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Notice of Privacy
THIS NOTICE DESCRIBES HOW MEDICAL
INFORMATION ABOUT YOU MAY BE USED
AND DISCLOSED AND HOW YOU CAN GET
ACCESS TO THIS INFORMATION. PLEASE
REVIEW IT CAREFULLY.
Conditions for the Use of E-mail
Sunset Cardiology will use
reasonable means to protect the
security and confidentiality of
e-mail information sent and
received. However, Sunset Cardiology
cannot guarantee the security and
confidentiality of e-mail
communication, and will not be
liable for improper disclosure of
confidential information that is not
caused by Sunset Cardiology’s
intentional misconduct. Thus,
patient consent to the use of e-mail
is required and includes agreement
with the following conditions.
Sunset Cardiology will use e-mail to
communicate the following:
Receive comments from patients -
compliments, concerns, suggestions
Receive requests for forms to
release or transfer a medical record
Communicate information about Sunset
Cardiology’s policy and procedures
Communicate information such as a
patient newsletter, seminar/event
notification and registration,
medical or drug alerts,
announcements, disaster information,
new services, new staff, etc.
Sunset Cardiology may forward
patient e-mails internally to our
staff. Sunset Cardiology will not
forward e-mails to independent third
parties without your prior written
consent, except as authorized or
required by law.
Sunset Cardiology will not disclose
your e-mail address to any third
party without prior written consent.
You should not use e-mail for
medical emergencies or other time
sensitive matters. You should not
use e-mail to communicate medical
information, particularly sensitive
medical information.
Sunset Cardiology is not liable for
breaches of confidentiality caused
by you or any third party.
By law, Medicare is required to
protect the privacy of your personal
medical information. Medicare is
also required to give you this
notice to tell you how Medicare may
use and give out (“disclose”) your
personal medical information held by
Medicare.
Medicare must use and give out your
personal medical information to
provide information:
To you or someone who has the legal
right to act for you (your personal
representative),
To the Secretary of the Department
of Health and Human Services, if
necessary, to make sure your privacy
is protected, and
Where required by law.
Medicare has the right to use and
give out your personal medical
information to pay for your health
care and to operate the Medicare
program. For example:
Medicare Carriers use your personal
medical information to pay or deny
your claims, to collect your
premiums, to share your benefit
payment with your other insurer(s),
or to prepare your Medicare Summary
Notice.
Medicare may use your personal
medical information to make sure you
and other Medicare beneficiaries get
quality health care, to provide
customer services to you, to resolve
any complaints you have, or to
contact you about research studies.
Medicare may use or give out your
personal medical information for the
following purposes under limited
circumstances:
To State and other Federal
agencies that have the legal right
to receive Medicare data (such as to
make sure Medicare is making proper
payments and to assist Federal/State
Medicaid programs),
For public health activities (such
as reporting disease outbreaks),
For government health care oversight
activities (such as fraud and abuse
investigations),
For judicial and administrative
proceedings (such as in response to
a court order),
For law enforcement purposes (such
as providing limited information to
locate a missing person),
For research studies that meet all
privacy law requirements (such as
research related to the prevention
of disease or disability),
To avoid a serious and imminent
threat to health or safety,
To contact you about new or changed
benefits under Medicare, and
To create a collection of
information that can no longer be
traced back to you.
By law, Medicare must have your
written permission (an
“authorization”) to use or give out
your personal medical information
for any purpose that isn’t set out
in this notice. You may take back
(“revoke”) your written permission
at any time, except if Medicare has
already acted based on your
permission.
By law, you have the right to:
See and get a copy of your personal
medical information held by
Medicare.
Have your personal medical
information amended if you believe
that it is wrong or if information
is missing, and Medicare agrees. If
Medicare disagrees, you may have a
statement of your disagreement added
to your personal medical
information.
Get a listing of those getting your
personal medical information from
Medicare. The listing won’t cover
your personal medical information
that was given to you or your
personal representative, that was
given out to pay for your health
care or for Medicare operations, or
that was given out for law
enforcement purposes.
Ask Medicare to communicate with
you in a different manner or at a
different place (for example, by
sending materials to a P.O. Box
instead of your home address).
Ask Medicare to limit how your
personal medical information is used
and given out to pay your claims and
run the Medicare program. Please
note that Medicare may not be able
to agree to your request.
Get a separate paper copy of this
notice.
Look at our Medicare Privacy
Practices (HIPAA) FAQs for more
information on:
Exercising your rights set out in
this notice.
Filing a complaint, if you believe
the Original Medicare Plan has
violated these privacy rights.
Filing a complaint won’t affect your
benefits under Medicare.
You can also call 1-800-MEDICARE
(1-800-633-4227) to get this
information. Ask to speak to a
Customer Service Representative
about Medicare’s privacy notice. TTY
users should call 1-877-486-2048.
You may file a complaint with the
Secretary of the Department of
Health and Human Services. Visit
www.hhs.gov/ocr/hipaa or contact the
Office for Civil Rights at
1-866-627-7748. TTY users should
call 1-800-537-7697.
By law, Medicare is required to
follow the terms in this privacy
notice. Medicare has the right to
change the way your personal medical
information is used and given out.
If Medicare makes any changes to the
way your personal medical
information is used and given out,
you will get a new notice by mail
within 60 days of the change.
The Notice of Privacy Practices
for the Original Medicare Plan
became effective April 14, 2003.
How to Get Personal Information Over
the Phone
For more information,please visit
our Medicare Privacy Practices
(HIPAA) FAQs
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