HIPAA Notice of Privacy Practices

In Short: This notice describes how medical information about you may be used and disclosed, and how you can get access to it. Please review it carefully.

1. Our Commitment to Your Privacy

Primary ENT, LLC ("Primary ENT," "we," "us," or "our") is required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI. We are required to abide by the terms of this notice while it is in effect.

2. How We May Use and Disclose Your Health Information

The following categories describe the ways we may use and disclose your health information without your written authorization:

Treatment — to provide, coordinate, or manage your care, including sharing information with other physicians, nurses, or staff involved in your care.
Payment — to bill and collect payment for the services you receive, including sharing information with your health plan or insurer to obtain reimbursement.
Health Care Operations — for activities such as quality assessment, staff training, and business management.
As Required by Law — when required to do so by federal, state, or local law.
Public Health and Safety — to public health authorities, to report abuse or neglect, or to avert a serious threat to health or safety.
Health Oversight Activities — to agencies for audits, investigations, and inspections authorized by law.
Judicial and Administrative Proceedings — in response to a court or administrative order, subpoena, or discovery request, as permitted by law.
Law Enforcement — for limited purposes, such as identifying a suspect or reporting a crime, as required or permitted by law.
Workers' Compensation — as authorized by, and to the extent necessary to comply with, workers' compensation laws.
Appointment Reminders and Treatment Alternatives — to contact you about appointments or to tell you about treatment options or health-related benefits and services that may interest you.

3. Uses That Require Your Written Authorization

Other uses and disclosures not described in this notice will be made only with your written authorization. This includes most uses and disclosures of psychotherapy notes (where applicable), uses and disclosures for marketing purposes, and disclosures that constitute a sale of PHI. You may revoke your authorization at any time, in writing, except to the extent we have already relied on it.

4. Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

Right to Access — you may inspect and obtain a copy of your medical and billing records, with limited exceptions.
Right to Amend — you may ask us to amend your health information if you believe it is incorrect or incomplete, for as long as we maintain it.
Right to an Accounting of Disclosures — you may request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions — you may ask us to limit how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree, except in certain cases involving disclosures to a health plan for services you paid for out of pocket in full.
Right to Request Confidential Communications — you may ask us to contact you in a specific way or at a specific location.
Right to a Paper Copy — you may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
Right to File a Complaint — see the Complaints section below.

To exercise any of these rights, contact us using the details in the Contact Us section below.

5. Our Duties

We are required by law to maintain the privacy of your PHI, provide you with this notice of our legal duties and privacy practices, and notify you if a breach occurs that compromises the privacy or security of your PHI.

6. Changes to This Notice

We reserve the right to change the terms of this notice and to make the revised notice effective for all PHI we maintain. The current notice will be available on this page and posted at our clinic locations.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized for filing a complaint.

To file a complaint with the federal government: U.S. Department of Health and Human Services, Office for Civil Rights, www.hhs.gov/hipaa/filing-a-complaint, or call 1-800-368-1019.

8. Contact Us

To exercise your rights under this notice, ask a question, or file a complaint with us, contact our Privacy Officer:

Primary ENT, LLC
14020 State Highway 13 #350
Savage, MN 55378
Phone: 952-395-2500
Email: info@primaryent.com