MD INTEGRATIONS, LLC.
SUMMARY NOTICE OF PRIVACY PRACTICES
THIS 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 THIS NOTICE CAREFULLY. THIS NOTICE IS BEING PROVIDED TO YOU PURSUANT TO FEDERAL LAW.
Your Protected Health Information (PHI)
“Protected health information” (PHI) is information about you, including demographic information, that may identify you or be used to identify you, and that relates to your past, present or future physical or mental health or condition, the provision of health care services, or the past, present or future payment for the provision of health care. Each time you have contact with a healthcare provider for delivery of healthcare, a record of your contact/visit is prepared. Your medical record is the physical property of MD Integrations, LLC (“Practice”), but you have certain rights to restrict, or request restrictions on, some of the uses or disclosures of the information in your medical record, as further described in this Notice. However, Practice has the right to use and disclose the information contained in your medical record in the process of providing treatment, seeking or receiving payment, and performing other regular health care operations, as is further described herein.
Your Rights Regarding Your PHI
Except as otherwise provided by applicable law, you have the right to:
Inspect and copy your PHI and other medical records
Request an amendment to your PHI and other medical records
Request confidential communications
Request restrictions on the uses or disclosures of PHI
Receive an accounting of PHI disclosures
Receive a copy of this Notice
Choose someone to act for you
Additional rights; Complaint procedures
For certain health information, you can tell Practice your choices about what Practice may share. If you have a clear preference for how Practice shares your information in the situations described below, please contact Practice at firstname.lastname@example.org with your preferences and Practice will follow your instructions with respect to the your rights and choices in connection with the below:
Practice may ask you to provide the name and contact information for friends and family members who you want to be involved in your care, and will abide by your instructions. If you are not able to communicate your preferences to Practice (such as instances when you are unconscious), Practice may proceed with sharing your information if Practice believes doing so is in your best interest. Practice may also share your information when needed to lessen a serious and imminent threat to health or safety.
In the below cases, Practice will never share your information unless you provide Practice with written permission to do so:
Our Uses and Disclosures of PHI
Practice may use and share your PHI and other health information in connection with providing treatment, receiving payment for health services, and performing other regular health operations such as:
Examples of Uses and Disclosures of Your PHI
Practice typically uses or shares your health information in the following ways.
Healthcare Delivery and Treatment
Information obtained from you by a physician, nurse, or other healthcare professional is documented in your record and used for the assessment, evaluation, diagnosis, and treatment of your medical condition(s). Following your treatment, this information may be provided to other healthcare professionals who may be involved in your care, such as other physicians, specialists, physical therapists, hospital-based providers, and/or other healthcare providers.
Example: Your physician and an Practice provider may need to coordinate your care.
Billing and Payment
Your PHI is utilized to justify the level of care delivered to you and the charges incurred for the services. This information generally accompanies the bill and is sent to our payers.
Example: Practice gives information about you to your health insurance plan so it will pay for your services.
Practice may disclose your PHI to other individuals and businesses in order to perform day-to-day operations. These other individuals and businesses include business associates such as vendors and/or contractors used for billing and claims management, medical research, disease management, and quality improvement initiatives, as well as management services organizations, laboratories, other free-standing diagnostic facilities, and legal counsel. Practice requires all business associates to agree to appropriately protect the confidentiality of your PHI.
Example: Practice uses health information about you to manage the way Practice provides your treatment and services.
How else can Practice use or share your health information?
Practice is allowed or may be required to share your PHI or other health information in other ways – usually in ways that contribute to the public good, such as public health and research, which are summarized below. Practice has to meet many conditions in the law before Practice can share your information for these purposes. For more information on these permitted disclosures, please see the following: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
To help with public health and safety issues
Practice can share health information about you for certain situations such as:
To conduct research
Practice can use or share your information for health research where permitted by law or with your consent.
To comply with the law
Practice will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that Practice is complying with federal privacy law.
For Reminders and Treatment
Practice (or any of Practice’s business associates) may contact you to provide you with information Practice feels is useful or helpful to you, based on your PHI. For example, Practice may contact you (or instruct a specialist provider to whom you have been referred to contact you) to schedule an appointment or as an appointment reminder, to suggest alternative treatments, or to provide you with information on treatments you are already receiving.
For Legal Reasons
Practice can use or share health information about you:
Other Miscellaneous Uses
For more information, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
Practice may change the terms of this Notice, and the changes will apply to all information Practice has about you. The new Notice will be available upon request, in Practice’s offices, and on the Practice website.
This notice was last updated on October 21, 2022.