NOTICE OF PRIVACY
HIPAA NOTICE OF PRIVACY
September 23, 2013
I. THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
PLEASE REVIEW IT
II. This Notice is provided
to you pursuant to the Health Insurance Portability and Accessibility Act of
1996 (“HIPAA”). It is designed to tell
you how we may, under federal law, use or disclose your 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’ are required to abide by the terms of this
Notice of Privacy Practices. We may
change the terms of our notice, at any time.
The new notice will be effective for all protected health information
that we maintain at that time. Upon your
request, we will provide you with any revised Notice of Privacy Practices by
accessing our website at www.eyecarenj.com,
calling the office and requesting that a revised copy be sent to you in the
mail or asking for one at the time of your next appointment.
How we may use and disclose your protected health
information. We use and disclose
health information for many different reasons.
For some of these uses or disclosures, we need your specific
authorization. Below, we describe the
different categories of our uses and disclosures and give you some examples of
A. We May Use or Disclose Your Health
Information for Purposes of Treatment, Payment or Healthcare Operations
[with/without] a Consent and Here is One Example of Each:
Treatment. We will use your protected health information
to provide, coordinate, or manage your health care and any related
services. Your health information may be
used by our physicians and staff members or disclosed to other health care
professionals for the purpose of evaluating your health, diagnosing medical conditions,
and providing treatment.
Your health information may be used to seek payment from your health
plan, other sources of coverage such as automobile insurer, or credit card
companies that you may use to pay for services.
Healthcare Operations. Your health information may be used as
necessary to support the day-to-day activities and management of The Eye Care
Center. For example, information on the
services you received may be used to support budgeting and financial reporting
and activities to evaluate and promote quality to insure that our practice is
meeting state and federal guidelines and laws designated to protect your health
We May Use or Disclose Your Health Information Under
the Following Circumstances without Obtaining Your Prior Consent or
For Treatment, Payment or Healthcare
Operations. See above.
When a disclosure is required by federal,
state, or local law, judicial or administrative proceedings, or law
To provide it to you.
For Public Health Purposes. We may use or disclose your Health
Information to provide information to state or federal public health
authorities, as required by law to prevent or control disease, injury or
disability; to report child abuse or neglect; report domestic violence; report
to the Food and Drug Administration problems with products and reactions to
medications; and report disease or infection exposure.
For Health Oversight Activities. We may use or disclose your Health
Information to health agencies during the course of audits, investigations,
inspections, licensure and other proceedings.
To Law Enforcement Personnel. We may use or disclose your Health
Information to a law enforcement official to identify or locate a suspect,
fugitive, material witness or missing person, comply with a court order or
subpoena and other law enforcement purposes.
To Coroners or Funeral Directors. We may use or disclose your Health
Information for purposes of communicating with coroners, medical examiners and
For Purposes of Organ Donation. We may use or disclose your Health
Information for purposes of communicating to organizations involved in
procuring, banking or transplanting organs and tissues.
In Order to Conduct Research. We may use or disclose your Health
Information in order to conduct research that has been approved by our
Institutional Review Board.
For Public Safety. We my use or disclose your Health Information
in order to prevent or lessen a serious and imminent threat to the health or
safety of a particular person or the general public.
To Aid Specialized Government Functions. If necessary, we may use or disclose your
Health Information for military or national security purposes.
For Worker’s Compensation. We may use or disclose your Health
Information necessary to comply with worker’s compensation laws.
Appointment Reminders and Health-Related
Benefits or Services. We may use PHI to provide appointment
reminders or give you information about treatment alternatives or other health
care services or benefits we offer.
Change of Ownership. In the event that our practice is sold or
merged with another organization, your Health Information/record will become
property of the new owner.
To Correctional Institutions or Law
Enforcement Officials, if You are in Inmate.
C. Uses and Disclosures Require You to
Have the Opportunity to Object.
Notify and/or Communicate with your Family.
Unless you object, we may use or disclose your PHI in order to notify
your family or assist in notifying your family, your personal representative or
another person responsible for your care about your location, your general
condition or in the event of your death.
If you are unable or unavailable to agree or object, our health
professionals will use their best judgment in any communications with your
family and others.
Emergencies. We may use or disclose your PHI in an
emergency treatment situation. If this
happens, your physician shall try to obtain your consent as soon as reasonably
practicable after the delivery of treatment.
Third Party Business Associates. We will share your PHI with third party
business associates that perform various activities (e.g. billing,
transcription services) for the practice.
Whenever an arrangement between our office and a business associate
involves the use or disclosure of your protected health information, we will
have a written contract that contains terms that will protect the privacy of
Communication Barriers. We may use and disclose your PHI if your physician
or another physician in the practice attempts to obtain consent from you but is
unable to do so due to substantial communication barriers and the physician
determines that you intend to consent to use or disclosure under the