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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.


EFFECTIVE DATE OF NOTICE:  November 13, 2013

 

This notice describes the privacy practices of Crescendo Bioscience, Inc., its employees, and other personnel ("CRESCENDO BIOSCIENCE", "WE" OR "US").

We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of health information about you ("Protected Health Information") and to provide you with this Notice of our legal duties and privacy practices with respect to your Protected Health Information.

We understand the importance of privacy and are committed to maintaining the confidentiality of your Protected Health Information. We make a record of your Protected Health Information, such as the clinical laboratory test results we produce, and we may obtain records related to your medical care from others. We use these records to provide or enable other health care providers to provide quality medical care, to obtain payment for services provided, and for administrative and operational purposes. When we use or disclose your 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) and to comply with HIPAA.

 

If you have any questions about this Notice, please contact our Privacy Officer by calling Customer Service at 1(877) RHEUMDX (1-877-743-8639).

How We May Use Or Disclose Your Protected Health Information

For Treatment - We may use or disclose your Protected Health Information for treatment purposes. For example, we may use your Protected Health Information to perform our testing services and to produce clinical laboratory results that assist other health care providers in providing quality medical care. We may also share your Protected Health Information with other health care providers who are directly involved in your medical care.

 

For Payment - We may use or disclose your Protected Health Information to obtain payment for the services you receive. For example, we may send a bill to your health plan, such as an insurance company or health plan, to receive payment for the services provided to you.

 

For Health Care Operations - We may use and disclose your Protected Health Information for our health care operations. For example, we may use or disclose your Protected Health Information to review and improve the quality of service we provide, or the competence and qualifications of our professional staff. We may use or disclose your Protected Health Information to get authorization for services or referrals from your health plan.

 

Business Associates - We may share your Protected Health Information with other companies or individuals, known as "business associates," who need your information to provide services to us. For example, we may use another company to perform billing services on our behalf. Each business associate is required to protect the privacy of your Protected Health Information, and we have agreements in place with each business associate requiring their compliance.


Required by Law -

 We must disclose your Protected Health Information as required by Federal, state or local law.

 

Persons Involved in Your Care or Payment for Your Care - We may disclose your Protected Health Information to a person involved in your care or payment for your care, such as a family member, relative, or close friend, unless you object or ask us not to.

 

Personal Representatives - We may disclose Protected Health Information about you to your Personal Representative, such as a lawyer, administrator, executor or other authorized person responsible for you or your estate.

 

 

Victims of Abuse, Neglect, or Domestic Violence -  If required or authorized by law, we may disclose Protected Health Information to a government agency, such as social services or a protective services agency, if we reasonably believe that an individual is the victim of abuse, neglect, or domestic violence.

 

Law Enforcement - We may disclose your Protected Health Information to the police or other law enforcement officials as required by law or in compliance with a court order, warrant, subpoena, summons, or similar process authorized by law. Under certain circumstances, we also may disclose Protected Health Information to law enforcement officials when the information is needed to: identify or locate a missing person or a suspect, fugitive, or material witness; determine whether an individual has been a victim of a crime; determine if a death resulted from criminal conduct; or investigate suspected criminal activity on our premises.

 

Judicial and Administrative Proceedings - Under certain circumstances, we may disclose your Protected Health Information in the course of a judicial or administrative proceeding, in response to a court order, subpoena, or other lawful process.

 

Lawsuits and Disputes - If you are involved in a lawsuit or a dispute, we may disclose your Protected Health Information in response to a court or administrative order. If the lawsuit is a medical negligence action, your Protected Health Information may be disclosed without a court order or subpoena. We may also disclose your Protected Health Information in response to a subpoena, discovery request, or other lawsuit process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

 

Public Health and Safety - Your Protected Health Information may be used or disclosed for public health activities, such as assisting public health authorities or other legal authorities to prevent or control disease, injury, or disability, or for other health oversight activities. Your Protected Health Information may be disclosed to appropriate persons in order to prevent or lessen a serious and imminent threat to the health and safety of a particular person or the general public.

