This Notice of Privacy Practices applies to Neuroscience Specialists, P.C., including all physicians, staff, and workforce members who work at or with our practice. When we use the words "we," "us," or "our" in this Notice, we mean Neuroscience Specialists, P.C. and its affiliated providers and facilities.
We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations to maintain the privacy of your protected health information (PHI), to provide you with notice of our legal duties and privacy practices, and to abide by the terms of the notice currently in effect.
We are required by law to:
The following categories describe ways we may use and disclose your health information for treatment, payment, and healthcare operations without your written authorization. Not every use or disclosure in a category will be listed, but all the ways we are permitted to use and disclose your information will fall within one of the following categories.
We may use and disclose your health information to provide, coordinate, or manage your medical treatment. For example, we may share your information with other physicians involved in your care, referring physicians, hospitals, surgical facilities, or other healthcare providers.
We may use and disclose your health information so that we may bill and receive payment from you, an insurance company, or a third party for the treatment and services you received. For example, we may need to give your health plan information about treatment you received so they will pay us or reimburse you.
We may use and disclose your health information in connection with our healthcare operations. For example, we may use your information for quality assessment, employee review, training, accreditation, licensing, and credentialing activities.
We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care.
We may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
We may use and disclose your health information to tell you about health-related benefits, services, or products that may be of interest to you.
We may also use or disclose your health information in the following situations without your authorization or opportunity to agree or object:
Other uses and disclosures of your health information not described in this Notice will be made only with your written authorization. If you provide us written authorization, you may revoke it at any time. If you revoke your authorization, we will no longer use or disclose your health information for the reasons covered by your written authorization. We are unable to take back any disclosures already made with your authorization.
We will never sell your health information or use it for marketing purposes without your written authorization.
You have the following rights regarding health information we maintain about you:
You have the right to inspect and receive a copy of your health information that may be used to make decisions about your care. To inspect and copy medical information, submit your request in writing to our Privacy Officer. We may charge a reasonable fee for copying, mailing, or other supplies associated with your request.
You have the right to request an amendment of your health information if you believe it is incorrect or incomplete. Your request must be in writing and include the reason for the requested amendment. We may deny your request in certain circumstances.
You have the right to receive an accounting of disclosures we have made of your health information, other than disclosures made for treatment, payment, or healthcare operations, for up to six years prior to the date of your request.
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request unless the request is to restrict disclosure to a health plan for payment or healthcare operations when you have paid out-of-pocket for the service in full.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we contact you only at work or only by mail.
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.
We reserve the right to change this Notice and to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future. The current Notice will be posted in our office and on our website. The effective date will be noted on the first page of the Notice.
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with our practice, contact our Privacy Officer in writing at the address below. You will not be retaliated against for filing a complaint.
To file a complaint with the U.S. Department of Health and Human Services, contact:
Office for Civil RightsFor questions about this Notice or to exercise your rights, please contact:
Privacy OfficerOur team is here to help with any questions about your treatment or patient rights.