Treatment
We may disclose your health care information to other healthcare professionals within our practice for the purpose of treatment, payment or healthcare operations. (example)
On occasion, it may be necessary to seek consultation regarding your condition from other health care providers associated with MIDWEST MINOR MEDICAL.”
Payment
We may disclose your health information to your insurance provider for the purpose of payment or health care operations. (example)
“As a courtesy to our patients, we will submit an itemized billing statement to your insurance carrier for the purpose of payment to MIDWEST MINOR MEDICAL for health care services rendered. If you pay for your health care services personally, we will, as a courtesy, provide an itemized billing to your insurance carrier for the purpose of reimbursement to you. The billing statement contains medical information, including diagnosis, date of injury or condition, and codes which describe the health care services.”
Workers’ Compensation
We may disclose your health information as necessary to comply with State Workers’ Compensation Laws.
Emergencies
We may disclose your health information to notify or assist in notifying a family member, or another person responsible for your care about your medical condition or in the event of an emergency or of your death.
Public Health
As required by law, we may disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability, reporting child abuse or neglect, reporting domestic violence, reporting to the Food and Drug Administration problems with products and reactions to medications, and reporting disease or infection exposure.
Judicial and Administrative Proceedings.
We may disclose your health information in the course of any administrative or judicial proceeding.
Law Enforcement.
We may disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena, and other law enforcement purposes.
Deceased Persons.
We may disclose your health information to coroners or medical examiners.
Research.
We may disclose your health information to researchers conducting research that has been approved by an Institutional Review Board.
Public Safety.
It may be necessary to disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or to the general public.
Specialized Government Agencies.
We may disclose your health information for military, national security, prisoner and government benefits purposes.
Change of Ownership.
In the event that MIDWEST MINOR MEDICAL, P.C. is sold or merged with another organization, your health information/record may become the property of the new owner.
Your Health Information Rights:
- You have the right to request restrictions on certain uses and disclosures of your health information. Please be advised, however, that MIDWEST MINOR MEDICAL, P.C. is not required to agree to the restriction that you requested.
- You have the right to have your health information received or communicated through an alternative method or sent to an alternative location other than the usual method of communication or delivery, upon your request.
- You have the right to inspect and copy your health information.
- You have a right to request that MIDWEST MINOR MEDICAL, P.C. amend your protected health information. Please be advised, however, that MIDWEST MINOR MEDICAL, P.C. is not required to agree to amend your protected health information. If your request to amend your health information has been denied, you will be provided with an explanation of our denial reason(s)and information about how you can disagree with the denial.
- You have a right to receive an accounting of disclosures of your protected health information made by MIDWEST MINOR MEDICAL, P.C..
- You have a right to a paper copy of this Notice of Privacy Practices at any time upon request.
Changes to this Notice of Privacy Practices
MIDWEST MINOR MEDICAL, P.C. reserves the right to amend this Notice of Privacy Practices at any time in the future, and will make the new provisions effective for all information that it maintains. Until such amendment is made, MIDWEST MINOR MEDICAL, P.C. is required by law to comply with this Notice.
MIDWEST MINOR MEDICAL, P.C. is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. If you have questions about any part of this notice or if you want more information about your privacy rights, please contact: LaWray Kinsella by calling this office at 402-827-6510. If LaWray Kinsella is not available, you may make an appointment for a conference in person or by telephone within 2 working days.
Complaints
Complaints about your Privacy rights, or how MIDWEST MINOR MEDICAL, P.C. has handled your health information should be directed to LaWray Kinsella by calling this office at 402-827-6510. If LaWray Kinsella is not available, you may make an appointment for a conference in person or by telephone within 2 working days.
