NOTICE OF PRIVACY PRACTICES FOR
MAK HEALTHCARE P.C.
(dba) MULTICARE PLUS
This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review carefully.
Understanding your medical record:
Each time you visit our office, a record of your visit made. Our office may also keep records relating to telephone and mail communications with you and with others involved in your healthcare. Typically, our records contain information regarding your symptoms, examinations and test results, diagnosis, treatment, and plans for future care and treatment. This information, often referred to as your medical record or health information serves as a:
- Basis for planning your care and treatment
- Means of communicating amount the healthcare professionals who contribute to your care
- Tool for education health professional
- Source of data for medical research
- Source of information for public health officials charged with improving the health of the nation
- Source of data for facility planning
- Told with which we can assess and work to improve the care we render and the outcome we achieve
Examples of how your health information may be used and disclosed for treatment, payment and health operations.
We will use your health information for treatment purposes.
We will use and disclose your health information for payment purposes.
- For example, information about you obtained by a member of this office’s healthcare team will be recorded in your record and will be shared by other members of this office’s healthcare team who are involved in your care and treatment. If you are referred for testing, care or treatment to another health car professional, our office will provide that healthcare professional with information about you that should assist him or her in providing serviced to you.
For example, a bill may be sent to you or to an insurer/third party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, test results, treatments and attendant supplies.
We will use and disclose your health information for regular health operations.
The following are examples of how your health information may be used and disclosed for regular health operations:
- There are some services provided for and to our office through agreements with business associates. These may include transcription and copying services, billing services, office management services, and the service of professionals such as our attorneys, accountants and insurance agents. We may disclose your health information to our business associates so that they can perform their services. To protect your health information, we require our business associates to safeguard your health information appropriately.
- We may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, of your location and general condition.
- Health professionals may disclose to a family member, or other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care of payment related to your care
- To further medical science, we may disclose information to researchers when their research ahs been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.
- We may disclose health information to funeral directors consistent with applicable law to carry out their duties.
- Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.
- We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services.
- We may contact you as part of a fundraising campaign.
- We may disclose to the FDA health information concerning adverse events with respect to food, supplements, product and product defects, or post marking surveillance information to enable product recalls, repairs or replacement.
- We may disclose health information to the extent authorized by and to the extend necessary to comply with laws relating to workers compensation or other similar programs established by law.
- As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease or injury or disability.
- Should you be an inmate of correctional institution, we may disclose to the institution or its agents health information necessary for your health and the health and safety of others.
- We may disclose health information for law enforcement purposes as required by law in response to a subpoena.
Your health information rights
Your medical records are the physical property of our office. You do, however, have rights with respect to your health information. Subject to certain requirements and limitations set our in federal and state laws, you have the right to:
- Review this Notice of Privacy Practices
- Authorize uses of disclosures of health information for purposes other than treatment, payment and health operations.
- Opt-out of disclosures of information to family members or others who may be assisting with your care
- Request restrictions on certain uses and disclosures of your health information (our office, however, is not required to agree to such restrictions).
- Receive confidential communications from this office if requested.
- Obtain a written copy of this notice, upon request
- Inspect and copy your own health information
- Under certain circumstances, to appeal denials of access to your own health information
- Amend incorrect or incomplete health information, subject to certain limitations.
- Obtain an accounting of disclosures of your health information, subject to certain limitations.
- Request communications of your health information by alternative means or at alternative locations.
- Revoke your authorization to use or disclose your health information (except to the extent that action has already been taken)
- File a complaint with this office or with the Secretary of the Department of Health and Human Services if you believe your privacy rights have been violated.
Our office’s responsibilities
Subject to limitations set out in the Health Insurance Portability and Accountability Act (HIPAA) and other relevant laws, or office is required to:
- Maintain the privacy of your health information
- Provide you with a notice regarding our legal duties and privacy practices with respect to information we collect and maintain about you
- Abide by the terms of this notice
- Notify you if we are unable to agree to a requested restriction
- Accommodate reasonable requests you may have to communicate health information by alternatives means or at alternatives locations.
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, you may request from us and obtain a revised notice.
For more information to obtain a copy of your health information, to obtain an accounting of disclosures of your health information, to amend you health information or to report a problem.