1. HIPAA Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU OR YOUR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Who this Notice applies to
This Notice of Privacy Practices (this "Notice") applies to Hey Nouri Medical Services, P.A. and its workforce members, clinicians, contractors, and business associates that help it provide healthcare services (collectively, the "Practice," "we," "us," or "our").
Naeven Health Inc. acts as the management services organization supporting certain non-clinical administrative, operational, technology, customer support, and business functions for the Practice. Naeven Health Inc. does not practice medicine and does not control clinical decision-making. Where Naeven Health Inc. handles protected health information on the Practice's behalf, it does so as a business associate under a written business associate agreement.
Because Hey Nouri provides pediatric-focused services, this Notice applies to protected health information relating to a child and to information provided by a parent, legal guardian, or other authorized representative acting on the child's behalf, as permitted by law.
Our legal duties
We are required by law to maintain the privacy and security of protected health information, to provide you with this Notice describing our legal duties and privacy practices with respect to that information, to notify you following a breach of unsecured protected health information, and to abide by the terms of the Notice currently in effect.
We reserve the right to change this Notice and to make the revised Notice effective for protected health information we already hold as well as information we create or receive in the future. If we make a material change, we will post the revised Notice on heynouri.com, update the effective date above, and make a copy available to you on request. You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
What is protected health information
Protected health information, or PHI, is individually identifiable health information that relates to the past, present, or future physical or mental health or condition of an individual, the provision of healthcare to an individual, or the past, present, or future payment for healthcare.
PHI may include, for example: names, dates of birth, and contact details; symptoms, diagnoses, medications, allergies, treatment history, and care plans; height, weight, BMI and BMI percentile, growth and pubertal development, nutrition, behavior, activity, sleep, and laboratory information; chart notes, progress updates, appointment records, and communications with clinicians; and insurance, billing, claims, and payment information.
How we may use and disclose PHI without your written authorization
A. Treatment. To provide, coordinate, or manage healthcare and related services, including reviewing health history, evaluating symptoms, communicating with clinicians and other providers, prescribing medications, ordering laboratory tests, and creating care plans.
B. Payment. For payment-related purposes, including insurance eligibility verification, prior authorization, claims submission, billing, collections, and utilization review.
C. Health care operations. For healthcare operations, including quality assessment and improvement, outcomes review, staff training, credentialing, compliance, auditing, and practice management.
D. Appointment reminders and care communications. To contact you regarding appointments, follow-up care, forms, prescriptions, laboratory requests, treatment coordination, onboarding, and other service-related matters. You may request that we contact you by an alternative means or at an alternative location.
E. Individuals involved in care or payment. Where permitted by law, to a parent, guardian, caregiver, family member, or other person involved in the patient's care or payment for care.
F. Business associates. To third-party vendors and service providers that help us operate the practice, such as electronic health record vendors, billing providers, laboratories, pharmacies, communication platforms, and cloud hosting providers. Each is bound by a written agreement requiring it to safeguard PHI.
G. As required by law. When required by federal, state, or local law.
H. Public health and safety. For public health activities, including reporting to public health authorities, and when necessary to prevent or lessen a serious and imminent threat to health or safety.
I. Abuse, neglect, or domestic violence. To appropriate government authorities where we reasonably believe a patient is a victim of abuse, neglect, or domestic violence, as required or permitted by law. Because we serve minors, our clinicians are mandated reporters in the states where they are licensed.
J. Health oversight, legal process, and law enforcement. To health oversight agencies, in judicial or administrative proceedings, or to law enforcement officials, when permitted or required by law.
K. Research and other permitted uses. For research or other purposes only as permitted by HIPAA and other applicable law. Research uses require either your authorization, an approved waiver from an institutional review board or privacy board, or use of a limited or de-identified data set.
L. Workers' compensation, military, and specialized government functions. As authorized by and to the extent necessary to comply with applicable law.
Uses and disclosures that require your written authorization
We will obtain your written authorization before using or disclosing PHI for any purpose not described above, including for marketing purposes, for the sale of PHI, and for most uses and disclosures of psychotherapy notes. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
We do not sell PHI. We do not use PHI to send you marketing communications without your separate written authorization.
Your rights
Subject to applicable law, you have the right to:
- Inspect and obtain a copy of PHI in a designated record set, including in electronic form where we maintain it electronically. We will respond within 30 days and may charge a reasonable, cost-based fee.
- Request an amendment of PHI you believe is incorrect or incomplete. We may deny the request and will explain why in writing.
- Request an accounting of certain disclosures we have made in the six years prior to your request.
- Request restrictions on certain uses and disclosures. We are not required to agree, except that we must agree to a request not to disclose information to a health plan where you have paid for the service in full out of pocket.
- Request confidential communications by alternative means or at alternative locations.
- Obtain a paper copy of this Notice on request.
- Be notified following a breach of unsecured PHI when required by law.
- Revoke an authorization you previously gave, in writing.
Minors, parents, and adolescent confidentiality
In most circumstances, a parent or legal guardian is the personal representative of a minor patient and may exercise the rights described above on the patient's behalf.
State law limits this in certain situations. Depending on the state, an adolescent may have the right to consent to certain categories of care on their own, and where that is the case, the related records may not be disclosed to a parent or guardian without the adolescent's agreement. We may also decline to treat a parent or guardian as the personal representative where we reasonably believe doing so could endanger the patient, or where required by state law or a court order.
Where custody is shared or contested, we may require documentation of legal authority before providing records or accepting instructions.
If you have questions about what a parent or guardian can access in a particular circumstance, contact us at info@heynouri.com.
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. We will not retaliate against you for filing a complaint.
To complain to us, contact our Privacy Officer: Stef Trepekli Hey Nouri Medical Services, P.A. 1 Minetta Street 6D 10012 NYC NY Phone: 332 296 2509 Email: info@heynouri.com
To complain to the Office for Civil Rights, visit https://www.hhs.gov/ocr/complaints or call 1-800-368-1019.