Notice of Privacy Practices

Effective Date 09/23/2013 Publication Date 09/23/2013 


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


PRIME VASCULAR LLC


Protected health information (PHI), about you, is maintained as a written and/or electronic record of your contacts or visits for healthcare services with our practice. Specifically, PHI is information about you, including demographic information (i.e., name, address, phone, etc.), that may identify you and relates to your past, present or future physical or mental health condition and related healthcare services.


Our practice is required to follow specific rules on maintaining the confidentiality of your PHI, using your information, and disclosing or sharing this information with other healthcare professionals involved in your care and treatment. This Notice describes your rights to access and control your PHI. It also describes how we follow applicable rules and use and disclose your PHI to provide your treatment, obtain payment for services you receive, manage our healthcare operations and for other purposes that are permitted or required by law.


Your Rights Under The Privacy Rule

Following is a statement of your rights, under the Privacy Rule, in reference to your PHI. Please feel free to discuss any questions with our staff.


You have the right to receive, and we are required to provide you with, a copy of this Notice of Privacy Practices  

We are required to follow the terms of this notice. We reserve the right to change the terms of our notice, at any time. Upon your request, we will provide you with a revised Notice of Privacy Practices if you call our office and request that a revised copy be sent to you in the mail or ask for one at the time of your next appointment. The Notice will also be posted in a conspicuous location within the practice, and if such is maintained by the practice, on it’s website.


You have the right to authorize other use and disclosure 

This means you have the right to authorize any use or disclosure of PHI that is not specified within this notice. For example, we would need your written authorization to use or disclose your PHI for marketing purposes, for most uses or disclosures of psychotherapy notes, or if we intended to sell your PHI. You may revoke an authorization, at any time, in writing, except to the extent that your healthcare provider, or our practice has taken an action in reliance on the use or disclosure indicated in the authorization.


You have the right to request an alternative means of confidential communication 

This means you have the right to ask us to contact you about medical matters using an alternative method (i.e., email, telephone), and to a destination (i.e., cell phone number, alternative address, etc.) designated by you. You must inform us in writing, using a form provided by our practice, how you wish to be contacted if other than the address/phone number that we have on file. We will follow all reasonable requests. 


You have the right to inspect and copy your PHI
 This means you may inspect, and obtain a copy of your complete health record. If your health record is maintained electronically, you will also have the right to request a copy in electronic format. We have the right to charge a reasonable fee for paper or electronic copies as established by professional, state, or federal guidelines.


You have the right to request a restriction of your PHI

This means you may ask us, in writing, not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. If we agree to the requested restriction, we will abide by it, except in emergency circumstances when the information is needed for your treatment. In certain cases, we may deny your request for a restriction. You will have the right to request, in writing, that we restrict communication to your health plan regarding a specific treatment or service that you, or someone on your behalf, has paid for in full, out-of-pocket. We are not permitted to deny this specific type of requested restriction.


You may have the right to request an amendment to your protected health information  

This means you may request an amendment of your PHI for as long as we maintain this information. In certain cases, we may deny your request. 


You have the right to request a disclosure accountability 

This means that you may request a listing of disclosures that we have made, of your PHI, to entities or persons outside of our office.


You have the right to receive a privacy breach notice 

You have the right to receive written notification if the practice discovers a breach of your unsecured PHI, and determines through a risk assessment that notification is required.


If you have questions regarding your privacy rights, please feel free to contact our Privacy Manager. Contact information is provided on the following page under Privacy Complaints.



How We May Use or Disclose Protected Health Information

Following are examples of uses and disclosures of your protected health information that we are permitted to make. These examples are not meant to be exhaustive, but to describe possible types of uses and disclosures.


Treatment 

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third party that is involved in your care and treatment. For example, we would disclose your PHI, as necessary, to a pharmacy that would fill your prescriptions. We will also disclose PHI to other Healthcare Providers who may be involved in your care and treatment. 


Special Notices 

We may use or disclose your PHI, as necessary, to contact you to remind you of your appointment. We may contact you by phone or other means to provide results from exams or tests and to provide information that describes or recommends treatment alternatives regarding your care. Also, we may contact you to provide information about health-related benefits and services offered by our office, for fund-raising activities, or with respect to a group health plan, to disclose information to the health plan sponsor. You will have the right to opt out of such special notices, and each such notice will include instructions for opting out.


Payment 

Your PHI will be used, as needed, to obtain payment for your healthcare services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the healthcare services we recommend for you such as, making a determination of eligibility or coverage for insurance benefits.


Healthcare Operations 

We may use or disclose, as needed, your PHI in order to support the business activities of our practice. This includes, but is not limited to business planning and development, quality assessment and improvement, medical review, legal services, auditing functions and patient safety activities. 


Health Information Organization 

The practice may elect to use a health information organization, or other such organization to facilitate the electronic exchange of information for the purposes of treatment, payment, or healthcare operations.


