HIPAA
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.
Our Obligation
Exhale Psychiatry, S.C. is required by law to maintain the privacy of your protected health information (PHI), provide you with this notice, notify you following a breach of unsecured PHI and follow the terms of this notice.
How We May Use and Disclose Your Information
For Treatment
We may use your PHI to provide, coordinate or manage your psychiatric care. For example, Dr. Bracciano may share relevant clinical information with your primary care provider or therapist to coordinate your treatment (with your authorization).
For Payment
We may use your PHI to prepare superbills and related documentation for your out-of-network insurance submissions.
For Healthcare Operations
We may use your PHI for quality improvement, clinical training, auditing and credentialing.
Third-Party Platforms
We use third-party technology platforms in delivering your care, including a cognitive testing platform (Creyos) and a HIPAA-compliant electronic health record. These vendors are bound by Business Associate Agreements requiring HIPAA-compliant handling of your information.
As Required by Law
We may disclose your PHI when required by federal, state or local law, including mandatory reporting of abuse or neglect, response to valid court orders and public health activities.
Health and Safety
We may use or disclose your PHI when necessary to prevent a serious and imminent threat to your health or safety or the health or safety of the public or another person.
Uses Requiring Your Written Authorization
Other uses and disclosures not described above require your written authorization. You may revoke any authorization in writing at any time. Revocation will not affect disclosures already made.
Your Rights
Access
You have the right to inspect and obtain a copy of your PHI. We may charge a reasonable fee for copies.
Amendment
You may request amendment of your PHI if you believe it is incorrect or incomplete. We may deny the request in certain circumstances and will explain the reason.
Accounting of Disclosures
You may receive a list of certain disclosures we have made of your PHI.
Request Restrictions
You may request restrictions on how we use or disclose your PHI. We must agree to restrict disclosures to a health plan for services you paid for out of pocket in full, which, as a direct-pay practice, applies to all services.
Confidential Communications
You may request that we communicate with you using a specific method or at a specific location.
Copy of This Notice
You may receive a paper copy of this notice at any time. The current version is available at exhalepsych.com/notice-of-privacy-practices.
Changes to This Notice
We may change this notice at any time. The revised notice will apply to PHI we already have as well as new information.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Exhale Psychiatry, S.C.
Phone: (414) 262-5385
Email: office@exhalepsych.com
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW, Washington, DC 20201
Phone: 1-877-696-6775