605 Broad Ave.
Ridgefield, NJ 07657
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.
I. WhoWe Are:
This Notice descnbes the privacy practice of HSS Services.
II. Our Privacy Obligations:
We are dedicated to maintaining the privacy of your medical information. In conducting our services, we will create records regarding you and the treatment and services provided to you by our clients. We are required by law to maintain the privacy of medical and health information about you (“Protected Health Information”) and to provide you with this Notice of our legal duties and privacy practices with respect to Protected Health Information. When we use or disclose Protected Health Information. we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).
III. Uses and Disclosures With Your Authorization:
A. Use of Disclosure with Your Authorization: We may use or disclose Protected Health Information only when (1) you give us your written authorization on a form that complies with the Health Insurance Portability and Accountability Act. For instance, you will need to execute an authorization before we can send your PHI to the attorney representing the other party in litigation in which you are involved. Further, except to the extent that we have taken action in reliance upon it, you may revoke Your Authorization by a written revocation statement to Privacy Officer named below.
B. Uses and disclosures of Your Highly Confidential Information: In addition, Federal and state law require special privacy protections for certain highly confidential information about you (“Highly Confidential Information”). We will comply with such special privacy protections that may cover the subset of your PHI that: (1) is maintained in psychotherapy notes; (2) is about mental health and developmental disabilities services; (3) is about alcohol and drug abuse prevention, treatment and referral; (4) is about HIV/AIDS testing, diagnosis or treatment; (5) is about venereal disease(s); (6) is about genetic testing; (7) is about child abuse and neglect; (8) is about domestic abuse of an adult with a disability; (9) is about sexual assault; or (10) is about abortion.
IV. Uses and Disclosures Without Your Authorization:
A. Use and or Disclosure For Payment and Healthcare Operations: Except as noted in Ill A and B above, we may use and/or disclose Protected Health Information without your authorization for treatment provided to you, obtaining payment for services provided to you and for health care operations (e.g. internal administration, quality improvement, customer service, etc.) as detailed below:
• Payment: We may use and disclose Protected Health Information to obtain payment for medical services provided to you – for example, disclosures to claim and obtain payment from your health insurer, HMO, or other company that arranges or pays the cost of some or all of your health care (“Your Payor”) to verify that Your Payor will pay for health care. We may also disclose Protected Health Information to another health care provider for the payment activities of that health care provider.
• Health Care Operations: We may use and disclose Protected Health Information for our health care operations, which include internal administration and planning and various activities that improve the quality and cost effectiveness of the care that was delivered to you. For example, we may use Protected Health Information to evaluate or review the services that were rendered to you. We may disclose Protected Health Information to our patient representatives in order to resolve any complaints you may have. Under certain circumstances, we may disclose Protected Health Information to another health care provider for the health care operations of that health care provider if they either treated or examined you and your Protected Health Information pertains to that treatment or examination.
B. Disclosure to Relatives and Close Friends. We may use or disclose Protected Health Information to a family member, other relative, a close personal friend or any other person identified by you when you are present for, or otherwise available prior to, the disclosure, if we: (1) obtain your agreement; (2) provide you with the opportunity to object to the disclosure and you do not object; or (3) reasonably infer that you do not object to the disclosure. If you are not present, or the opportunity to agree or object to a use or disclosure cannot practicably be provided because of your incapacity or an emergency circumstance, we may exercise our professional judgement to determine whether a disclosure is in your best interests. If we disclose information to a family member, other relative or a close personal friend, we would disclose only information that is directly relevant to the person’s involvement with your health care.
C. Victims of Abuse, Neglect or Domestic Violence. If we reasonably believe you are a victim of abuse, neglect or domestic violence, we may disclose your PHI to a governmental authority, including a social service or protective services agency, authorized by law to receive reports of such abuse, neglect, or domestic violence.
D. Public Health Activities. We may disclose Protected Health Information for the following public health activities and purposes:
(1) to report heath information to public health authorities for the purpose of preventing or controlling disease, injury or disability; (2) to report child abuse and neglect to public health authorities or other government authorities authorized by law to receive such reports; (3) to report information about products under the jurisdiction of the U.S. Food and Drug Administration; (4) to the NJ State Department of Health for statutory authorized purposes; (5) to alert a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; and (6) to report information to your employer as required under laws addressing work-related illnesses and injuries or workplace medical surveillance.
E. Health Oversight Activities. We may disclose Protected Health Information to a health oversight agency that oversees the health care system and ensures compliance with the rules of government health programs such as Medicare or Medicaid.
F. Judicial and Administrative Proceedings. We may disclose Protected Health Information in the course of a judicial or administrative proceeding in response to a legal order or other lawful process.
G. Law Enforcement Officials. We may disclose Protected Health Information to the police or other law enforcement officials as required by law or in compliance with a court order.
H. Decedents. We may disclose Protected Health Information to a coroner or medical examiner as authorized by law.
I. Health or Safety. We may use or disclose Protected Health Information to prevent or lessen a serious and imminent threat to a person’s or the public’s health or safety.
