Anderson & Chhabra EyeCare Center
719 W. Fletcher Avenue, Tampa, FL 33612
NOTICE OF PRIVACY PRACTICES
THIS NOTICE OF PRIVACY PRACTICES (“NOTICE”) DESCRIBES HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION (“PHI”) AND HOW YOU CAN GET ACCESS TO SUCH INFORMATION. PLEASE READ IT CAREFULLY.
We are required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and other applicable laws to maintain the privacy of your health information, to provide individuals with this Notice of our legal duties and privacy practices with respect to such information, and to abide by the terms of this Notice.
USES AND DISCLOUSURES OF INFORMATION WITHOUT YOUR AUTHORIZATION
The most common reasons why we use or disclose your PHI are for treatment, payment or health care operations. Examples of how we use or disclose your health information for treatment purposes are: setting up an appointment for you; testing or examining your eyes; prescribing glasses, contact lenses, or eye medications and faxing them to be filled; showing you low vision aids; referring you to another doctor or clinic for eye care or low vision aids or services; or getting copies of your PHI from another professional that you have seen before us. Examples of how we use or disclose your PHI for payment purposes are: asking you about your health or vision care plans, or other sources of payment; preparing and sending bills or claims; and collecting unpaid amounts (either ourselves or through a collection agency or attorney). “Health care operations” mean those administrative and managerial functions that we must carry out in order to run our office. Examples of how we use or disclose your PHI for health care operations are: financial or billing audits; internal quality assurance; personnel decisions; participation in managed care plans, defense of legal matters; and business planning.
OTHER DISCLOSURES AND USES WE MAY MAKE WITHOUT YOUR AUTHORIZATION OR CONSENT
In some limited situations, the law allows or requires us to use or disclosure your PHI without your consent or authorization. Some such uses or disclosures are:
SPECIFIC USES AND DISCLOSURES OF INFORMATION REQUIRING YOUR AUTHORIZATION
The following are some specific uses and disclosures we may not make of your PHI without your authorization:
Marketing Activities. We must obtain your authorization prior to using or disclosing any of your PHI for marketing purposes unless such marketing communications take the form of face-to-face communications we may make with or promotional gifts of nominal value that we may provide. If such marketing involves financial payment to us from a third party, your authorization must also include consent to such payment.
Sale of Health Information. We do not currently sell or plan to sell your PHI and we must seek your authorization prior to doing so.
Psychotherapy Notes. Although we do not create or maintain psychotherapy notes on our patients, we are required to notify you that individuals are not automatically entitled to have access to psychotherapy notes.
YOUR RIGHTS TO PROVIDE AN AUTHORIZATION FOR OTHER USES AND DISCLOSURES
PATIENT’S RIGHTS UNDER HIPAA
Updated information on the HIPAA Privacy Rule as of June 1, 2016
If you think that we have not properly respected the privacy of your PHI, you are free to complain to us or to the U.S. Department of Health and Human Services, Office for the Civil Rights. All complaints must be in writing. You will not be penalized for filing a complaint.
Changes To This Notice:
We reserve the right to change our privacy practices and to apply the revised practices to PHI about you that we already have. Any revision to our privacy practices will be described in a revised Notice that will be posted prominently in our facility. Copy of this Notice are also available upon request.
Notice Revised and Effective: June 1, 2016