PCCA's HIPAA Notice of Privacy Practices
Critical Care Associates, P.C.
NOTICE OF PRIVACY PRACTICES
Effective Date: January 1, 2015
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
YOU CAN GET ACCESS TO THIS INFORMATION.PLEASE REVIEW IT CAREFULLY.
If you have any questions about this notice, please contact Sandra Lange at 586-314-0080
Each time you visit a hospital, physician, or other healthcare provider, a record of your visit is made.
Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, a plan for
future care or treatment, and billing-related information. This notice applies to all of the records of your care
generated by the practice, whether made by your physician, practice personnel or agents of the practice.
We are required by law to maintain the privacy of your health information, provide you a description of our privacy
practices, and to notify you following a breach of unsecured protected health information. We will abide by the
terms of this notice.
USES AND DISCLOSURES
The following categories describe
examples of the way we use and disclose health information:
For Treatment: We may use health information about you to provide you treatment or services. We
may disclose health information about you to doctors, nurses, technicians or other practice personnel who are
involved in your care. Example: In treating you for a specific condition, we may need to know if you have allergies
that could influence which medications we prescribe. Different departments of the practice also may share health
information about you in order to coordinate the different things you may need, such as prescriptions, on-site
testing, x-rays, etc.
For Payment: We may use and disclose health information about your treatment and services to bill
and collect payment from you, your insurance company or a third party payer. Example: We may need to send your
protected health information, such as your name, address, office visit date and codes identifying your diagnosis
and treatment to your insurance company for payment.
For Health Care Operations: We may use information in your health record to assess the care and
outcomes in your case and others like it. The results will then be used to continually improve the quality of care
for all patients we serve. Example: We may combine health information about many patients to evaluate the need for
new services or treatment. And we may combine health information we have with that of other facilities to see where
we can make improvements.
Fundraising: We may contact you to raise funds for the practice; however, you have the right to
elect not to receive such communications.