FAQs | Summit Clinic

What is Concierge Medicine?

Concierge medicine, boutique medicine and direct practices are all terms used to describe a new form of medicine in which patients pay a doctor directly for enhanced medical care.

Is Dr. Hussain certified by the American Board of Family Medicine?

Yes, he is certified.

So you don’t take any insurance, right?

Correct. I advocate for one person and one person only in my practice; that is my patient. I am not an advocate for any insurance company and I do not have input from their “medical directors,” who are hired by the company to limit testing and increase the profit margins of the insurance carrier.

To file a complaint with SMC, send to:

SMC Attn: Privacy Officer/CMO

11209 Commerce Drive N

Champlin, MN 55316

You have the following rights with respect to your protected health information (PHI):

The right to reasonable requests to receive confidential communication of your PHI.

The right to inspect or copy your PHI. A written request is required. You can only be charged the maximum amount set by Minnesota law for copying your records.
The right to receive an accounting of disclosures of your PHI, if other than for treatment, payment and operations.
The right to request an amendment of your PHI. Submit your request in writing and provide a reason that supports your request for amending your PHI.

This Notice of Privacy is effective August 1, 2007, and SMC is required to abide by the terms as they apply to Minnesota Statutes (Section 144.335, Subd. 5a). If you believe your privacy rights have been violated, you may file a complaint with our clinic, or with the Secretary of the Department of Human Services and the Minnesota Department of Health.

SMC may contact you

SMC may contact you to provide appointment reminders or information regarding your treatment options. Any other use and disclosure of your health information will be made only with your written authorization.

Use and Disclosure of your PHI under Special Circumstances:

Federal and State laws require SMC to report communicable diseases and other public health risks to the local Department of Health or appropriate agency.
Immigration I-693 Medical Exams and Refugee Immunization Updates require us to test for certain diseases, confirm immunization status, and report all our findings to the U.S. Department of Homeland Security, Citizenship and Immigration Services. Please refer to Section I ‘Instructions for Aliens Applying for Adjustment of Status, Medical Examination and Health Information’, page 1 of Form I-693 Instructions (OMB No. 1615-0033).
SMC will provide your PHI to Law Enforcement officials in response to a warrant, summons, court order or subpoena.
SMC may release PHI to a coroner or medical examiner to identify the cause of death.
Please see Minnesota Department of Health’s ‘ACCESS TO HEALTH RECORDS NOTICE OF RIGHTS’ (based on Minnesota Statutes, Section 144.335, Subd. 5a).

Summit Medical Clinic Notice of Privacy Practices

This notice describes how the medical information about you may be used and disclosed.

Summit Medical Clinic (SMC) will attempt to abide by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which is a federal program requiring all medical insurance records and other identifiable health information used or disclosed by TCMC, in any form, to be kept confidential. SMC is required to follow Minnesota State Statutes regarding patient privacy. SMC has a notice of the Minnesota Department of Health’s ‘ACCESS TO HEALTH RECORDS NOTICE OF RIGHTS’ (based on Minnesota Statutes, Section 144.335, Subd. 5a) clearly displayed in the reception area of SMC. Please understand that if you would like additional information, or links to specific laws, you can visit www.health.state.mn.us and search for “access to health records” or call the Minnesota Department of Health at (651)282-6314. SMC can change its privacy practices and terms of this notice at any time, effective for all medical records (new and old).

The following is a summary of how SMC intends to maintain the privacy of your health information and how we may use and disclose this information. Before any important change in our privacy practices, this notice will be updated and made available.

We may use and disclose your medical records (Protected Healthcare Information-PHI) for the following purposes- Treatment, Payment, and Healthcare Operations:

Treatment may require that your information be disclosed to other healthcare professionals that are involved in your care such as specialist physicians, your primary physician, or the health department.
Payment includes obtaining money due for services by SMC.
Healthcare Operations include the business aspects of running our practice, such as internal quality review, auditing function and cost management analysis.