Common use of Uses and Disclosures of Protected Health Information Clause in Contracts

Uses and Disclosures of Protected Health Information. Your protected health information may be used and disclosed by your physician, our office staff and others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of your physician’s practice. Following are examples of the types of uses and disclosures of your protected health information that your physician’s office is permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office. Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another provider. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. We will also disclose protected health information to other physicians who may be treating you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician. Payment: Your protected health information will be used and disclosed, as needed, to obtain payment for your health care services provided by us or by another provider. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities. For example, obtaining approval for an office visit may require that your relevant protected health information be disclosed to the health plan. You will however be able to restrict disclosures to your insurance carrier for services for which you wish to pay “out of pocket” under the new Omnibus Rule.

Uses and Disclosures of Protected Health Information. Your protected health information I may be used use and disclosed by disclose PHI without your physicianwritten authorization, our office staff and others outside of our office who are involved for certain purposes as described below. The examples provided in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of your physician’s practice. Following are examples of the types of uses and disclosures of your protected health information that your physician’s office is permitted to make. These examples each category are not meant to be exhaustive, but are meant to describe the types of uses and disclosures that may be made by our officepermissible under federal and state law.  Treatment: We will I may disclose your PHI to physicians, psychiatrists, psychologists, and other licensed health care providers who provide you with health care services or are otherwise involved in your care.  Health care operations: I may use and disclose your protected health information PHI to providefacilitate the efficient and correct operation of my practice, coordinate, including phone messages to you concerning scheduling appointments or manage routine follow-up.  To authorize or obtain payment for treatment: I may use and disclose your PHI to your health care plan to authorize services, submit claims, and any related servicescollect payment for the treatment and services I provide you. This includes the coordination or management of I disclose your PHI to a billing service who processes health care claims, obtains authorizations, verifies benefits, and provides account statements to you as required.  Emergency treatment: Your consent isn't required if you need emergency treatment provided that I attempt to get your consent after treatment is rendered. In the event that I try to get your consent but you are unable to communicate with another providerme (for example, if you are unconscious or in severe pain) but I think that you would consent to such treatment if you could, I may disclose your PHI.  When required or permitted by law: I may use or disclose PHI when I am required or permitted to do so by law. For example, we would I may disclose PHI to appropriate authorities if I reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of crimes. In addition I may disclose PHI to the extent necessary to avert a serious threat to your protected health information, as necessary, or safety or the health or safety of others. Other disclosures permitted or required by law include the following: disclosures to state and federal agencies authorized to access PHI. These include disclosures for public health activities; and health oversight activities; disclosures to judicial and law enforcement officials in response to a home health agency that provides care court order or other lawful process; and disclosures to you. We will also disclose protected health information to other physicians who may be treating you. For examplemilitary and national security agencies, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. In additioncoroners, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician. Payment: Your protected health information will be used and disclosed, as needed, to obtain payment for your health care services provided by us or by another provider. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessityexaminers, and undertaking utilization review activities. For example, obtaining approval for an office visit may require that your relevant protected health information be disclosed to the health plan. You will however be able to restrict disclosures to your insurance carrier for services for which you wish to pay “out of pocket” under the new Omnibus Rulecorrectional institutions or otherwise as authorized by law.

Uses and Disclosures of Protected Health Information. Your protected health information may be used and disclosed by your physician, our office staff and others outside of our office who that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed , to pay your health care bills and bills, to support the operation of your the physician’s 's practice. Following are examples of the types of uses , and disclosures of your protected health information that your physician’s office is permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made any other use required by our officelaw. Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another providera third party. For example, we would disclose your protected protected, health information, information as necessary, to a home health agency that provides care to you. We will also disclose protected health information to other physicians who may be treating you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information Information to diagnose or treat you. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician. Payment: Your protected health information will be used and disclosedused, as needed, to obtain payment for your health care services provided by us or by another provider. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activitiesservices. For example, obtaining approval for an office visit a hospital stay may require that your relevant protected health information be disclosed to the health planplan to obtain approval for the hospital admission. Healthcare Operations: We may use or disclose, as needed, your protected health information to support the business activities of your physician's practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, and conducting or arranging for other business activities. For example, we may disclose your protected health information to medical school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician. We may also call you by name in the waiting room when your physician is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment. We may use or disclose your protected health information in the following situations without your authorization. These situations include: as Required By Law, Public Health issues as required by law, Communicable Diseases: Health Oversight: Abuse or Neglect: Food and Drug Administration requirements: Legal Proceedings: Law Enforcement: Coroners, Funeral Directors, and Organ Donation: Research: Criminal Activity: Military Activity and National Security: Workers' Compensation: Inmates: Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500. Other Permitted and Required Use and Disclosures Will Be Made Only with Your Consent, Authorization or Opportunity to Object unless required by law. You will however be able may revoke this authorization, at any time, in writing, except to restrict disclosures to the extent that your insurance carrier for services for which you wish to pay “out of pocket” under physician or the new Omnibus Rulephysician's practice has taken on action in reliance on the use or disclosure indicated in the authorization.

Uses and Disclosures of Protected Health Information. Your protected health information I may be used use and disclosed by disclose PHI without your physicianwritten authorization, our office staff and others outside of our office who are involved for certain purposes as described below. The examples provided in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of your physician’s practice. Following are examples of the types of uses and disclosures of your protected health information that your physician’s office is permitted to make. These examples each category are not meant to be exhaustive, but are meant to describe the types of uses and disclosures that may be made by our officepermissible under federal and state law. PERMISSIBLE USES AND DISCLOSURES THAT DO NOT REQUIRE WRITTEN CONSENT: • Treatment: We will I may disclose your PHI to physicians, psychiatrists, psychologists, and other licensed health care providers who provide you with health care services or are otherwise involved in your care. • Health care operations: I may use and disclose your protected health information PHI to providefacilitate the efficient and correct operation of my practice, coordinate, including phone messages to you concerning scheduling appointments or manage routine follow-up. • To authorize or obtain payment for treatment: I may use and disclose your PHI to your health care plan to authorize services, submit claims, and any related servicescollect payment for the treatment and services I provide you. This includes the coordination or management of I disclose your PHI to a billing service who processes health care claims, obtains authorizations, verifies benefits, and provides account statements to you as required. • Emergency treatment: Your consent isn't required if you need emergency treatment provided that I attempt to get your consent after treatment is rendered. In the event that I try to get your consent but you are unable to communicate with another providerme (for example, if you are unconscious or in severe pain) but I think that you would consent to such treatment if you could, I may disclose your PHI. • When required or permitted by law: I may use or disclose PHI when I am required or permitted to do so by law. For example, we would I may disclose PHI to appropriate authorities if I reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of crimes. In addition I may disclose PHI to the extent necessary to avert a serious threat to your protected health information, as necessary, or safety or the health or safety of others. Other disclosures permitted or required by law include the following: disclosures to state and federal agencies authorized to access PHI. These include disclosures for public health activities; and health oversight activities; disclosures to judicial and law enforcement officials in response to a home health agency that provides care court order or other lawful process; and disclosures to you. We will also disclose protected health information to other physicians who may be treating you. For examplemilitary and national security agencies, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. In additioncoroners, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician. Payment: Your protected health information will be used and disclosed, as needed, to obtain payment for your health care services provided by us or by another provider. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessityexaminers, and undertaking utilization review activities. For example, obtaining approval for an office visit may require that your relevant protected health information be disclosed to the health plan. You will however be able to restrict disclosures to your insurance carrier for services for which you wish to pay “out of pocket” under the new Omnibus Rulecorrectional institutions or otherwise as authorized by law.