 

Specialized Government Functions - We may disclose your Protected Health Information for military or national security purposes or to correctional institutions or law enforcement officers that have you in their lawful custody.

 

Workers' Compensation - Your Protected Health Information may be used or disclosed as necessary in order to comply with laws and regulations related to workers' compensation.

 

Change of Ownership - In the event that our clinical laboratory is sold or merged with another organization, your Protected Health Information will become the property of the new owner, although you will maintain the right to request that copies of your Protected Health Information be sent directly to you or physician of your designation.

 

 

Communications About Products and Services - We may use and disclose your Protected Health Information to contact you about other Crescendo Bioscience products and services which we believe may be of interest to you.  Any use, disclosure, or sale of Protected Health Information to third-parties for marketing purposes requires your written authorization.

 

Research - We may use or disclose your health information for research purposes when an institutional review board or privacy board has reviewed the research proposal and established protocols to ensure the privacy of your Protected Health Information.  In preparation for research, we may review limited Protected Health Information to draft research protocols, to identify prospective research participants, or for similar purposes provided the information is not removed from our premises.

 

When We May Not Use Or Disclose Your Protected Health Information

Except as described in this Notice of Privacy Practices, we will not use or disclose your Protected Health Information without your written authorization. If you do authorize us to use or disclose your Protected Health Information for another purpose, you may revoke your authorization in writing at any time as provided under HIPAA.

 

Your Rights to Your Protected Health Information

You have the right:

          To obtain a paper or electronic copy of this Notice of Privacy Practices.

          To request restrictions on certain uses and disclosures of your Protected Health Information by providing a written request that specifies what information you wish to limit and what limitations on our use or disclosure of your Protected Health Information you wish to have imposed. While we will consider all requests for restrictions carefully, we are not required to agree to the request unless the restriction involves a disclosure to an insurer or health plan and you have paid for the service "out-of-pocket" and "in full".

          To inspect and obtain a copy of your Protected Health Information, with limited exceptions. If we deny your request for access or copies, you will be informed of your rights to appeal our decision. Note: CLIA regulations and state law will determine whether a lab can provide test results directly to a patient. (California State Law requires all Laboratory results be delivered to the ordering physician)

          To request that we correct your Protected Health Information. Your request must be in writing and must include the reason(s) for your request. We are not required to make your requested amendment (s) or modification(s), and should we deny your request, we will provide you with information about our denial and how you can disagree with the denial.

          To receive an accounting of certain disclosures of your Protected Health Information made by us as required under HIPAA.  The request must be in writing and the list will include disclosures made within the prior six (6) years.

          To receive confidential communications of your Protected Health Information.  You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.

Obligations of this Clinical Laboratory

We are required by law to (i) maintain the privacy of your Protected Health Information, (ii) notify you promptly if a breach occurs that may have compromised the privacy or security of your Protected Health Information. (iii) provide you with this notice of our legal duties and privacy practices with respect to your Protected Health Information, (iv) abide by the terms of this notice.

Changes to our Notice of Privacy Practices

We reserve the right to change the terms of this Notice and/or to adopt amendments or revise any of our privacy practices provided such changes are permitted by applicable law. We will promptly post any changes to this Notice on our website at www.crescendobio.com. Please review this website periodically to ensure that you are aware of any updates.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer to the address set forth below or to the Secretary of Health and Human Services.  We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request. We will not take retaliatory action against you and you will not be penalized in any way for filing a complaint.

IF YOU WOULD LIKE TO HAVE A MORE DETAILED EXPLANATION OF THESE RIGHTS, OR IF YOU WOULD LIKE TO EXERCISE ONE OR MORE OF THESE RIGHTS, CONTACT OUR PRIVACY OFFICER THROUGH CRESCENDO BIOSCIENCE CUSTOMER SERVICE (1-877-RHEUMDX (1-877-743-8639)) OR USING THE FOLLOWING CONTACT INFORMATION.

 
Crescendo Bioscience, Inc.
Attn: Privacy Officer
341 Oyster Point Boulevard
South San Francisco, CA 94080
(650) 351-1354