Abeo Solutions, Inc. HIPAA Notice of Privacy Practices

  Effective Date: September 22, 2013

 

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.

 

If you have any questions about this notice, please contact Sunil Chaudhari at (512) 335-1976.

OUR OBLIGATIONS:

We are required by law to:

  •   Maintain the privacy of protected health information
  •  Notify you of any breaches involving your Protected Health Information
  • Give you this notice of our legal duties and privacy practices regarding health information about you

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION:

Except for the purposes described below, we will use and disclose Protected Health Information only with your written permission.  You may revoke such permission at any time by writing to our practice Privacy Officer.   We will only use and disclose your Protected Health Information without your authorization when necessary for:

 

  • Treatment. We may use and disclose Protected Health Information for your treatment and to provide you with treatment-related health care services.
  • Payment. We may use and disclose Protected Health Information so that we or others may bill and receive payment from you, an insurance company or a third party for the treatment and services you received.
  • Health Care Operations. We may use and disclose Protected Health Information for health care operations purposes.  We also may share information with other entities that have a relationship with you (for example, your health plan) for their health care operation activities.
  • As Required by Law.  We will disclose Protected Health Information when required to do so by international, federal, state or local law.
  • To Avert a Serious Threat to Health or Safety. We may use and disclose Protected Health Information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
  • Business Associates.  We may disclose Protected Health Information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services.  We will only disclose your Protected Health Information to Business Associates who have agreed in writing to maintain the privacy of Protected Health Information as required by law.
  • Public Health Risks.  We may disclose Protected Health Information for public health activities.  These activities generally include disclosures to prevent or control disease, injury or disability; report births and deaths; report child abuse or neglect; report reactions to medications or problems with products; notify people of recalls of products they may be using; a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence.  We will only make this disclosure if you agree or when required or authorized by law.
  • Health Oversight Activities.  We may disclose Protected Health Information to a health oversight agency for activities authorized by law.
  • Data Breach Notification Purposes.  We may use or disclose your Protected Health Information to provide legally required notices of unauthorized access to or disclosure of your health information.
  • Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose Health Information in response to a court or administrative order.  We also may disclose Health Information in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
  • Law Enforcement. We may release Protected Health Information if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons or similar process; (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, we are unable to obtain the person’s agreement; (4) about a death we believe may be the result of criminal conduct; (5) about

criminal conduct on our premises; and (6) in an emergency to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.

USES AND DISCLOSURES THAT REQUIRE US TO GIVE YOU AN OPPORTUNITY TO OBJECT

Individuals Involved in Your Care or Payment for Your Care. We may disclose your Protected Health Information to a member of your family, a relative, a close friend or any other person you identify, that directly relates to that person’s involvement in your health care, if the information

is relevant to their involvement and you have agreed or had an opportunity to object.

WRITTEN AUTHORIZATION IS REQUIRED FOR OTHER USES AND ISCLOSURES

The following uses and disclosures of your Protected Health Information will be made only with your written authorization:

1.  Uses and disclosures of Protected Health Information for marketing purposes; and

2.  Disclosures that constitute a sale of your Protected Health Information

Other uses and disclosures of Protected Health Information not covered by this Notice or the laws that apply to us will be made only with your written authorization.  If you do give us an authorization, you may revoke it at any time by submitting a written revocation to our Privacy Officer and we will no longer disclose Protected Health Information under the authorization. But disclosure that we made in reliance on your authorization before you revoked it will not be affected by the revocation.

YOUR RIGHTS:

You have the following rights regarding Health Information we have about you:

Right to Inspect and Copy.  You have a right to inspect and copy Health Information that may be used to make decisions about your care or payment for your care.

Right to an Electronic Copy of Electronic Medical Records. If your Protected Health Information is maintained in an electronic format (known as an electronic medical record or an electronic health record), you have the right to request that an electronic copy of your record be given to you or transmitted to another individual or entity.

Right to Get Notice of a Breach.  You have the right to be notified upon a breach of any of your unsecured Protected Health Information.

Right to Amend.  If you feel that Protected Health Information we have is incorrect or incomplete, you may ask us to amend the information.  You have the right to request an amendment for as long as the information is kept by or for our office.

Right to an Accounting of Disclosures.  You have the right to request a list of certain

disclosures we made of Protected Health Information for purposes other than treatment, payment and health care operations or for which you provided written authorization.

Right to Request Restrictions.  You have the right to request a restriction or limitation on the Protected Health Information we use or disclose for treatment, payment, or health care operations.  You also have the right to request a limit on the Protected Health Information we disclose to someone involved in your care or the payment for your care, like a family member or friend.  We are not required to agree to your request.

Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.  To request confidential communications, you must make your request, in writing, to Sunil Chaudhari.  Your request must specify how or where you wish to be contacted.  We will accommodate reasonable requests.

Right to a Paper Copy of This Notice.  You have the right to a paper copy of this notice.  You may ask us to give you a copy of this notice at any time.  Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.  You may obtain a copy of this notice at our web site, www.crystalpm.com.

CHANGES TO THIS NOTICE:

We reserve the right to change this notice and make the new notice apply to Protected Health Information we already have as well as any information we receive in the future.  We will post a copy of our current notice at our office.  The notice will contain the effective date on the first page, in the top right-hand corner.

COMPLAINTS:

If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services.  To file a complaint with our office, contact Sunil Chaudhari.  All complaints must be made in writing.  You will not be penalized for filing a complaint.

Click here to download a pdf copy.