HIPAA 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.
Effective Date: January 2025
Our Commitment to Your Privacy
DCS Medical Solutions is committed to protecting your protected health information (PHI). We are required by law to maintain the privacy of your health information and to provide you with this notice of our legal duties and privacy practices.
We understand that your health information is personal and we are committed to protecting it. This notice will tell you about the ways in which we may use and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information.
How We May Use and Disclose Your Health Information
Treatment
We use your health information to provide you with medical treatment or services.
Examples:
- • Coordinating care between providers
- • Sharing information with specialists
- • Providing test results to your doctor
Payment
We use your health information to obtain payment for services provided to you.
Examples:
- • Submitting claims to insurance
- • Determining coverage eligibility
- • Processing billing information
Healthcare Operations
We use your health information for healthcare operations and quality improvement.
Examples:
- • Quality assessment activities
- • Staff training and education
- • Accreditation and licensing
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You have the right to inspect and copy your health information that may be used to make decisions about your care.
To inspect and copy your health information, submit your request in writing. We may charge a fee for copying, mailing, or other supplies associated with your request.
Right to Amend
If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information.
To request an amendment, your request must be made in writing and submitted to our Privacy Officer. You must provide a reason that supports your request.
Right to an Accounting of Disclosures
You have the right to request an accounting of disclosures of your health information made by us for certain purposes.
To request this accounting, submit your request in writing. The request must state a time period, which may not be longer than six years.
Right to Request Restrictions
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations.
We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
Right to Request Confidential Communications
You have the right to request that we communicate with you about health matters in a certain way or at a certain location.
For example, you can ask that we only contact you at work or by mail. We will accommodate all reasonable requests.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this notice, even if you have agreed to receive the notice electronically.
You may ask us to give you a copy of this notice at any time by contacting our Privacy Officer.
How We Protect Your Information
Physical Safeguards
- • Secure facilities with controlled access
- • Locked filing cabinets for paper records
- • Workstation security and positioning
- • Secure disposal of PHI materials
Technical Safeguards
- • Access controls and user authentication
- • Encryption of electronic PHI
- • Audit logs and monitoring systems
- • Automatic logoff and session controls
Administrative Safeguards
- • Privacy Officer and security responsibilities
- • Staff training on HIPAA requirements
- • Business associate agreements
- • Incident response procedures
Breach Notification
- • Immediate breach assessment protocols
- • Patient notification within 60 days
- • HHS reporting as required by law
- • Media notification for large breaches
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
Filing a Complaint with Us
To file a complaint with DCS Medical Solutions, contact our Privacy Officer in writing at the address listed below. Include details about your concern and how you believe your privacy rights were violated.
Filing a Complaint with HHS
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/ or calling 1-877-696-6775.
Contact Our Privacy Officer
If you have questions about this notice or need to exercise your privacy rights, please contact our Privacy Officer:
Privacy Officer
DCS Medical Solutions
123 Healthcare Boulevard, Medical District
Phone: (555) 123-4567
Email: [email protected]
Fax: (555) 123-4568
Important: This notice is effective as of January 2025. We reserve the right to change our privacy practices and the terms of this notice. If we make changes, we will post the revised notice and make copies available upon request.