THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, HOW YOU CAN GET ACCESS TO THIS INFORMATION, AND YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION. PLEASE REVIEW IT CAREFULLY.
Empower Med, PLLC is required by law to maintain the privacy and security of your Protected Health Information (PHI), provide you with this Notice, follow the privacy practices described in the Notice currently in effect, and notify you following a breach of unsecured PHI when required by law.
Treatment. We may use and disclose PHI to provide, coordinate, or manage your healthcare, including communications with other treating providers, laboratories, and pharmacies involved in your care.
Payment. We may use and disclose PHI for permitted billing and payment activities.
Healthcare operations. We may use and disclose PHI for practice operations such as quality assessment, care coordination, compliance, credentialing, business planning, and other activities permitted by HIPAA.
Other uses permitted or required by law. HIPAA permits or requires certain disclosures without your authorization, including specified public-health, health-oversight, judicial or administrative, law-enforcement, workers' compensation, serious-threat, and other legally authorized purposes. We will limit such disclosures to what applicable law permits or requires.
For uses or disclosures not otherwise permitted by law, we will obtain your written authorization. HIPAA generally requires authorization for most uses or disclosures of psychotherapy notes, marketing communications for which we receive financial remuneration, and the sale of PHI. If you authorize a use or disclosure, you may revoke that authorization in writing to the extent permitted by law.
You may request access to and a copy of PHI in your designated record set; request correction or amendment of PHI you believe is inaccurate or incomplete; request an accounting of certain disclosures; request restrictions on certain uses or disclosures; request confidential communications by alternative means or at alternative locations; receive a paper copy of this Notice; and authorize another person to act for you where legally permitted.
If you pay a healthcare item or service in full out of pocket, you may ask us not to disclose information about that item or service to your health plan for payment or healthcare operations. We will honor that request when HIPAA requires us to do so.
We may deny certain requests when permitted by law and will explain applicable review or appeal rights when required.
If Empower Med receives records protected by 42 CFR Part 2, those records may be subject to additional confidentiality protections. Such records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without written consent or a court order, except as otherwise permitted by applicable law.
We will not use or share your PHI for purposes not described in this Notice unless you authorize us in writing or another law permits or requires the use or disclosure. We do not sell PHI. We do not currently use PHI for fundraising communications.
We may change this Notice and make the revised Notice effective for PHI we already maintain as well as information we receive in the future. The current Notice will be available on this website and upon request.
To ask a privacy question, exercise a privacy right, or file a complaint with Empower Med, contact: Privacy Contact, Empower Med, PLLC, info@empowermed.us, (571) 293-6244.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint or exercising a privacy right.
