Dr. Jay J. Lee & Associates and Dr. Stephanie M. Lee & Associates

                                                                                                                                                    NOTICE OF PRIVACY PRACTICES

                                                                                                                                                                           Dr. Jay J. Lee & Associates and Dr. Stephanie M. Lee & Associates

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.

The Health Insurance Portability & Accountability Act of 1996 ("HIPPA") is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, are kept properly confidential.  This Act gives you, the patient, significant new rights to understand and control how you health information is used.  "HIPPA" provides penalties for covered entities that misuse personal health information.  As required by "HIPPA", we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.  We may use and disclose your medical records only for each of the following purposes: treatment, payement, and health care operations.

• Treatment means providing, coordinating, or managing health care and related services by one or more health care providers.  An example of this would include a physical examination.
• Payement means such activities as obtaining reimbursement for services, confirming coverage, billing or collection activities, and utilization review.  An example of this would be sending a bill for your visit to your insurance company for payement.
• Health care operations include the business aspects of running our practice, such as conducting quality assessment and improvement activities, auditing functions, cost-management analysis, and customer service.  An example would be an internal qualtiy assessment review.

We may also create and distribute de-identified health information by removing all references to individually identifiable information.  We may contact you to provide appointment reminders or information about treatment alternatives or other health-realated benefits and services that may be of interest to you.  Any other uses and disclosures will be made only with your written authorization.  You may revoke such authorization in writing and we are required to honor and abide by that written authorization.  You may revoke such authorization in writting and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.  You have the following rights with respect to your protected health information, which you can excercise by presenting a written request to the Privacy Officer:

• The right to request restricitions on certatain uses and disclosures of protected health information, including those related to disclosures to family members, other relatives, close personal friends, or any other person identified by you.  We are, however, not required to agree to a requested restriction.  If we do agree to a restriction, we must abide by it unless you agree in writing to remove it.
• The right to reasonable requests to receive confidential communications of protected health information from us by alternative means of at alternative locations.
• The right to inspect and copy your protected health information; the right to amend your protected health information; the right to receive an accounting of disclosures of protected health information; and the right to obtain a paper copy of this notice from us upon request.

We are required by law to maintain the privacy of your protected health information and to provide you with notice of our legal duties and privacy practices with respect to protected health information.  This notice is effective as of April 13, 2003 and we are required to abide by the terms of the Notice of Privacy Practices currently in effect.  We reserve the right to change the terms of our Notice of Privacy Practices and to make the new notice provisions effective for all protected health information that we maintain.  We will post and you may request a written copy of a revised Notice of Privacy Practices from this office.  You have recourse if you feel that your privacy protections have been violated.  You have the right to file written complaint with our office, or with the Department  of Health & Human Services, Office of Civil Rights, about violations of  the provisions of this notice or the policies and procedures of our office.  We will not retaliate against you for filling a complaint.

Please contact us for more information.                                                                         

                                                                                                                                                                                   AVISO DE PRIVACIDAD

                                                                                                                                                                                                                   Dr. Jay J. Lee & Asociados y Dr. Stephanie M. Lee & Asociados

ESTE AVISO DESCRIBE COMO LA INFORMACION MEDICA SOBRE USTED PUEDE SER UTILIZADA Y SER DIVULGADA Y COMO PUEDES CONSEGUIR EL ACCESO A ESTA INFORMACION.  PORFAVOR REVISE CUIDADOSAMENTE.

El seguro Medico Portabilidad y Contabilidad Acta de 1996 (HIPPA), es un programa federal que requiere que todos los registros medicos individualmente inidentificable informacion medica usada o revelada de nosotros por algun metodo asi sea electronicamente, en papel, o oral sean guardados confidencialmente.  Esta Acta le da a usted el paciente nuevo derechos para entender y controlar como su informacion es usada "HIPPA" provee penalidades para entidad que abusan informacion personal.  Como exige "HIPPA", nosotros hemos prparado esta explicacion de como nosotros somos exigidos mantener la provacidad de su informacion medica y como podemos revelar su informacion medica.  Puedamos usar y revelar su registro medico solo para los siguientes propositos: tratamieno, pagos, y operaciones de seguro medico.

• Tratamiento significa proveer y coordinar o administrar seguro medico o servicios por uno o mas proveedores de seguro medico.  Un ejemplo de esto incluira un examen fisico.
• Pago significa actividades como tener un reembolso por seguros, confirmacion de seguro, actividades de pagos, y reviso de utilizacion.  Un ejemplo de esto seria mandarle un cobro de su visita al doctor, a su compania de seguro para pagos.
• Operaciones de seguro incluye el aspecto del negocio de nuestra practica, como conducir una evalucion calida y mejorar actividades, funciones auditoria, costo-administracion analisis, y servicios al cliente.

Tambien puedamos crear y distribuir informacion medica por remover todas referencias individualmente informacion inidentificable.  Podramos contactarlo a usted para proveer sitas recordatorias o informacion de su tratamiento alternativas o otros beneficios de seguro y servicios que le puedan ser de interes para usted.  Otros usos o revelaciones seran solamente hechos con su autorizacion.  Podra revocar autorizacion en escrito y nosotros somos exigidos tener honor y tolerancia y seguir su peticion, excepto que ya hayamos tomado accion depediendo de su autorizacion.  Tiene los siguientes derechos prospectivos a su informacion medica protegida, que pueda tener por presentaciton escrita:

• El derecho de exigir restricciones de ciertos usos y revelaciones de su informacion medica protegida, incluida esas revelacions a miembros de familia, o amigos cercanos, o otra persona idenificada por usted.  De cualquier manera nosotros no somos obligados a estar de acuerdo a una recuesta de restriccion.  Si no estamos de acuerdo a una restriccion, debemos tolerarlo a menos de que usted este de acuerdo por escrito de removerlo.
• El derecho de razonablemente solicitar confidencialmente comunicaciones de infomacion medica protegida por nosotros por una alternativa.
• El derecho de inspectar o obtener copias de su informacion medica; el derecho a enmendar su informacion medica; el derecho a obtener una copia en papel de esta privacidad de nosotros por su solicitud.

Nosotros somos exigidos por ley de obtener la privacidad de su informacion medica, y  proveerle a usted con avisos de nuestros asuntos legales y praciticos privados con respecto a informacion medica  protegida.  Este aviso es efectivo desde Abril 13, de 2003 y somos exigidos a tolerar los terminos de esta acta de servicios privados que esta en efectivo.  Reservamos derecho de cambiar los terminos de este servicio y hacer los nuevos servicios efectivos para toda informacion medica que nosotros tengamos.  Anunciaremos y podra exigir una copia escrita de un Aviso de Servicio Practicos por nuestra oficina.  Tiene el derecho a escribir una queja de nuestra oficina, o con el Departamento de Salud y Servicios Humanos, o la Oficina de Derechos Civiles, con respecto a violaciones de este aviso o de las polizas o procedimientos de nuestra oficina.  No tomaremos represalias contra usted por poner una queja.

Porfavor de contactarlos para mas informacion.