TELEPHYS INC, HIPAA AND Notice of Privacy Practices
This document describes rights and responsibilities when using Telephys and Telephys Physician P.A. services.
The healthcare providers from the TELEPHYS PHYSICIANS P.A. Medical Group that you interact with when using the Services are required by the Health Insurance Portability and Accountability Act (“HIPAA”) to describe their privacy practices in document called a 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.
- Telephys Inc’s Commitment to Your Privacy
Telephys Inc and Telephys Physicians P.A. are dedicated to maintaining the privacy of your protected health information (‘PHI’). PHI is information about you that may be used to identify you (such as your name, social security number or address), and that relates to (a) your past, present or future physical or mental health or condition, (b) the provision of healthcare to you, or (c) your past, present, or future payment for the provision of healthcare. In conducting its business, Telephys Inc will receive and create records containing your PHI. Telephys Inc is required by law to maintain the privacy of your PHI and to provide you with notice of its legal duties and privacy practices with respect to your PHI. Telephys Inc must abide by the terms of this Notice while it is in effect. Telephys Inc reserves the right to change the terms of this Notice at any time, as long as the changes are in compliance with applicable law. If Telephys Inc changes the terms of this Notice, the new terms will apply to all PHI that it maintains, including PHI that was created or received before such changes were made. If Telephys Inc changes this Notice, it will post the new Notice on its Web site and will make the new Notice available upon request.
- Uses and Disclosures of PHI
Telephys Inc may use and disclose your PHI in the following ways:
Treatment, Payment and Healthcare Operations. Telephys Inc is permitted to use and disclose your PHI for purposes of (a) treatment, (b) payment and (c) healthcare operations. For example:
Treatment. Telephys Inc may disclose your PHI to another physician or healthcare provider for purposes of diagnosis, consultations, treatment, a visit or in connection with the provision of follow-up treatment.
Payment. Telephys Inc may use and disclose your PHI to your health insurer or health plan in connection with the processing and payment of claims and other charges.
Healthcare Operations. Telephys Inc may use and disclose your PHI in connection with its healthcare operations, such as providing customer services and conducting quality review assessments. Telephys Inc may engage third parties to provide various services for Telephys Inc. If any such third party must have access to your PHI in order to perform its services, Telephys Inc will require that third party to enter an agreement that binds the third party to the use and disclosure restrictions outlined in this Notice.
Authorization. Telephys Inc is permitted to use and disclose your PHI upon your written authorization, to the extent such use or disclosure is consistent with your authorization. You may revoke any such authorization at any time.
As Required by Law. Telephys Inc may use and disclose your PHI to the extent required by law.
- Special Circumstances
The following categories describe unique circumstances in which Telephys Inc may use or disclose your PHI:
4.1 Public Health Activities. Telephys Inc may disclose your PHI to public health authorities or other governmental authorities for purposes including preventing and controlling disease, reporting child abuse or neglect, reporting domestic violence and reporting to the Food and Drug Administration regarding the quality, safety and effectiveness of a regulated product or activity. Telephys Inc may, in certain circumstances disclose PHI to persons who have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition.
4.2 Workers’ Compensation. Telephys Inc may disclose your PHI as authorized by, and to the extent necessary to comply with, workers’ compensation programs and other similar programs relating to work-related illnesses or injuries.
4.3 Health Oversight Activities. Telephys Inc may disclose your PHI to a health oversight agency for authorized activities such as audits, investigations, inspections, licensing and disciplinary actions relating to the healthcare system or government benefit programs.
4.4 Judicial and Administrative Proceedings. Telephys Inc may disclose your PHI, in certain circumstances, as permitted by applicable law, in response to an order from a court or administrative agency, or in response to a subpoena or discovery request.
4.5 Law Enforcement. Telephys Inc may, under certain circumstances, disclose your PHI to a law enforcement official, such as for purposes of identifying or locating a suspect, fugitive, material witness or missing person.
4.6 Decedents. Telephys Inc may, under certain circumstances, disclose PHI to coroners, medical examiners and funeral directors for purposes such as identification, determining the cause of death and fulfilling duties relating to decedents.
4.7 Organ Procurement. Telephys Inc may, under certain circumstances, use or disclose PHI for the purposes of organ donation and transplantation.
4.8 Research. Telephys Inc may, under certain circumstances, use or disclose PHI that is necessary for research purposes.
4.9 Threat to Health or Safety. Telephys Inc may, under certain circumstances, use or disclose PHI if necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
4.10 Specialized Government Functions. Telephys Inc, may in certain situations, use and disclose PHI of persons who are, or were, in the Armed Forces for purposes such as ensuring proper execution of a military mission or determining entitlement to benefits. Telephys Inc may also disclose PHI to federal officials for intelligence and national security purposes.
- Your Rights Regarding Your PHI
You have the following rights regarding the PHI maintained by Telephys Inc:
5.1 Confidential Communication. You have the right to receive confidential communications of your PHI. You may request that Telephys Inc communicate with you through alternate means or at an alternate location, and Telephys Inc will accommodate your reasonable requests. You must submit your request in writing to Telephys Inc.
5.2 Restrictions. You have the right to request restrictions on certain uses and disclosures of PHI for treatment, payment or healthcare operations. You also have the right to request that Telephys Inc restrict its disclosures of PHI to only certain individuals involved in your care or the payment of your care. You must submit your request in writing to Telephys Inc. Telephys Inc is not required to comply with your request. However, if Telephys Inc agrees to comply with your request, it will be bound by such agreement, except when otherwise required by law or in the event of an emergency.
5.3 Inspection and Copies. You have the right to inspect and copy your PHI. You must submit your request in writing to Telephys Inc. Telephys Inc may impose a fee for the costs of copying, mailing, labor and supplies associated with your request. Telephys Inc may deny your request to inspect and/or copy your PHI in certain limited circumstances. If that occurs, Telephys Inc will inform you of the reason for the denial, and you may request a review of the denial.
5.4 Amendment. You have a right to request that Telephys Inc amend your PHI if you believe it is incorrect or incomplete, and you may request an amendment for as long as the information is maintained by Telephys Inc. You must submit your request in writing to Telephys Inc and provide a reason to support the requested amendment. Telephys Inc may, under certain circumstances, deny your request by sending you a written notice of denial. If Telephys Inc denies your request, you will be permitted to submit a statement of disagreement for inclusion in your records.
5.5 Accounting of Disclosures. You have a right to receive an accounting of all disclosures Telephys Inc has made of your PHI. However, that right does not include disclosures made for treatment, payment or healthcare operations, disclosures made to you about your treatment, disclosures made pursuant to an authorization, and certain other disclosures. You must submit your request in writing to Telephys Inc and you must specify the time period involved (which must be for a period of time less than six years from the date of the disclosure). Your first accounting will be free of charge. However, Telephys Inc may charge you for the costs involved in fulfilling any additional request made within a period of 12 months. Telephys Inc will inform you of such costs in advance, so that you may withdraw or modify your request to save costs.
5.6 Breach Notification. You have the right to be notified in the event that Telephys Inc (or a Telephys Inc Business Associate) discovers a breach of unsecured PHI.
5.7 Paper Copy. You have the right to obtain a paper copy of this Notice from Telephys Inc at any time upon request. To obtain a paper copy of this notice, please contact Telephys Inc by calling 188TELEPHYS.
5.8 Complaint. You may complain to Telephys Inc and to the Secretary of the Department of Health and Human Services if you believe that your privacy rights have been violated. To file a complaint with Telephys Inc, you must submit a statement in writing to Telephys Inc: firstname.lastname@example.org. Telephys Inc will not retaliate against you for filing a complaint.