Clinical Pathology Laboratories, Inc. (CPL)
Notice of Privacy Practices for Protected Health
Information
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
REVIEW IT CAREFULLY.
Overview:
You Have the Right to:
- Obtain a copy of your paper or electronic health record
- Ask us to limit the information we share
- Request confidential communication
- Amend your health record
- Obtain a list of those with whom we've shared your
information
- Obtain a copy of this privacy notice
- File a complaint if you believe your privacy rights have been
violated
- Notification by CPL of any changes to our health information
practices
We May Use and Share Your Information to:
- Assist in treating you
- Bill for services provided
- Manage our organization
- Comply with the law
- Help with public health and safety issues
We are Required to:
- Maintain the privacy and security of your health
information
- Inform you if a breach occurs that may have compromised the
privacy or security of your information
- Provide you with a notice of our legal duties and privacy
practices regarding the information we collect and maintain about
you
- Abide by the terms of this notice
- Notify you by mail, upon your request, if CPL's health
information practices change
- Obtain your written authorization for any uses or disclosures
of your health information not described in this notice. You may
revoke the authorization at any time, except to the extent that
action has already been taken.
How to Exercise Your Rights:
Obtain a copy of your paper or electronic health
record
- You can ask to see or obtain an electronic or paper copy of
your laboratory record. Click the link on this website that will
direct you to the form you will need to submit to obtain your
record.
- We will provide a copy of your laboratory record in the
timeframe required by law. You will be informed in writing if the
delivery of your record will be delayed.
Ask us to limit the information we share
- We are allowed to use your health information for treatment,
payment and healthcare operations without your consent. You can ask
us to limit or not use your information for these purposes, but we
are not required by law to agree to your request.
- If you pay for laboratory services out-of-pocket in full, you
can ask us not to share that information with your health insurer.
We will say yes to your request unless a law requires us to share
that information.
If you would like us to limit the information that
we share about you, contact CPL's Privacy Officer by calling
512.873.1611 or 800.595.1275 or email to HIPAA@cpllabs.com.
Request confidential communication
- You can ask us to contact you in a specific way (for example,
home or office phone) or to send mail to a different address than
we have on record for you. We will say yes to all reasonable
requests.
If you have a request for confidential
communication, contact CPL's Privacy Officer by calling
512.873.1611 or 800.595.1275 or email to HIPAA@cpllabs.com.
Amend your health record
- You can ask us to amend health information about you that you
think is incorrect or incomplete, but we are not required to agree
to your request. You will be notified in writing within 60days of
your request if we do not agree to your request.
If you have a request to amend your health
information, contact CPL's Customer Service Department at
800.595.1275.
Obtain a list of those with whom we've shared your
information
- You can ask us to prepare a list for you of the people with
whom we have shared your health information within the past six
years of your request.
- We will provide you with a description of the information that
we shared, who we shared it with, and why we shared it.
- Under the law, we are not required to include in the list the
occasions that we shared your health information for the purposes
of treatment, payment or healthcare operations.
If you would like to obtain a list of those with
whom we've shared your information, contact CPL's Privacy Officer
by calling 512.873.1611 or 800.595.1275 or email to
HIPAA@cpllabs.com.
Obtain a copy of this privacy notice
- You may obtain a copy of this privacy notice by accessing CPL's
website at www.cpllabs.com. Click the "About Us" tab and select
Privacy Policy. Click the print icon.
If you wish to have a copy of this privacy notice
mailed to you, contact CPL's Privacy Officer by calling
512.873.1611 or 800.595.1275 or email to HIPAA@cpllabs.com.
How to contact us or file a complaint
- If you have questions or comments regarding CPL's Notice of
Privacy Practices, or have a complaint about our use or disclosure
of your Protected Health Information or our privacy practices,
please contact CPL's Privacy Officer by calling512.873.1611 or
800.595.1275 or email to HIPAA@cpllabs.com.
You may file a complaint directly with the Secretary
of Health and Human Services. There will be no retaliation by CPL
for filing a complaint.
How We May Use and Share Your Information
to:
- Assist in your treatment: for example, we will report the
results of your laboratory test(s) to the health care practitioner
who requested the test(s).
- Bill for services rendered to you: for example, a bill may be
sent to you or a third party payer. The bill may include
information that identifies you and the tests that were
performed.
- Manage our organization: for example, we may use information
about you to assess the timely reporting of the results of your
test(s); this information will then be used in an effort to
continually improve the quality and effectiveness of the service we
provide.
- We may provide your PHI to other companies or individuals that
need the information to provide services to us. These other
entities, known as "business associates", are required to maintain
the privacy and security of PHI. For example, we may provide
information to companies that assist us with billing of our
services. We may also use an outside collection agency to obtain
payment when necessary.
- Comply with the law; for example: We may disclose your health
information to public health or legal authorities charged with
preventing or controlling disease, injury, or disability or to
avert a serious threat to the health or safety of a person or the
public.
- To comply with laws relating to workers compensation or other
similar programs established by law.
- We may disclose your health information for law enforcement
purposes as required by law or in response to a valid
subpoena.
We are Required to:
Maintain the privacy and security of your health
information
- Under the Health Insurance Portability and Accountability Act
of 1996 (HIPAA), CPL is required by law to maintain the privacy of
health information that identifies you, called protected health
information or "PHI". CPL will make reasonable efforts to ensure
the confidentiality of your PHI, as required by statute and
regulation.
Inform you if a breach occurs that may have
compromised the privacy or security of your information
- CPL is required to provide patient notification if it discovers
a breach of unsecured PHI unless there is a demonstration, based on
a risk assessment, that there is a low probability that the PHI has
been compromised. You will be notified without unreasonable delay
and no later than 60 days after discovery of the breach.
Provide you with a notice of our legal duties and
privacy practices regarding the information we collect and maintain
about you
- CPL is required to provide you with this notice of our legal
duties and privacy practices. A copy of our privacy practices is
available on our website, www.cpllabs.com. You may also request
that a printed copy be mailed to you (see below).
Abide by the terms of this notice
- CPL is required by law to maintain the privacy of your PHI and
to abide by all of the terms of this notice.
Notify you by mail, upon your request, if CPL's
health information practices change
- CPL may change the content of this notice of privacy practices
at anytime because of operational or regulatory requirements. The
changes will apply to all information CPL has about you. Whenever
changes are made to this notice of privacy practices, they will be
posted on CPL's website at www.cpllabs.com. If you request, you may
be notified by mail whenever these changes occur. If you wish to
have a copy of the changed notice of privacy practices mailed to
you, contact CPL's Privacy Officer by calling (512) 873-1611 or
(800) 595-1275 or email to HIPAA@cpllabs.com.
Obtain your written authorization for any uses or
disclosures of your health information not described in this
notice. You may revoke the authorization at any time, except to the
extent that action has already been taken.
- For purposes not described above, CPL will ask for your
authorization before using or disclosing your PHI. If you signed an
authorization form, you may revoke it, in writing, at any time,
except to the extent that CPL has already acted on any prior uses
or disclosures previously authorized by you.
Effective Date: October 6, 2014