This notice describes how your medical information may be used or disclosed and how you can gain access to it. Please read this notice carefully.
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a federal program that requires strict confidentiality for all your personal health information. That includes all your medical and dental information used or disclosed by us in any form, whether electronic, written or verbal. The Act gives you significant rights to understand and control how your health information is used. The Act also provides penalties for the misuse of Protected Health Information (PHI).
Uses and Disclosures of Protected Health Information
Your PHI may be used or disclosed by our physician, office staff or others involved in your care and treatment, whether providing healthcare services to you, paying your healthcare bills, supporting the operation of our practice or any other lawful use.
Treatment: We will use and disclose your PHI to provide, coordinate or manage your healthcare and related services. This includes the coordination or management of your healthcare by a third party. For example, your PHI may be given to a physician you have been referred to in order to ensure that he or she has the necessary information to diagnose or treat you.
Healthcare Operations: We may use or disclose your PHI to support our business activities. These activities may include quality assessment, employee review and conducting or arranging other business activities. We may also use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician. We may call you by name in our reception area when your physician is ready to see you. We may use or disclose your PHI, as necessary, to contact you to remind you of your appointment. We may phone your home and leave a message (on an answering machine or with the person answering the phone) to remind you of an upcoming appointment, the need to schedule a new appointment or to call our office. We may also mail a postcard reminder or letter to your home address. Please tell us if you prefer that we call or contact you at another phone number or location.
We may use or disclose your PHI under the following circumstances without your authorization. These include, as required by law:
- public health issues
- communicable diseases
- health oversight
- abuse or neglect
- Food and Drug Administration requirements
- legal proceedings
- law enforcement
- coroners, funeral directors and organ donation
- medical research
- criminal activity; prison inmates
- military activity and national security
- Workers’ Compensation
Required Uses and Disclosures: The law requires us to disclose to you when we are investigated by the Secretary of the Department of Health and Human Services to determine our compliance with HIPAA. Other permitted and required uses and disclosures will be made only with your consent, authorization or opportunity to object unless required by law. You may revoke this authorization in writing at any time except to the extent that your physician or the physician’s practice has taken action in reliance on the use or disclosure indicated in your authorization.
Payment: Your PHI will be used, as needed, to obtain payment for healthcare services. For example, obtaining approval for a hospital stay may require that your relevant PHI be disclosed to your health insurance plan to obtain approval for a hospital admission or a health-related procedure.
You have the right to inspect and copy your PHI. Under federal law, however, you may not inspect or copy the following records:
- psychotherapy notes
- information compiled in reasonable anticipation of, or use in civil, criminal or administrative actions or proceedings
- PHI that is subject to law prohibiting access to said PHI
You have the right to request a restriction of your 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 nondisclosure of any part of your PHI to family members or friends who may be involved in your care or for notification purposes described in these Privacy Practices. Your request must state the specific restriction and to whom you want the restriction to apply.
Your physician is not required to agree to your requested restriction. If your physician believes it is in your best interests to permit use and disclosure of your PHI, your PHI will not be restricted. You then have the right to use another healthcare professional.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this Notice from us, upon request, even if you have agreed to accept this Notice alternatively (e.g., electronically).
You have the right to have your physician amend your PHI. 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 provide you with a copy of any such rebuttal. You have the right to receive an accounting of certain disclosures we have made, if any, of your PHI.
We reserve the right to change the terms of this Notice and will inform you of any changes. You then have the right to object or withdraw as provided in this Notice.
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 by notifying our privacy officer at our office and main telephone number. We will not retaliate against you for exercising your right to file a complaint.
This Notice was published and is effective on or before 6/1/2010.
Mason City Clinic
250 S. Crescent Drive
Mason City, IA 50401
I used to visit the ER often with undiagnosed heart problems. During my last visit in 2004, they told me I probably wouldn’t make it another year. That’s when my doctor at Mason City Clinic found my mitral valve malfunction and surgically repaired it. I recently had my annual EKG exam and my cardiologist found no heart problems whatsoever. Which means I can keep raising my squash, musk melon and tomatoes...Read More
With no warning signs, Jansen Wyatt, 54, suddenly collapsed in his home last November. His daughter-in-law rushed him to the ER at Palo Alto County Health System in Emmetsburg, where they diagnosed a severe heart attack. Jansen was helicoptered to Mason City’s Mercy Medical Center. Samuel Congello, DO, a board-certified cardiologist with Mercy’s Heart and Vascular Institute...Read More
As a young girl I was diagnosed with hearing loss in my right ear. I had many ear infections and surgeries, but the problem only got worse. It was getting hard to do my job because I was missing parts of conversations. Hearing aids only caused me more infections. Then I found Dr. Henry Diggelmann at Mason City Clinic. He recommended BAHA (bone anchored hearing aid), which creates sound using bone amplification...Read More
After years as a special education teacher handling children with significant disabilities and behavioral challenges, I began having limited use of my hands due to severe arthritis pain. I found myself fighting back tears every day because the pain was so bad. I could no longer enjoy one of my favorite hobbies, quilting, either. I met with Dr. René Recinos, a plastic surgeon from Mason City Clinic and recommended a procedure called arthrodesis...Read More
Retired school teacher Charlene Hanson used to love walking in the woods – until the pain and inflammation of arthritis took it away from her. Since she had heard such great things at church and in the community about Mason City Clinic’s Orthopedic Department and Dr. Darron Jones, she made them her choice to replace her arthritic hip and knee...Read More
I injured my knee as a teenager and had surgery. Then, as I got older, the pain returned and began affecting my routine and overall enjoyment of life. My doctor referred me to Darron Jones, MD, an orthopedic surgeon. After a thorough exam, he said I was a candidate for knee replacement. I had the procedure in late January 2014 and was back among the grapes by the beginning of March...Read More
Donna Drake lived with a growing basal cell skin cancer (the most common skin cancer) on her lower eyelid for three years. A family practitioner at Franklin General Hospital recommended Mason City Clinic’s plastic and reconstructive surgeon, Dr. Mark Mulkey, who identified the cancer and performed the extremely delicate eyelid surgery to remove it and reconstruct her eyelid...Read More
Surgery got Melody Wagner
Melody Wagner loved walking until severe pain from bunions stopped her cold. She found a board-certified podiatrist at Mason City Clinic’s Podiatry Department. Podiatrists perform leading-edge surgery for bunions and hammertoes, as well as advanced treatments for diabetic feet, heel pain, ingrown toenails and more. Melody was afraid of a painful procedure and a long recovery...Read More
When Dr. Allgood hugged me and said, ‘We’ll get through this together,’ I felt reassured. After he successfully performed surgery to remove my cancer I felt relieved. But the double mastectomy was a struggle for me – I didn’t want people to know I had gone through this change. I wanted to look normal in a t-shirt. I wanted to feel like a woman. Dr. Mulkey was just as kind, putting me at ease. ..Read More
One snowy night about seven years ago, I felt a sudden pain in the back of my leg. I thought I could shake it off and went out to shovel some snow. After a few minutes, I went back inside and collapsed. My wife called 911 but the ambulance couldn’t get to me because of the snow. My neighbors used snow blowers to clear the road and my driveway so the ambulance could get to me...Read More