Last Updated: 9/12/23
Mia Aesthetics is required by law to maintain the privacy of patients’ confidential information. The practice is required to abide by HIPAA, which stands for the Health Insurance Portability and Accountability Act. HIPAA is a federal law that requires the creation of national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge. Under this law, we may not use or disclose any patients’ Protected Health Information for purposes other than treatment, payment or health care operations, unless permitted or required by law, without their signed, written authorization. As a result, we are unable to provide any information or comment on any statement made by a patient or third party within the public domain.
Confidentiality of each patients’ personal health information is important to us. As medical providers, we rely on patients to provide us with complete and accurate information about their conditions, symptoms, and health history, which help us to provide proper care and treatment. We appreciate you trusting us with your personal information, and thank you for understanding our 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
Mia Aesthetics (“Mia”) consists of office-based surgery centers operating under different subsidiaries, sister companies, and affiliates. We create a record of the medical care you receive at Mia. We understand that your medical information is personal and we are committed to protecting your medical information. This Notice applies to all of your medical information received or created by Mia and describes how Mia may use and disclose your medical information. This Notice also describes your rights and Mia’s obligations when using and disclosing your medical information.
YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION.
Even though your medical record belongs to Mia, your medical information in the medical record belongs to you. You have the right to:
You may exercise your rights outlined in this Notice by providing a written request to the Medical Records Department at the facility or location where you were seen.
In addition to the responsibilities set forth above, Mia will:
USES AND DISCLOSURES OF MEDICAL INFORMATION WITHOUT YOUR AUTHORIZATION FOR TREATMENT, PAYMENT AND HEALTHCARE OPERATIONS.
The following categories describe different ways that we use and disclose medical information. For each category of use or disclosure we will explain what we mean and give an example. Not every use or disclosure in a category will be listed.
TREATMENT: We may disclose medical information about you to doctors, nurses, technicians, medical students or other personnel involved in your care. This may include sharing your information through regional and national health information exchanges for treatment purposes. We may share medical information about you in order to coordinate different treatments, such as prescriptions, lab work and X-rays. For example, we may provide your physician or another health care provider with copies of your medical information to assist in providing continuing treatment.
PAYMENT: We may use and disclose your medical information so that health care services and items you receive at Mia or from other entities, such as an ambulance company, may be billed to, and payment may be collected from, you, your insurance company or a third party. It may include information that identifies you, as well as your diagnosis, procedures and supplies used. For example, Mia may give your health information to your insurer in order for Mia to receive payment for health care services provided to you.
HEALTHCARE OPERATIONS: We may use and disclose your medical information to support Mia’s operations. These uses and disclosures are made for quality of care, medical staff activities, and teaching activities. Your medical information may be used or disclosed for contractual obligations, patient claims, grievances or lawsuits, legal services, financial planning, management and administration. For example, we may review medical information to find ways to improve treatment and services provided to our patients.
OTHER USES AND DISCLOSURES.
Appointment Reminders. We may contact you to remind you of appointment(s). For example, we may send you a postcard to remind you of an upcoming appointment.
Treatment Alternatives. We may contact you about treatment alternatives or other health-related benefits and services that may be of interest to you where Mia does not receive payment for contacting you. For example, we may contact you about new treatment options for a medical condition you have.
USES AND DISCLOSURES OF MEDICAL INFORMATION PERMITTED WITHOUT AUTHORIZATION OR OPPORTUNITY FOR THE INDIVIDUAL TO OBJECT
The privacy laws allow Mia to use or disclose your medical information without your authorization and without an opportunity for you to object in the following circumstances:
USE AND DISCLOSURE PERMITTED WITHOUT AUTHORIZATION, BUT AN OPPORTUNITY TO AGREE OR OBJECT
Notification. We may use or disclose your medical information to notify or assist in notifying a family member, personal representative or another person responsible for your care of your location and general condition or for disaster relief efforts.
USES AND DISCLOSURES YOU AUTHORIZE
Psychotherapy Notes. We will not use or disclose your psychotherapy notes without your written authorization, except for use by (1) the author of the information for treatment purposes, (2) Mia for its own training programs; or (3) Mia to defend itself in a legal action or other proceeding brought by the individual to whom the notes apply.
Marketing. We will not sell your medical information without your written authorization. We must obtain your written authorization before we may use or disclose your medical information for marketing purposes, except for face-to-face communications made by us to you, or if we give you a promotional gift of nominal value.
All other uses and disclosures of medical information not covered by this Notice or required by law will be made only with your written authorization.
Right To Revoke Written Authorization. If you give us authorization to use or disclose your medical information, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons allowed by your written authorization. We are unable to take back any disclosures we have already made with your authorization.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have questions regarding your privacy rights or would like additional information, you may contact us at email@example.com or 305-330-4959.
If you believe your privacy rights have been violated, you may file a written complaint with the Mia Aesthetics, 9300 SW 72nd Street, Miami, Florida 33173. There will be no retaliation for filing a complaint.
Providers include, but are not limited to Physicians, Nurse Practitioners, Physician Assistants, and other similar health care providers who may be employees, contractors and those affiliated with Mia Aesthetics.