NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE FEEL FREE TO SPEAK TO YOUR THERAPIST, HIS/HER DESIGNEE OR THE HIPAA PRIVACY OFFICER.
Project Physical Therapy LLC is committed to maintaining and protecting the confidentiality of your personal information. This Notice of Privacy Practices is being provided to you as a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). It will inform you about the ways in which we may use and disclose your health information, and the safeguards we have put into place to protect it. It also describes your rights and certain obligations we have regarding the use and disclosure of your health information.
OUR DUTIES TO YOU REGARDING YOUR PROTECTED HEALTH INFORMATION
“Protected Health Information” is individually identifiable health information expressed in the form of oral, written or electronic communications. This information includes demographic information such as your age, address, email address, and other information that relates to your past, present or future health condition and related healthcare services. Project Physical Therapy LLC is required by law to:
- Make sure your health information is kept private.
- Give you this notice of our legal duties and privacy practices related to the use and disclosure of your protected health information.
- Follow the terms of the notice currently in effect.
- Communicate any changes in this notice to you.
HOW WE USE AND DISCLOSE YOUR HEALTH INFORMATION
The following categories describe different ways that we use and disclose your health information. We will not use your confidential information or disclose it to others without your authorization, except for the following purposes:
- Treatment: We may use and/or disclose your confidential health information to provide you with treatment and/or services. This includes your therapist’s recommendation(s), and those of other professionals/paraprofessionals including clerical, coordination and management staff.
- Payment: Your protected health information will be used, as needed, to bill and collect payment for treatment and services provided to you. We may share information about a treatment and/or service you may receive to your health insurer to receive approval for payment.
- Health Care Operations: We may use and disclose health information about you for regular health care operations. The medical staff in this practice will use your health information to assess the care you received and the outcome of your case compared to others like it. We may also use this information as necessary for medical reviews, legal services and audits, including fraud and abuse detection and compliance programs and business planning and management. Your information may be reviewed for risk management or quality assessment/improvement purposes in our efforts to continually improve the quality and effectiveness of the care and services we provide. We will share your protected health information with third-party “business associates” who perform various activities for the practice. The business associates will also be required to protect your health information. We may remove information that identifies you from this set of health information so others may use it to study health care and health care delivery without learning your identity.
- Appointment Reminders: We may use and disclose health information to contact you as a reminder that you have an appointment for treatment or care in our Practice. If you are not home, we may leave this information on your answering machine or in a message left with the person answering the phone.
- Sign-in Sheet: We may use and disclose medical information about you by having you sign in when you arrive at our office. We may also call out your name when we are ready to see you.
- Required by Law: We will disclose health information about you when required to do so by federal, state or local laws.
- Public Health Activities: We may disclose your confidential health information for the following public health activities and purposes:
– To report health information to public health authorities that are authorized by law to receive such information for the purpose of preventing or controlling disease, injury or disability;
– To report child abuse or neglect to a government authority that is authorized by law to receive such reports;
– To report information about a product or activity that is regulated by the US Food and Drug Administration (FDA) to a person responsible for the quality, safety or effectiveness of the product or activity;
– To conduct post-marketing surveillance, as required; and
– To alert a person who may have been exposed to a communicable disease, if we are authorized by law to give this notice.
- Legal Proceedings: We may release protected health information about you in response to a court or administrative order if you are involved in a lawsuit or dispute. We may also disclose health information about you in response to a subpoena, discovery request or other lawful process by someone else involved
in the dispute, but only if efforts have been made to tell you about the request.
- Law Enforcement: We may release health information if asked to do so by law enforcement officials:
– In response to a court order, subpoena, warrant, summons or similar process.
– To identify or locate a suspect, fugitive, material witness or missing person.
– About the victim of a crime if, under certain circumstances, we are unable to obtain the person’s agreement.
– About the death we believe may be the result of criminal conduct.
– About criminal conduct at the Practice.
– In emergency circumstances to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
- Research: Under certain circumstances, we may use and disclose your confidential information for research purposes without an authorization. An authorization would not be necessary if your identifying information was removed.
- Workers’ Compensation: We may release your health information to comply with Workers’ Compensation Laws and other similar legally established programs. The programs provide benefits for work-related illness or injury.
- Promotional Gifts: We may use your confidential health information so that we may provide you with nominal gifts. We will not disclose your confidential information to other companies for their marketing purposes.
