HIPAA Disclosures




Our Duties

We are required by law to maintain the privacy of your medical information and to provide you with notice of our legal duties and privacy practices. We are required to abide by the terms of the Notice of Privacy Practices currently in effect. We reserve the right to change those terms and any changes made will be effective for all medical information we maintain. You may address questions regarding our privacy practices, your privacy rights, or requests for additional information regarding your privacy to our Privacy Coordinator; Bowie Internal Medicine Associates; 14999 Health Center Drive, Suite 201; Bowie, MD 20716.

Permitted Uses

We may use and disclose your medical information for specific reasons:

  • Treatment: We will provide your doctor or other health care provider with the results of any examinations or tests we perform.
  • Payment: We will bill your insurance company, you directly, or another person that may be responsible for payment of your account. We may need to contact your health plan to see if they will pay for the exams your doctor has ordered.
  • Health Care Operations: We routinely review medical records to maintain quality assurance goals. That means that we may select your records for a review by another physician in the practice. We may also select your billing information for review by our internal compliance department or by external auditors.

Disclosures without Authorization

We may use and disclose medical information about you, without your specific authorization:

  • Disclosures Required by Law: We will disclose medical information about you when required to do so by federal or state law.
  • Public Health Activities: We may disclose medical information about you for public-health purposes.
  • Victims of Abuse, Neglect, or Domestic Violence: We may be required to disclose medical information if we feel that you have been abused or neglected.
  • Health Oversight Activities: We may be required to disclose your medical information to Medicare or a related agency if they select your case for a medical review.
  • Legal proceedings, lawsuits and other legal actions. We may disclose medical information when we receive a court order, subpoena, discovery request or other lawful instructions from those courts, a judge or administrative tribunal.
  • Law Enforcement: If asked to do so by law enforcement, and as authorized or required by law, we may release medical information.
  • Serious Threats to Health or Safety: We may be required to disclose your medical information if, in our opinion, doing so will help avert a serious threat to the public.
  • Military Personnel: We may disclose your medical information to the appropriate command authorities.
  • Worker’s Compensation: We may disclose your medical information to comply with laws regarding worker’s compensation.

Patient Rights

You have certain rights with respect to your medical information.

Requesting Restrictions: You may ask us to limit our use or disclosure of your protected health information. We are not required to agree to your request. If we do agree, our agreement must be in writing, and we will comply with your request except as required by law or needed to provide you emergency treatment. Your request must: 1) be in writing, 2) describe the information that you want restricted, 3) state if the restriction is to limit our use or disclosure, and 4) state to whom the restriction applies.

Confidential Communications: We will contact you prior to your scheduled appointment using your home telephone number, and will leave that reminder on an answering machine. We may also call you to inform you of certain test results. You may ask that we communicate with you in a particular way, or at a certain location, to maintain your confidentiality. Your request must be in writing and must provide an alternate way we can contact you confidentially. You do not have to give a reason for your request.

Inspect and copy: You may request access to inspect and copy your medical information maintained in cur records, including medical and billing records. Your request must be in writing. Upon receipt, we will act on your request within 21 days. If we must deny your request we will send you a written denial. If this happens, you may request a review of the denial. We may charge you a fee for this service.

Amendment: You may ask us to amend your health information if you believe that it is incorrect or incomplete. Your request must be in writing and must include a reason to support the amendment. Your request may be denied if we believe that the information is complete and accurate, if the information is not part of the medical information that you would be permitted to inspect or copy, or if we did not create the information.

Accounting of Disclosures: You have the right to receive a list of the disclosures we have made of your medical information since April 14, 2003. This list will not include disclosures made: to carry out treatment, billing and health care operations; to you or your personal representative; to parties you authorize to receive your health information; incident to a permitted use or disclosure

File a Complaint: If you believe that we have violated your privacy rights, you may file a complaint directly with us using the contact information on the first page. You may also file a complaint with the Secretary of the Department of Health and Human Services within 180 days of known violation. You will not be penalized for complaining.

Provide an Authorization for Other Uses and Disclosures: We will request your written authorization for uses and disclosures of your medical information that are not identified in this notice or permitted by law. You may revoke your authorization at any time in writing.