Patient Privacy Notice
NOTICE OF HEALTH INFORMATION PRIVACY PRACTICES
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.
Colorado Springs Health Partners, P.C. (CSHP) is committed to the protection of patients’ privacy and confidentiality of medical information. CSHP
recognizes that patients depend upon us to safeguard their personal information and to uphold the privacy rights of patients. This notice, which is based
upon state and federal law, as well as the CSHP code of ethics, confirms our commitment to preserving patient confidentiality and privacy and also confirms
that CSHP will not use or disclose patient personal or health information except as described in this Notice. This Notice applies to all of the personal
information gathered by and medical records generated by CSHP, as well as records received from other providers.
USES AND DISCLOSURES FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS:
Without your authorization, CSHP may use and disclose your personal and/or health information for the following purposes:
TREATMENT:
CSHP may use your personal and/or health information in the provision and coordination of your healthcare. CSHP may disclose all or any portion of your
personal and/or medical information to your attending physician, consulting physician(s), nurses, technicians, medical students, and other health care
providers who have a legitimate need for such information in your care and treatment. Different departments may share information about you in order to
coordinate specific services, such as prescriptions, lab work and x-rays. Other ways we may use or disclose your information for purposes related to
treatment are: (1) Treatment Alternatives: To tell you about or recommend possible treatment options or alternatives that may be of interest to you.
(2) Appointment Reminders: To contact you as a reminder that you have an appointment for treatment or medical care at CSHP.
PAYMENT:
CSHP may release personal and/or health information about you for the purposes of determining insurance coverage, billing, claims management, medical data
processing, and reimbursement. The information may be released to an insurance company, or other entity (or their authorized representatives) involved in
the payment of your medical bill and may include copies or excerpts of your medical record which are necessary for payment of your account. For example, a
bill may include information that identifies you, your diagnosis, and the procedures and supplies used. CSHP may also provide information to other care
providers who have been involved in your care, such as a home health care agency or an ambulance company.
HEALTHCARE OPERATIONS:
CSHP may use and disclose your personal and/or health information during healthcare operations including quality assurance, utilization review, medical
review, internal auditing, accreditation, certification, licensing activities of CSHP, medical research, and educational purposes. CSHP may engage outside
companies to carry out certain aspects of healthcare operations. These entities are called "Business Associates". CSHP may need to disclose your
information to Business Associates to allow them to perform their duties. The Business Associates will, in turn, use and disclose your information as they
conduct business on behalf of CSHP. Examples of Business Associates include, but are not limited to, a copy service used by CSHP to copy medical records,
consultants, accountants, lawyers, medical transcriptionists and billing companies. CSHP requires their Business Associates to protect the confidentiality
of your personal and health information.