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HIPAA Notice

Notice of Privacy Practices

This notice explains how New York Pulmonary Care ACCESS Model, PC may use and disclose protected health information, your privacy rights, and the practice's responsibilities.

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

Protected health information includes information that identifies you and relates to your past, present, or future health, health care, or payment for health care.

Your Rights

You have the right to:

  • Ask to see or receive a copy of your medical record and other health information maintained by the practice.
  • Ask the practice to correct health information you believe is wrong or incomplete.
  • Ask for confidential communications, such as contacting you at a specific phone number or address.
  • Ask the practice to limit certain uses or disclosures of your health information.
  • Ask for a list of certain disclosures of your health information.
  • Receive a paper copy of this notice upon request.
  • Choose a personal representative when legally authorized.
  • File a privacy complaint without retaliation.

How We May Use and Share Health Information

Treatment

We may use and share health information to provide, coordinate, or manage your care, including communication with physicians, care-team members, pharmacies, laboratories, hospitals, and other providers involved in your treatment.

Payment

We may use and share health information to bill and receive payment from Medicare, Medicaid, health plans, or other responsible payers.

Health Care Operations

We may use and share health information for practice operations such as quality improvement, care coordination, training, licensing, audits, compliance, fraud prevention, and business administration.

People Involved in Your Care

With your agreement, or when permitted by law, we may share information with a family member, caregiver, personal representative, or other person involved in your care or payment for your care.

Public Health and Safety

We may share information for public health activities, abuse or neglect reporting, health oversight, product recalls, serious threats to health or safety, and other activities required or allowed by law.

Required by Law

We will share information when federal, state, or local law requires it, including with the U.S. Department of Health and Human Services if it reviews HIPAA compliance.

Business Associates

We may share information with service providers who help the practice operate, such as technology, billing, answering service, or secure communication vendors. These parties must protect health information under HIPAA business associate requirements.

Uses That Require Written Authorization

We will ask for written authorization before using or sharing health information for:

  • Most uses and disclosures of psychotherapy notes.
  • Marketing communications when written authorization is required by HIPAA.
  • Sale of protected health information.
  • Other uses and disclosures not permitted by HIPAA without your written authorization.

You may revoke an authorization in writing. Revocation does not affect uses or disclosures already made based on the authorization.

Substance Use Disorder Records

When health information includes substance use disorder treatment records protected by federal law, the practice will follow additional privacy protections that apply to those records.

Our Responsibilities

  • Maintain the privacy and security of protected health information.
  • Follow the duties and privacy practices described in this notice.
  • Notify affected individuals after a breach of unsecured protected health information as required by law.
  • Train workforce members and maintain privacy safeguards appropriate for practice operations.
  • Provide this notice electronically on the website and provide a paper copy upon request.

Complaints

You can complain to the practice if you believe your privacy rights have been violated. The practice will not retaliate against you for filing a complaint.

You can also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by visiting hhs.gov/hipaa/filing-a-complaint, calling 1-877-696-6775, or writing to 200 Independence Avenue, S.W., Washington, D.C. 20201.

Changes to This Notice

The practice can change the terms of this notice. Updated notices will apply to health information the practice already has and information received in the future. The current notice will be available on this website and upon request.