1601 N. Tucson Blvd. Suite 9
Tucson, AZ 85716-3450
Phone: (800) 635-1196
Hotline: (800) 419-4777
Association of American Physicians and Surgeons, Inc.
A Voice for Private Physicians Since 1943
Omnia pro aegroto

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MODEL PATIENT PRIVACY PROTECTION ADVISORY
Notice of Non-participation in Government Medical Records Program

I have chosen to remain a non-covered entity under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) that goes into effect in October 2002.

If I agreed to participate, I would have to comply with more than 3,000 pages of federal laws and regulations that decide how and when your private medical files are used, as well as who has access to them. This would be done without your permission. Instead, you would only have a chance to read a statement of general ways your records might be used, rather than requiring your consent for their use.

Under these rules, thousands of government agencies would have virtually unrestricted access to your medical records. The HIPAA standards will result in a nationwide data base of medical records accessible to marketers, government agents, researchers, and many private entities whose interests may conflict with the best interest of patients. It is not possible to protect confidentiality once records are in a networked computer, no matter how many rules are in force.

Further, the regulations enable a centralized government database of everyone's medical records. Information in your medical record could be used against your, for example, to ration your care or even to prosecute you, as for an allegedly false statement to an insurer.

By choosing to be a "non-covered entity" and not filing a compliance program with the government, I am better able to protect the confidentiality of your medical record.

I am also better able to serve your medical needs by concentrating on medical problems rather than complex, ever-changing rules, and by organizing my practice in an efficient manner rather than the way dictated by government rules.

Our practice will not participate in the entry of your private data into this data base. Your records will be released only with your written consent, except as may be specifically required by law.

To do this, I must file only paper claims, not electronic ones. This may delay processing.

You may choose to file your own claim. This may lead to faster payment and possibly to even to a higher rate of reimbursement. Our office will gladly provide you with any documentation you need if you choose to file your own claim. We will continue to make the trust of our patients our highest priority.