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NOTICE OF PRIVACY PRACTICES
Revised July 26, 2004
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
Papastavros' Associates Medical Imaging, L.L.C. has been committed to high quality patient services since 1958. By maintaining a leadership role in the delivery of high quality health care, Papastavros' Associates provides a full spectrum of quality, state of the art diagnostic imaging services in a caring and comfortable environment. We are required by law to keep your health care |
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information confidential. We are alsorequired by law to provide you with this notice of our legal responsibilities. According to federal and state laws, we can use your private health information for the items listed below.
We may use and disclose personal and identifiable health information:
For Treatment. We will use health information about you to furnish services and supplies to you, in accordance with our policies and procedures. For example, we will use your medical history, such as any presence or absence of heart disease, to assess your health and perform requested ultrasound or other diagnostic services.
For Payment. We will use and disclose health information about you to bill for our services and to collect payment from you or your insurance company. For example, we may need to give information about your current medical condition to a payor so they will pay us for the ultrasound examinations or other services that we have furnished you. We may also need to inform your payor of the tests that you are going to receive in order to obtain prior approval or to determine whether the service is covered.
For Health Care Operations. We may use and disclose information about you for the general operation of our business. For example, we sometimes arrange for accreditation organizations, auditors or other consultants to review our practice, evaluate our operations, and tell us how to improve our service. We may also leave appointment information on an answering system or voice mail that is connected to any telephone number you may give us.
Our staff members are trained to maintain your confidentiality during your visits to our practice. However, by federal and state laws, or other obligations, we may disclose your private information for certain reasons without your authorization. Some of those reasons may be: for Public Health risks, lawsuit proceedings, law enforcement requests, coroner or medical examiner, research studies, outside business associates, accreditation purposes, organ donations, workman's compensation, military requests or serious threats to our nation's health or security.
You have the following rights regarding your personal health care information:
You have the right to ask for restrictions on the ways in which we use and disclose your medical information beyond those imposed by law. We will consider your request, but we are not required to accept it.
You have the right to request that you receive communications containing your protected health information from us by alternative means or at alternative locations. For example, you may ask that we only contact you at home or by mail.
You have the right to inspect and copy any or all of your information, however your request may be required to be in writing, a fee may be charged and a minimum of 24 hours notice may be required. All requests are subject to verification.
If you believe that information in your records is incorrect or incomplete, you have the right to ask us to correct the existing information or correct the missing information. Under certain circumstances, we may deny your request.
You have the right to file a complaint with us at the contact information below, or with the US Department of Health and Human Services.
You have the right to provide us with an amendment to your authorization at any time, if you have authorized us usage of your health information for reasons other than treatment, payment or health care operations.
We will continue to evaluate our efforts to protect your personal information and make every effort to keep your personal information accurate and up to date. We will also use our professional judgment and our experience with common practice to make a reasonable decision for your best interest in allowing a person to pick up radiographs, or other similar forms of health information. If we modify this notice we will provide you with advance notice of the changes and allow you the opportunity to opt out of such disclosure.
To obtain more information or if you have any complaints or questions regarding this Notice of Privacy Practices, you may contact our Privacy Officer at (302) 652-3016 extension 3210, 1701 Augustine Cut Off, Suite 202, Wilmington, DE 19803.
This Privacy Policy is effective April 14, 2003. |
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