Privacy Policy
CNY Medical Professionals & Sleep Lab P.C.
64 Pomeroy St. Cortland, NY 13045 (607) 753-6560

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. If you have any questions about this Notice please contact: Privacy Officer, Cortland ENT & Sleep Lab P.C., 64 Pomeroy St., Cortland, NY 13045.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control of your protected health information. “Protected health information” (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present or future physical condition and related health care services.
We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices by calling the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.
1. Uses and Disclosures of Protected Health Information
Uses and Disclosures of Protected Health Information. We use and disclose health information for many different reasons. Generally, we are required to limit any uses and disclosures to that which is reasonably necessary. Below, we describe the different categories of our uses and disclosures that do not require your authorization. The examples included with each category do not list every type of use or disclosure that may fall within that category.
Treatment: We will use or disclose your PHI to provide, coordinate, or manage your health care and related services. We may consult with other health care providers regarding your treatment and coordinate or manage your health care with others. For example, we may use and disclose PHI when you need a prescription, lab work, an x-ray or other health care service
Payment: We may use and disclose PHI so we can bill and collect payment for the treatment and services provided to you. For example, we may ask for payment approval from your health plan before we provide care or services. We may use and disclose PHI for billing, claims management and collection activities.
Healthcare Operations: We may use or disclose your PHI, as needed, in order to support the business activities of this practice. Healthcare operations include doing things that allow us to improve the quality of care we provide and to reduce health care costs. We may also use and disclose PHI about you in the following health care operations:
To identify groups of people with similar health problems so information about treatment alternatives and educational classes can be provided.
To call you by name in the waiting room when your physician is ready to see you.
We may disclose your PHI to students in various medical programs involved with our practice
To contact you by mail or by phone to remind you of your appointment. We may leave a message on your answering machine
We will share your PHI with third party “business associates” that perform various activities for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your PHI, we will have a written contract that contains terms that will protect the privacy of your PHI.
Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.
Other Permitted and Required Uses and Disclosures That May Be Made Without Your Consent, Authorization or Opportunity to Object
Emergencies: We may use or disclose your protected health information in an emergency treatment situation.
Communication Barriers:We may use and disclose your PHI if your physician attempts to obtain consent from you but is unable to do so due to substantial communication barriers.
Required By Law: We may use or disclose your PHI to the extent that law requires the use or disclosure. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law.
Public Health: We may disclose your PHI for public health activities. The disclosure will be made for the purpose of controlling disease, injury or disability, or if directed by the public health authority, to a foreign government agency that is collaborating with the public health authority.
Communicable Diseases:We may disclose your PHI, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
Health Oversight:We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies include government agencies that oversee the health care system, government benefit programs, regulatory programs and civil rights laws.
Abuse or Neglect:We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect.
Food and Drug Administration:We may disclose your PHI to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.
Legal Proceedings:We may disclose PHI in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal, in certain conditions in response to a subpoena, discovery request or other lawful process.
Law Enforcement:We may also disclose PHI, so long as applicable legal requirements are met, for law enforcement purposes
Coroners, Funeral Directors, and Organ Donation: We may disclose PHI to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law.
Criminal Activity:Consistent with applicable federal and state laws, we may disclose your PHI, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public
Military Activity and National Security: If you are a member or veteran of the armed forces, we may release medical information about you as required by military command authorities.
Workers’ Compensation: We may disclose your PHI as authorized to comply with workers’ compensation laws and other similar legally established programs.
Inmates: We may use or disclose your PHI if you are an inmate of a correctional facility and your physician created or received your protected health information in the course of providing care to you.
Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500 et. seq.
Uses and Disclosures of Protected Health Information Based upon Your Written Authorization
Other uses and disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing.
2. Your Rights
The following is a statement of your rights and a brief description of how you may exercise these rights.
You have the right to inspect and copy your protected health information. You have the right to request the opportunity to inspect and receive a copy of PHI about you in certain records that we maintain. This includes your medical and billing records but does not include information gathered or prepared for a civil, criminal or administrative proceeding. We may deny your request to inspect and copy PHI only in limited circumstances. To inspect and copy PHI, please contact our Privacy Official.
You have the right to request a restriction of your protected health information.This means you may ask us not to use or disclose any part of your PHI for the purposes of treatment, payment or healthcare operations. You may also request that any part of your PHI not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply. Your physician is not required to agree to a restriction that you may request. If physician believes it is in your best interest to permit use and disclosure of your PHI, your protected health information will not be restricted. If your physician does agree to the requested restriction, we may not use or disclose your PHI in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your physician. You may request a restriction in writing to our Privacy Official.
You have the right to request to receive confidential communications.We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing to our Privacy Official.
You may have the right to have your physician amend your protected health information. You may request an amendment of PHI about you as long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact our Privacy Official to determine if you have questions about amending your medical record.
You have the right to receive an accounting of certain disclosures we have made of your protected health information. This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to family members or friends involved in your care, or for notification purposes. You have the right to receive specific information regarding these disclosures that occurred after April 14, 2003.
You have the right to obtain a paper copy of this notice from us, upon request.
3. Complaints
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.
You may contact our Privacy Official at Cortland ENT & Sleep Lab P.C., 64 Pomeroy St., Cortland, New York 13045 (607-753-6560) for further information about the complaint process.

This notice was published and becomes effective on 3/1/08.