HIPAA Notice of Privacy Practices | Advanced & Modern Pain Center

Our Commitment to Your Privacy

Advanced & Modern Pain Center is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and notify you following a breach of your unsecured PHI.

How We May Use and Disclose Your Health Information

The following categories describe the ways we may use and disclose your health information:

For Treatment

We may use your health information to provide, coordinate, or manage your healthcare and related services. This includes consultations between healthcare providers relating to your care and referrals to other healthcare providers.

For Payment

We may use and disclose your health information to bill and collect payment for the services we provide. This may include contacting your health insurance company, Medicare, Medicaid, or other third-party payers. We may also share information with billing companies and collection agencies.

For Healthcare Operations

We may use and disclose your health information for our healthcare operations, which include quality assessment, employee review, training programs, accreditation, certification, licensing, and credentialing activities.

Electronic Medical Records

We use Advanced MD as our Electronic Medical Records (EMR) system to maintain and manage your health information securely. This system is compliant with HIPAA security requirements.

Other Uses and Disclosures

We may also use or disclose your health information without your authorization in the following situations:

●As Required by Law: When required by federal, state, or local law
●Public Health Activities: To prevent or control disease
●Health Oversight: For audits and inspections
●Legal Proceedings: Court orders or subpoenas
●Law Enforcement: As required by law
●Coroners: Identify deceased or determine cause of death
●Organ Donation: To donation organizations
●Research: Under certain conditions
●Serious Threats: Prevent threats to safety
●Military: As required by military authorities
●Workers' Comp: For compensation claims
●National Security: Intelligence activities

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke your authorization at any time by submitting a written request, except to the extent that we have already taken action in reliance on your authorization.

Specific uses requiring authorization include:

● Most uses and disclosures of psychotherapy notes
● Uses and disclosures for marketing purposes
● Disclosures that constitute a sale of your health information

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your health information maintained by us. To request access, submit a written request to our office. We may charge a reasonable fee for copying costs.

Right to Request Amendment

You have the right to request that we amend your health information if you believe it is incorrect or incomplete. Submit your request in writing, including the reason for the amendment. We may deny the request under certain circumstances.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your health information. This list will not include disclosures made for treatment, payment, healthcare operations, or disclosures you authorized.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations. We are not required to agree to your request, except if you pay for a service in full out-of-pocket and request that we not disclose information about that service to your health plan.

Right to Request Confidential Communications

You have the right to request that we communicate with you about health matters in a certain way or at a certain location. For example, you may request that we contact you only at work or by mail.

Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this Notice upon request, even if you have agreed to receive the Notice electronically.

Our Duties

We are required by law to:

● Maintain the privacy of your health information
● Provide you with this Notice of our legal duties and privacy practices
● Abide by the terms of the Notice currently in effect
● Notify you if we are unable to agree to a requested restriction
● Accommodate reasonable requests for confidential communications
● Notify you in the event of a breach of your unsecured health information

Changes to This Notice

We reserve the right to change this Notice and make the revised Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in our office and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.