- Health Related Benefits and Services: We may use and disclose health information to inform you about health-related benefits, products, or services related to your treatment, case management or care coordination, or to direct or
recommend other treatments or health-related benefits and services that may be of interest to you. We may also encourage you to purchase a product or service when we see you. We will not otherwise use or disclose your medical information for marketing purposes without your written authorization. If the communication is targeted to you, it must explain why you were targeted and how the product or service relates to your health. Any communication you receive must identify the Practice as the source of the communication, inform you if we received any payment for making the communication, and contain instructions about how you may request that we not contact you further about such health related products and services.
- Criminal Activity: Under certain Federal and state laws, we may disclose your protected health information if we believe that its use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose your health information if it is necessary for law enforcement authorities to identify or apprehend an individual.
- Government Functions: We may disclose your health information to the U.S. Military or to authorized federal or state officials for purposes specified by federal law.
- Coroners, Funeral Directors, and Organ Donation: We may disclose your health information to a coroner or medical examiner. This may be necessary to identify a deceased person or to determine the cause of death. We may also disclose protected health information to funeral directors as authorized by law to assist them in carrying out their duties. Protected health information may also be used and disclosed for organ eye and tissue donations if you have previously agreed to organ donation.
- Parental Access: Various New York State laws determine what protected health information can be disclosed to parents, guardians, and persons acting in a similar legal status. We will act consistently with the law and will make disclosures only when necessary.
- Individuals Involved in Your Care: Unless you object, we may use or disclose your health information to notify or assist in the notification of a family member or personal representative of your location, your general condition, or death. If you are present, you will have the opportunity to object to this type of use or
disclosure. If you are unable to decide or if it is an emergency, we may disclose information that is directly relevant to the person’s involvement in your healthcare, if we determine that it is in your best interest to do so.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
Although your health record is the physical property of Project Physical Therapy LLC, the information belongs to you. You have the following rights regarding your protected health information. You may make any of the following requests by submitting a written request to our office.
- Right to Inspect and Copy: You have the right to both inspect and obtain a copy of your protected health information that is contained in a “designated record set” for as long as we maintain your health information. This information is used to make health-related decisions about your care and typically includes professional treatment/progress notes, supplement programs, laboratory reports, prescriptions, and billing/financial records. This request does not include inspection and copying of the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and protected health information that is subject to laws that prohibit access. If you request copies, we may charge you copying and mailing costs. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health information, you may request that the denial be reviewed.
- Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in
your care or the payment for your care. While we consider all requests for restrictions carefully, we are not required to agree to your request.
- Right To Request Amendment: If you believe the health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have a right to request an amendment for as long as the information is kept by or for Project Physical Therapy LLC, if we determine the record is inaccurate.
We may deny your request if it is not in the appropriate form or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
– Was not created by us, unless the person or entity that created the information is no longer available to make the amendment
– Is not part of the information kept by or for Project Physical Therapy LLC
– Is not part of the information which you would be permitted to inspect or copy
– Is accurate and complete
- Right to Request Confidential Communications: You may request that we communicate with you using alternative means or at an alternative location. You may also ask that we mail information to you in a sealed envelope rather than a postcard. While we will consider this request carefully, we are not required
to agree to all requests.
- Right to Request an Accounting of Disclosures: You have the right to an accounting of disclosures. This is a list of where we have sent your protected health information that does not include disclosures made for treatment, payment, or healthcare operations as described in this notice.
- Right To Obtain a Copy of this Notice: You have the right to a paper copy of this notice. You may request a copy of this notice at any time. To obtain a copy of this, please contact the Practice Administrator or his/her designee.
CHANGES TO THIS NOTICE
We reserve the right to change our privacy practices and this notice. We reserve the right to make the changed notice effective for health information we already have about you as well as any information we receive in the future. If we change the notice, we will provide each active patient with a new notice. You may also obtain a new notice by calling our office.
If you believe your privacy rights have been violated, you may file a complaint with Project Physical Therapy LLC Privacy Officer or his/her designee at the address below. No retaliation will occur against you for filing a complaint. All complaints must be submitted in writing. You may also file written complaints with the Secretary of
the US Department of Health and Human Services.
Project Physical Therapy LLC
HIPAA Privacy Officer
301 Ocean View Ave, 2nd Floor, Brooklyn, NY 11235
OTHER USES OF YOUR HEALTH INFORMATION
Other uses and disclosures of your health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose your health information, you may revoke that permission, in writing, at any time. If you revoke your permission, 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 we have already made with your permission and we are required to maintain in our records of the care that we provided to you.
This notice was published on April 9, 2020. Our Notice of Privacy Practices remain in effect until modified by Project Physical Therapy LLC.