This notice describes how Mann Orthodontics may use and disclose your protected health information (PHI) to carry out treatment, payment, or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI.
Understanding Your Health Information
Protected health information (PHI) is information about you, including demographic information, that may identify you and relate to your past, present, or future physical or mental health or condition and related healthcare services.
How We May Use and Disclose Health Information About You
- For Treatment: We may use health information about you to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third party. For example, we would disclose your PHI, as necessary, to a dental laboratory that provides services to you.
- For Payment: Your PHI will be used, as needed, to obtain payment for your healthcare services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the healthcare services we recommend for you.
- For Healthcare Operations: Members of our workforce may use information in your health record to assess the care and outcomes in your case and others like it. We can also disclose information to doctors, nurses, technicians, or other personnel for review and learning purposes. We may also combine your health information with health information about many Mann Orthodontics patients to decide what additional services we should offer, what services are not needed, and whether certain new treatments are effective.
- Business Associates: There are some services provided in our organization through contacts with business associates. Examples include billing companies and transcription services. When these services are contracted, we may disclose your PHI to our business associates so that they can perform the job we have asked them to do.
Your Health Information Rights
- Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations.
- Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
- Right to Inspect and Copy: You have the right to inspect and copy your health information that may be used to make decisions about your care.
- Right to Amend: You have the right to request that we amend your health information that you believe is incorrect or incomplete.
- Right to an Accounting of Disclosures: You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of your PHI.
- Right to Receive a Paper Copy: You have a right to a paper copy of this notice of privacy practices.
Our Responsibilities
Mann Orthodontics is required by law to maintain the privacy and security of your PHI. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it.
Changes to This Notice
We reserve the right to change our practices and make the new provisions effective for all PHI we maintain. Should our information practices change, we will post a revised notice on our website and provide a copy at your request.
Complaints
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You can file a complaint with us by sending a written communication to our Privacy Officer.
For Further Information or to Report a Problem
If you have questions and would like additional information, you may contact our Privacy Officer:
Ian Mann
727-392-7734
privacy@mannmadesmiles.com
Effective Date: 05/01/2024