J. Specialized Government Functions. We may use and disclose Protected Health Information to units of the government with special functions, such as the U.S. military or the U.S. Department of State under certain circumstances.
K. Workers’ Compensation. We may disclose Protected Health Information as authorized by and to the extent necessary to comply with laws relating to workers’ compensation or other similar programs.
V. Your Individual Rights:
A. For Further Information. Complaints. If you desire further information about your privacy rights, are concerned that we have violated your privacy rights, or disagree with a decision that we made about access to Protected Health Information, you may contact our Privacy Officer at the below address. You may also file written complaints with the Director, Office for Civil Rights of the U.S. Department of Health and Human Services. Upon request, the Privacy Officer will provide you with the correct address for the Director. We will not retaliate against you if you file a complaint with us or the Director.
B. Right to Request Additional Restrictions. You may request restrictions on our use and disclosure of Protected Health Information: (1) for treatment, payment and health care operations; (2) to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved with your care or with payment related to your care; or (3) to notify or assist in the notification of such individuals regarding your location and general condition. While we consider all requests for additional restrictions carefully, we are not required to agree to a requested restriction. If you wish to request additional restrictions, please submit the request to our Privacy Officer at the address below. We will send you a written response.
C. Right to Receive Confidential Communications. You may request, and we will accommodate, any reasonable written request for you to receive Protected Health Information by alternative means of communication or at alternative locations.
D. Right to Inspect and Copy Your Health Information. You may request access to your medical record file and billing records maintained by us in order to inspect and request copies of the records. Under limited circumstances, we may deny you access to a portion of your records. If you desire access to your records, please obtain a record request form from, and submit the completed form to our Chief Privacy Officer.
You should take note that, if your are a parent or legal guardian of a minor, certain portions of the minor’s medical record will not be accessible to you (for example, records relating to pregnancy, abortion, sexually transmitted disease, substance use and abuse, contraception and/or family planning services).
E. Right to Amend Your Records. You have the right to request that we amend Protected Health Information maintained in your medical record file or billing records. If you desire to amend your records, please obtain an amendment request form from, and submit the completed form to, our Chief Privacy Officer. We will comply with your request unless we believe that the information that would be amended is accurate and complete or other special circumstances apply.
F. Right to Receive An Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of Protected Health Information made by us during any period of time prior to the date of your request provided such period does not exceed six years and does not apply to disclosures that occurred prior to April 14, 2003. If you request an accounting more than once during a twelve (12) month period, we will charge you $35 for the accounting statement.
G. Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice, even if you agreed to receive such notice electronically.
VI. Effective Date and Duration of This Notice:
A. Effective Date. This Notice is effective on April 14, 2003.
B. Right to Change Terms of this Notice. We may change the terms of this Notice at any time. If we change this Notice, we may make the new notice terms effective for all Protected Health Information that we maintain, including any information created or received prior to issuing the new notice. If we change this Notice, we will post the new notice on our Internet site. You may obtain any new notice by contacting the Chief Privacy Officer.
VII. Privacy Officer
You may contact the Privacy Officer at:
605 Broad Ave.
Ridgefield, NJ 07657
Telephone Number (201) 945-2481
Your privacy is very important to HSS SERVICES. We understand that health and medical billing is a very personal and private subject, we want you be assured that the information you provide us will only be used to execute the scheduling with doctors, process billing and payment transactions, and generate management reports. We want you to feel as comfortable as possible visiting our Web site and using its services.
In order to use our login center to get the real time services, the physician has to sign up the service agreement with HSS SERVICES first. After the physician becomes a client of HSS SERVICES, his patients and himself will be able to get the services on line. Such as checking what appointments the physician has, or reviewing his billing reports, adding a new patient info into his file. And his patient will be able to schedule an appointment with him on line as well.
HSSBilling.com stores personal information provided by our clients in our database (i.e., name, gender, address, phone number, social security number, date of birth, health insurance). The information is used for billing, payment and scheduling only.
User ID and Password
HSS SERVICES will assign a user ID to the users. The user can create and change his password online. The password is required to be changed every 90 days. Never share your hssbilling.com’s username and password with anyone who is not authorized to access your account.
Hssbilling.com contains links to other sites that we believe offer useful information for our users. Please be aware that we are not responsible for the privacy policies or the content of such sites.
This site gives users the option for changing and modifying information previously provided and stored on our database:
1. You can send email to Support@webhealthlink.com
2. You can call the following numbers: 800-932-0476 or 800-624-0792.
HSS SERVICES is committed to data security. Our site has appropriate security measures in place in our physical facilities to prevent losses, misuses and alterations of the information under our control. The information you submit to HSS SERVICES is stored in a secured database. We use proxy server and firewall to protect our database and to prevent unauthorized access to our system. Each doctor’s office has its own dedicated database, and each doctor can only access his own data, so does the patient.
Please contact us for service agreement for other terms and conditions regarding billing and doctor’s personal Web page design.
If you have any questions about this privacy statement, you can contact us.