VERO RADIOLOGY PRIVACY POLICY
Notice Summary
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.
Our goal is to take appropriate steps to attempt to safeguard any medical or other personal information that is provided to us. We are required to: (i) maintain the privacy of medical information provided to us; (ii) provide notice of our legal duties and privacy practices; and (iii) abide by the terms of our Notice of Privacy Practices currently in effect.
Who will follow this notice
This notice describes the practices of our employees and staff.
Information collected about you
In the ordinary course of receiving treatment and health care services from us, you will be providing us with personal information such as:
- Your name, address, and phone number.
- Information relating to your medical history.
- Your insurance information and coverage.
- Information concerning your doctor, nurse or other medical providers.
We will also gather certain medical information about you and will create a record of the care provided to you. Some information may be provided by others in your circle of care such as referring physicians, your health plan, and close family members.
How we may use and disclose information about you
Treatment
We will use health information about you to furnish services and supplies to you and to assess your health for diagnostic services.
Payment
We will use and disclose health information to bill for our services and to collect payment from you or your insurer, including prior authorization requests.
Health Care Operations
We may disclose information to accreditation organizations, auditors, or consultants who review our practice and operations.
Public Policy and Legal Disclosures
We may disclose health information when required by law, for public health reporting, to report child abuse or neglect, for FDA‑related activities, in situations of domestic or elder abuse, for health oversight activities, in response to warrants, subpoenas, court orders, or government investigations, and to coroners, medical examiners, organ procurement organizations, transplant centers, and eye or tissue banks.
Other Specific Disclosures
We may disclose information to workers’ compensation programs, to prevent a serious threat to health or safety, for research when privacy protections are approved by an Institutional Review Board or Privacy Board, for military command authorities when required, for legal or administrative proceedings, to correctional institutions for inmates, and for national security or protective services for certain officials.
Business Associates
We sometimes work with outside individuals and businesses that help us operate. Business associates must agree to protect the confidentiality of your information.
Individuals Involved in Your Care
We may disclose information to people involved in your care or payment for care (your circle of care). You may notify us in writing if you do not want us to speak with specific individuals.
Appointment Reminders and Treatment Alternatives
We may contact you with appointment reminders and inform you about treatment options or health-related services that may be of interest to you.
Other Uses
For any other uses or disclosures not described, we will obtain your written authorization. You may revoke that authorization in writing at any time, but we cannot undo disclosures already made.
Individual rights
You have the right to request in writing restrictions on how we use and disclose your medical information beyond those required by law. We will consider your request but are not required to accept it.
You have the right to request alternative means or locations for communications containing your protected health information (for example, only contact you at home or by mail).
You have the right to request restrictions on disclosures to your health plan for services you paid for out of pocket in full at the time services were rendered.
Except in certain circumstances, you have the right to inspect and obtain copies of your medical and billing records. Requests must be made in writing. We may charge a reasonable fee for copying and mailing.
If you believe information in your records is incorrect or incomplete, you may request in writing that we correct the information; under certain circumstances we may deny the request.
You have the right to a list of instances when we have used or disclosed your medical information for reasons other than treatment, payment, health care operations, or disclosures you authorized. Requests more than once every 12 months may incur a fee.
You have the right to a paper copy of this Notice at any time. Copies are available from reception staff and on our website at www.veroradiology.com.
The Practice is required to notify affected individuals of breaches of their unsecured protected health information.
To exercise any of your rights, please contact us in writing: Attn: Privacy Officer; 3725 11th Circle, Vero Beach, Florida 32960.
Changes to this notice and complaints
We reserve the right to make changes to this notice at any time. Revised notices will be posted and available upon request.
If you have complaints concerning our Privacy Policy, you may contact the Secretary of the Department of Health and Human Services at 200 Independence Avenue, S.W., Room 509F, HHH Building, Washington, D.C. 20201 (e-mail: [email protected]). You also may contact us at: Attn: Privacy Officer; 3725 11th Circle, Vero Beach, Florida 32960.
This Privacy Policy is effective April 14, 2003 and revised as of September 23, 2013 due to recent changes in federal law.