To Others Involved in Your Healthcare 

Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person, that you identify, your PHI that directly relates to that person’s involvement in your healthcare. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose PHI to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care, of your general condition or death. If you are not present or able to agree or object to the use or disclosure of the PHI, then your healthcare provider may, using professional judgment, determine whether the disclosure is in your best interest. In this case, only the PHI that is necessary will be disclosed.


Other Permitted and Required Uses and Disclosures 

 We are also permitted to use or disclose your PHI without your written authorization for the following purposes: as required by law; for public health activities; health oversight activities; in cases of abuse or neglect; to comply with Food and Drug Administration requirements; research purposes; legal proceedings; law enforcement purposes; coroners; funeral directors; organ donation; criminal activity; military activity; national security; worker’s compensation; when an inmate in a correctional facility; and if requested by the Department of Health and Human Services in order to investigate or determine our compliance with the requirements of the Privacy Rule.


Privacy Complaints

You have the right to complain to us, or directly to the Secretary of the Department of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying the Privacy Manager at:


We will not retaliate against you for filing a complaint.


Address: 7100 W 20 AVE

No.: 514

City: Hialeah

State: FL

Zip Code: 33016



Aviso de Prácticas de Privacidad

Fecha de entrada en vigor: 23/09/2013
 Fecha de publicación: 23/09/2013

Este aviso describe cómo puede usarse y divulgarse su información médica, y cómo puede acceder a ella. Por favor, léalo detenidamente.

PRIME VASCULAR LLC

La información médica protegida (PHI, por sus siglas en inglés) sobre usted se mantiene como un registro escrito y/o electrónico de sus visitas o contactos con nuestra práctica para recibir servicios de salud. Específicamente, la PHI incluye información demográfica (nombre, dirección, teléfono, etc.) que puede identificarle y que se relaciona con su estado físico o mental, pasado, presente o futuro, así como con servicios médicos asociados.

Nuestra práctica está obligada a seguir normas específicas para mantener la confidencialidad de su PHI, usar su información y compartirla con otros profesionales médicos involucrados en su atención. Este aviso describe sus derechos de acceso y control sobre su PHI, así como cómo usamos y divulgamos su información para brindarle tratamiento, gestionar pagos, realizar operaciones médicas y otros fines permitidos o exigidos por la ley.

Sus derechos según la norma de privacidad

A continuación, se detallan sus derechos respecto a su PHI:

Para cualquier duda, puede comunicarse con nuestro Responsable de Privacidad (ver la sección de Quejas de Privacidad).

Cómo podemos usar o divulgar su información médica protegida

Algunos ejemplos de usos y divulgaciones permitidas:

Tratamiento

Usamos y compartimos su PHI para brindarle, coordinar o gestionar su atención médica. Por ejemplo, podríamos enviarla a su farmacia para surtir recetas o a otros proveedores involucrados en su tratamiento.

Avisos especiales

Podemos contactarlo para recordarle citas, dar resultados de exámenes o sugerir alternativas de tratamiento. También podemos enviarle información sobre beneficios médicos, actividades de recaudación de fondos o planes de salud. Usted tiene derecho a excluirse de estos avisos.

Pago

Utilizamos su PHI para gestionar pagos, verificar cobertura o coordinar la aprobación de servicios con su aseguradora.

Operaciones médicas

Podemos usar su PHI para actividades internas como mejora de calidad, revisiones médicas, auditorías, servicios legales y seguridad del paciente.

Organización de información médica

Podemos usar servicios de intercambio electrónico de información médica para facilitar el tratamiento, pago u operaciones.

Personas involucradas en su atención

Salvo que se oponga, podemos compartir su PHI con familiares, amigos u otras personas que usted identifique, si están involucradas en su cuidado. Si usted no puede aceptar u oponerse, lo haremos si consideramos que es en su mejor interés.

Otros usos y divulgaciones permitidas o exigidas por ley

Podemos usar o divulgar su PHI sin autorización en casos como: cumplimiento de la ley, salud pública, vigilancia sanitaria, abuso o negligencia, FDA, investigaciones, procedimientos legales, seguridad nacional, compensación laboral, fallecimientos, donación de órganos, actividad criminal, servicio militar o si lo solicita el Departamento de Salud para verificar el cumplimiento de esta norma.

Quejas de privacidad

Tiene derecho a presentar una queja ante nosotros o ante el Secretario del Departamento de Salud y Servicios Humanos si cree que hemos violado sus derechos de privacidad.

Para presentar una queja, comuníquese con nuestro Responsable de Privacidad en:

Dirección:
 7100 W 20 AVE
 N.º: 514
 Ciudad: Hialeah
 Estado: FL
 Código Postal: 33016

No tomaremos represalias por presentar una queja.