. En algunas circunstancias, usted puede tener el derecho de apelar la negación de acceso a la información de salud protegida. Para recibir copias de su información o para iniciar una apelación de la negación de acceso, por favor póngase en contacto con el gerente de la clínica en 1810 Murchison, Suite 300, El Paso, Tx, 79902

Usted tiene derecho a solicitar una restricción de la totalidad o parte de su información de salud protegida. Para ello, debe completar la forma de solicitud de las restricciones que usted desee. La forma está disponible en la recepción de la oficina. No estamos obligados a conceder su solicitud a menos que la restricción es no  decirle a su compañía de seguros acerca de un tratamiento que usted o alguien en su nombre haya pagado de su bolsillo por el tratamiento en su totalidad. Para solicitar la restricción de información a su compañía de seguros, debe completar la forma de solicitud de la restricción y hacer el pago en su totalidad antes de recibir tratamiento. La forma está disponible en la recepción de nuestra clínica. Si el tratamiento requiere una pre-certificación, tendrá que solicitar la restricción y hacer el pago antes de solicitar la pre-certificación.

Usted tiene el derecho de solicitar,  recibir comunicaciones confidenciales de nosotros por medios alternativos o en una ubicación alternativa. Su solicitud deberá ser por escrito y deberá indicar las alternativas específicas que usted está solicitando. Por favor, pregunte al personal de la recepción de nuestra clínica por la forma. Cumpliremos con las solicitudes razonables.

Usted tiene el derecho de solicitar se efectúen cambios en su información de salud protegida. No estamos obligados a conceder su petición. Si negamos su solicitud por enmienda, usted tiene el derecho de presentar una apelación o una queja acerca de la negación. Una solicitud de un cambio o de apelamiento / queja debe ser enviada por escrito  Atención: Oficial de Privacidad a la dirección antes mencionada. Usted debe indicar el cambio solicitado y facilitar razones de apoyo a cualquier cambio solicitado.

Usted tiene el derecho de recibir cuenta de ciertas revelaciones que hemos hecho, si las hubiere, de su información de salud protegida. Para recibir un informe de divulgaciones, envíe su solicitud por escrito  Atención: Oficial de Privacidad a la dirección antes mencionada.

Usted tiene el derecho de obtener una copia  de esta notificación y las actualizaciones hechas por nosotros, a petición, incluso si usted ha aceptado recibir esta notificación electrónicamente.

Para revocar una autorización que haya proporcionado previamente, envíe una carta solicitando que su autorización sea revocada  Atención: Oficial de Privacidad a la dirección antes mencionada.

Usted tiene el derecho de recibir notificaciones de alguna violación a su información en caso de que nosotros o uno de nuestros socios de negocios descubra una violación o información de salud no protegida involucrando su información médica.

Quejas: Usted puede quejarse con nosotros o con el Departamento de Salud y Servicios Humanos de los EE.UU., si usted cree que sus derechos han sido violados. Usted puede presentar una queja con nosotros notificando a nuestro Oficial de Privacidad de su queja. No tomaremos represalias contra usted por presentar una queja.

Nos reservamos el derecho de cambiar los términos de esta notificación y de hacer nuevas disposiciones con efecto retroactivo a toda la información protegida que mantenemos.

Estamos obligados por ley a mantener la privacidad de su información de salud protegida. Tenemos que cumplir con los términos de esta notificación o de cualquier actualización de la misma. Para obtener más información acerca de nuestras prácticas de privacidad, comuníquese con nuestro Oficial de Privacidad al (915) 577-0051, P.O. Box  3157, El Paso, Tx. 79923-3157

Este aviso fue publicado y entra en vigencia a partir del  20 de septiembre del 2013.