This notice describes how medical information about you may be used and disclosed, and how you can access the information. Please review it carefully.
Modern Diagnostic Laboratory is required by law to maintain the privacy of Protected Health Information (PHI) and to provide individuals with notice of our legal duties and privacy practices with respect to PHI.
PHI is information that may identify you and that relates to your past, present or future physical or mental health condition and related health care services. This notice describes how the laboratory may use and disclose PHI to carry our treatment payment or health care operations and for other specified purposes that are permitted or required by law. This notice also describes your rights with respect to your PHI.
You have the following rights with respect to PHI:
Modern Diagnostic Laboratory is a covered entity (CE) under HIPAA. The regulation affects how the laboratory:
1.Carries out and ensures patient's confidentiality and maintain's security of information.
The HIPAA privacy regulations cover and set standards for collecting, sharing, and storage of a person's protected health information (PHI).
PHI is the information that:
1.Relates to the past, present or future physical or mental health condition or payment provisions about health care.
Any information that can identify an individual and relates to his/her health status is considered PHI. It can be created by the laboratory or be received from the third party for example the physician or anyone requiring services from the laboratory.
PHI disclosure takes place in one of two ways, one requiring authorization from a patient and or his representative, and the other not requiring authorization. In the case requiring authorization for disclosure of the PHI, verify legitimacy of request and the requestor. Document the request including the oral request for disclosure. Notify the patient about the request if he/she are not the requestor. The laboratory will not disclose the PHI if there is no appropriate permission from the patient and/or the permission does not conform to the requirements in the privacy regulation. PHI can be disclosed to a person or persons directly involved with patient care. Authorization for discloser can be verbal and/or written consent or authorization. The patient can revoke such authorization anytime in writing.
This notice describes how we may use and disclose PHI to third parties for the purpose of:
a. Treatment - (use) and (disclose) the laboratory results to other physicians being seen by you to your physician via mail, phone or directly.
b. Payment, contacting and billing your insurance company utilizing PHI.
c. Health care related operations.
Modern Diagnostic Laboratory is prohibited from disclosing your PHI unless state or federal requires such disclosures or other exceptions including law enforcement procedures without your consent or authorization as in the following instances:
a. Discussions with individuals involved in your care or in the payment for your care.
b. To the City or State of Health Departments if deemed necessary and important in lessening or preventing impending or serious health or safety threats to you or the public.
c. As required by law.
d. Health oversight authorized by law including audits, investigations and inspections required. For licensure, government monitoring of health care programs and civil right issues.
e. Coroners, medical directors and funeral directors in accordance with law to carry out their duties and functions.
f. Organ and tissue procurement organization in accordance with law to carry out their duties and functions.
g. Judicial and administrative proceedings.
h. Correctional institutions if you become an inmate.
i. Court Orders
j. Assistance in or notification of family member, someone responsible for your care or your personal representative of your locations and condition.
k. Victims of abuse, neglect, domestic violence to governmental authorities if we reasonably believe you are a victim.
l. Military authorities if you are a member of Armed Services.
m. National Security and Intelligence Activities to authorized federal officials as authorized law.
Further information and problem reporting may be addressed to Mr. Aron Tessler at Modern Diagnostic Laboratory or the Secretary of Health and Human Service
PRIVACY REPORT SUBJUCT TO CHANGE WITHOUT NOTICE