Privacy Statement
NOTICE OF 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. If you have any questions ask us when you come into the office or call 615-622-6170.
We keep your Medical Information to help care for you and because it is required by the law. The law requires that we must protect your Medical Information, provide notice of how we use/protect your information and abide by the notice. We will not sell your personal data nor will your personal data be used for promotional purposes.
We store your medical records electronically and there are safeguards in place to protect our electronic systems and the medical information they contain.
How we may use or share your Medical Information:
In providing care to you, we may share your information as described below without your consent;
1. We may share your information with hospitals, clinics, doctors, caregivers, and other service providers we refer you to for medical care or treatment. (Other service providers may include medical equipment companies, nursing homes, rehabilitation centers and home care agencies).
2. We may share your information with your Insurance company or health plan for claims submitted on your behalf for services rendered or to obtain prior authorization for your medications, diagnostic or radiological services ordered by your physician We may also share your Medical Information with a collection agency if your bill remains unpaid.
3. Except you have opted out from receiving communication from the practice, we may use your Medial Information to contact you by text, phone or email. Such communication may be to tell/remind you of appointments, provide test results, ask for insurance information, respond to your questions or inquiries, or follow up on your care.
No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.
4. We may share your Medical Information as required by law as follows:
a. With law enforcement in response to a subpoena, warrant, summons or court order.
b. In response to any lawful instruction from a court or public body in an administrative or legal proceeding.
c. To stop a serious or urgent threat to your health and safety or the health and safety of someone else.
d. We may share your medical information with public health agencies as required by the law. For example, to control/prevent the spread of diseases, report adverse reactions to medicine or provide information about recalls.
We will not share or use your Medical Information for any reason not contained in this Notice without your consent in writing. This means if you want us to send your records to a third party, for example your family member, employer, attorney or financial institution, you will have to give us a written approval. You can withdraw a written approval anytime. However, any Medical Information sent as a result of your initial approval cannot be recalled.
YOUR RIGHTS
1. You have a right to review and request a copy of your Medical Information.
2. If you feel your medical information is incorrect or incomplete, you have a right to request that changes be made to your record. A request can be made in writing telling us the changes you are requesting and why the changes need to be made. You can mail your request to Cornerstone Pulmonary. P. O. BOX 748 Lebanon, TN 37087. We will respond within 30 days.
3. You have a right to be informed when there is a breach to your Medical Information.
4. You have a right to ask us not to share Medical Information with your health plan. This request must be made when you schedule an appointment with us. Health plans sometimes request medical information before they pay for claims. If you limit information sharing with your health plan, we will ask you to pay for each visit pending payment from your health plan.
5. You have a right to determine where and how we communicate with you. If you limit where and how we communicate with you, please note that if we are unable to reach you where and how you have indicated, in certain situation, we may use other information we have to reach you.
CHANGES
We may change the terms of this Notice at any time. The new notice will be effective for all protected health information that we maintain at that time. You may request a copy of any revised Notice of Privacy Practices by calling the office and requesting that a revised copy be sent to you in the mail. You may also request one at the time of your next appointment.
CONTACT INFORMATION
Cornerstone Pulmonary
1424 West Baddour Parkway
Suite H
Lebanon, TN 37087
615-444-8686
615-622-6170
info@cornerstonepulmonary.com
