Mobile nuclear medicine of west florida , Inc. Cares About Your Privacy
We learn about you as we care for your patient’s health. Some of what we learn becomes part of your patient’s health information. We work hard to protect the privacy of your health information and we have rules for our employees on how to manage this information. This Notice of Privacy Practices describes how your health information may be used and disclosed by our office and also how you may access and control your health information.
Our Health Information Duties:
• We have a legal duty to protect the privacy of your health information and to give you this Notice.
• We have a legal duty to abide by the Notice of Privacy Practices that is current.
• We may change the terms of this Notice and make the new terms effective for all health information we have. This includes health information we created or received before we made the changes.
• We will make any revised Notice available in hard copy, and by displaying it in our facilities and on our Web site. Also, you can request the revised Notice in-person or by mail.
“Health information” means information about your past or present health status, condition, diagnosis, treatment, prognosis, or payment for health care.
Patient Notice of Privacy Practices
Your patient’s health Information may be used for the following purposes:
Treatment: We will use the information to provide, coordinate and manage care and treatment. For example we will release films and reports to another health provider who is involved in your care.
Payment: We will use information to receive payment for services we provide. For example we will disclose information in order to submit bills or claims to insurance companies and/or Medicare or State funded plans.
Health Care Operations: We will use information for certain activities related to business functions of our company and other covered components of it. For example, we may use or disclose information for quality assurance activities.
Appointment Reminders and Treatment Alternatives: We may contact you to remind you of an appointment or we may need to reschedule your appointment. Your information may be used to inform you about health care services that may be of interest to you.
Other Uses or Disclosures: We may disclose or use information in the following situations: for public health activities; as it relates to victims of abuse/neglect/ domestic violence; for health oversight activities; for judicial and administrative proceedings to the extent permitted by law; for law enforcement purposes, as permitted or required by law; to coroners/medical examiners/funeral directors, as permitted by law; for organ donation purposes; for research purposes under certain circumstances; to avert a serious threat to health or safety; for certain specialized government functions, such as military discharge, national security and intelligence; and for workers’ compensation purposes.
Your individual Privacy Right as a client includes the following:
Inspection and Copy: You may make a request in writing to review or order a copy of your health record, with the exception of information protected by law. However, we ask that you obtain your report from your ordering physician before we will make a copy available to you. In our practice your health record is limited to imaging studies, reports and billing information of imaging procedures you received from us.We have the right to ask you for this request in writing and we will respond within a reasonable time frame. There may also be a reasonable charge for copies.
Confidentiality: You have the right to make a request in writing to provide you with your information. For example, if you request that we mail information to another address, we will agree to your request to the extent we are able to assure accuracy in doing so.
Restrict Use and Disclosure: You have the right to make a request in writing that we not use health information in certain ways or for certain purposes. You may also request that we not provide health information to certain individuals. However, we have the right to refuse your request, particularly when the law requires it.
Change Information or Amend Health Records: You have the right to request in writing that we correct information in your health record if we were the originator of such information. If your request is denied, you may write a statement of disagreement with the denial that we will keep with your health information.
Accounting of Disclosures: You have the right to make a request in writing for an accounting of disclosures of health information that was made without your signature. Requests for accountings will not include disclosures made after six years from the date of service.
Privacy Violations: If you feel your health information privacy rights have been violated, you may file a complaint with our contact person listed below or with the Secretary of Health and Humans Services. Filing a complaint will not affect the quality of the services you receive at our imaging facilities and you will not be retaliated against for filing a complaint.
We are glad to have you as a patient, and we will work hard to protect your health information.