NOTICE OF PRIVACY PRACTICES​

Healthspan Partners

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Effective Date: July 1, 2024

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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.

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Our Legal Duty

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Healthspan Partners (“we,” “our,” or “us”) is required by law to:

• Maintain the privacy of your Protected Health Information (“PHI”)

• Provide you with this Notice of our legal duties and privacy practices

• Follow the terms of this Notice currently in effect

• Notify you in the event of a breach of your unsecured PHI

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How We May Use and Disclose Your Health Information

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We may use and disclose your PHI without your written authorization for the following purposes:

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Treatment

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To provide, coordinate, or manage your healthcare and related services, including communication with other healthcare providers involved in your care.

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Payment

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To bill and receive payment for services provided to you, including submitting claims to Medicare or other payers and verifying eligibility.

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Healthcare Operations

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To support our business activities, including quality improvement, care coordination, training, compliance, and administrative functions.

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Other Permitted Uses and Disclosures

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We may also use or disclose your PHI as permitted or required by law, including:

• Public Health Activities – such as reporting disease or preventing injury

• Health Oversight Activities – audits, inspections, or investigations

• Required by Law – compliance with federal, state, or local laws

• Abuse, Neglect, or Domestic Violence – reporting as required by law

• Judicial or Administrative Proceedings – in response to court orders or subpoenas

• Law Enforcement – as permitted by law

• Serious Threat to Health or Safety – to prevent or lessen a threat

• Specialized Government Functions – such as military or national security

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Business Associates

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We may share your PHI with third parties that perform services on our behalf, such as electronic health record systems, billing providers, and care coordination platforms.

These entities are known as Business Associates and are required by law and contract to safeguard your information.

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Uses and Disclosures Requiring Authorization

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We will not use or disclose your PHI for the following purposes without your written authorization:

• Marketing communications (where required by law)

• Sale of PHI

• Any uses not otherwise described in this Notice

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You may revoke your authorization at any time in writing, except to the extent we have already acted on it.

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Your Rights Regarding Your Health Information

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You have the following rights under HIPAA:

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Right to Access

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You have the right to inspect and obtain a copy of your PHI

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Right to Amend

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You may request that we correct or amend your health information if you believe it is incorrect or incomplete.

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Right to an Accounting of Disclosures

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You may request a list of certain disclosures we have made of your PHI.

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Right to Request Restrictions

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You may request restrictions on how we use or disclose your PHI. We are not required to agree to all requests.

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Right to Confidential Communications

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You may request that we communicate with you in a specific way (e.g., by mail or at a specific phone number).

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Right to a Paper Copy

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You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

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Right to Breach Notification

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You have the right to be notified if your unsecured PHI is breached.

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Our Responsibilities

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We are required to:

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• Maintain the privacy and security of your PHI

• Provide you with notice of our legal duties and privacy practices

• Abide by the terms of this Notice

• Notify you of any breach of unsecured PHI

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Changes to This Notice

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We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain.

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The revised Notice will be posted on our website and available upon request.

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Complaints

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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.

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You will not be penalized for filing a complaint.

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To File a Complaint with Healthspan Partners:

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Healthspan Partners
Privacy Officer: Adam Perry
Email: adam.perry@healthspanswfl.com
Phone: 813-859-5819

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To File a Complaint with the U.S. Department of Health and Human Services:

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U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

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For website data collection and eligibility processing, see our Privacy Policy