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 IT CAREFULLY.
In Plain Terms
We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
How We May Use and Disclose Your PHI
We may use and disclose your health information for the following purposes:
Treatment
We may use your PHI to provide you with medical treatment or services. For example, we may disclose PHI to other doctors, nurses, or technicians who are involved in your care.
Payment
We may use and disclose PHI so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
Healthcare Operations
We may use and disclose PHI for our healthcare operations, such as quality assessment, employee review activities, and training.
In Plain Terms
Most of the time, we use your info to treat you, get paid by your insurance, or run our office smoothly.
Your Rights Regarding Your PHI
You have the following rights regarding the PHI we maintain about you:
- Right to Inspect and Copy: You have the right to inspect and copy PHI that may be used to make decisions about your care.
- Right to Amend: If you feel that PHI we have about you is incorrect or incomplete, you may ask us to amend the information.
- Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your PHI.
- Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or healthcare operations.
- 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.
In Plain Terms
You can see your records, ask us to fix mistakes, see who we've shared info with, and ask us to contact you in specific ways.
Our Duties
Aria Oral Surgery is required by law to:
- Maintain the privacy of your PHI.
- Provide you with this notice of our legal duties and privacy practices.
- Abide by the terms of the notice currently in effect.
- Notify you following a breach of unsecured PHI.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Aria Oral Surgery or with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Questions about this policy? Contact us at privacy@ariaoralsurgery.com or call (734) 555-0100.