Diversified Radiology of Colorado, P.C.
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.
Diversified Radiology of Colorado, P.C. is committed to upholding the security and confidentiality of personal information that you provide to us. We take our responsibility of safeguarding your information very seriously. We carefully manage the sharing of information to provide you with exceptional service and convenience, all while safeguarding your information. We may use and disclose your information in the ways described below.
This policy covers customer information, including personal, financial or health information about a consumer or customer relationship. We are disclosing this policy as required by Federal and Colorado State regulations. If, after reading this notice, you have questions or concerns, please contact us at:
Diversified Radiology of Colorado, P.C.
Attn: HIPAA Officer
1746 Cole Blvd., Suite 150
Lakewood, CO 80401
Treatment, Payment, and Health Care Operations
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, we may receive health information about you from the physician who is treating you and disclose your radiology report to the hospital or health care providers to provide treatment to you.
Payment. Your health information may be used to seek payment from your health plan or from other sources of coverage such as an automobile insurer. For example, we may use and disclose your medical information to bill your insurance company for payment for the healthcare services provided to you. The information found within the bill may identify you as well as the services provided as part of your care.
Health Care Operations. Your health information may be used as necessary to support the day-to-day activities and management of Diversified Radiology of Colorado, P.C. For example, information on the services you received may be used to support budgeting and financial reporting and activities to evaluate and promote quality.
Other Uses and Disclosures Without Authorization
Information About Treatment. Your health information may be used to send you information that you may find interesting on the treatment and management of your medical condition. We may also send you information describing other health-related products and services that we believe may interest you.
Required by Law. We disclose information as required by law. For example, we are required to report gunshot wounds to the police.
Public Health Purposes. We disclose information to health agencies as required by law for preventing or controlling disease. Examples are reporting of sexually transmitted, communicable, and infectious diseases.
To Prevent a Serious Threat to Health or Safety. We may disclose information about you to law enforcement or an identified victim to prevent a serious threat to your health or safety or the health or safety of another individual or the public.
Research. Your information may be used by or disclosed to researchers for research approved by a privacy board or an institutional review board.
Health Oversight Activities. Your health information may be disclosed to governmental agencies and boards for investigations, audits, licensing, and compliance purposes.
Judicial and Administrative Proceedings. We may be required to disclose your health information to a court or for an administrative proceeding.
Law Enforcement Activities. We may be required to disclose your information as required by law, pursuant to a court order, warrant, subpoena, or summons.
In Emergency Circumstances.
Deceased Individual. We may disclose information for the identification of the body or to determine the cause of death.
Military and Veterans. If you are a member of the armed forces we may release information about you as required by military command authorities. We may also release information about foreign military personnel to the appropriate foreign military authority.
Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official. This release must be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety or security of the correctional institution.
Protective Services for the President and Others.
Organ and Tissue Donation. If you are an organ donor, we may release your medical information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ bank, as necessary to facilitate organ or tissue donation.
Workers’ Compensation. We may release medical information about you for workers’ compensation or similar programs.
National Security and Intelligence Activities. We may release information about you to authorized Federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
Opportunity to Object
We will give you the opportunity to object to the following uses and disclosure of your information:
Notification We may tell your friends, relatives and other caretakers information which is relevant to their involvement in your care.
Disaster Relief We may disclose information about you to public or private agencies for disaster relief purposes.
Other Uses and Disclosures Requiring Your Authorization
Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization. Specifically, written authorization is required prior to disclosure of your information:
Psychotherapy Notes. We will not use or disclose your psychotherapy notes without a written authorization except as specifically permitted by law.
Marketing. We will not use or disclose your information for marketing purposes, other than face-to-face communications with you or promotional gifts of nominal value, without your written authorization.
Sale of Information. We will not sell your Protected Health Information without your written authorization, including notification of the payment we will receive.
Protecting Customer Information
Access to non-public, patient information has been limited to only those employees of Diversified Radiology of Colorado, P.C. who require access in order to provide services to you, fulfill requests or resolve disputes. We maintain physical, electronic and procedural safeguards that comply with regulations to protect your non-public, personal information.
There are some business operations within Diversified Radiology of Colorado, P.C. that are provided through contracts with business associates. Examples include: coding, collection statement notification and disaster recovery services. When these services are contracted, we may disclose your health information to our business associates so that they can perform job(s) we have asked them to perform. To protect your health information, however, these business associates are also required by federal law to appropriately safeguard your protected health information.
Accuracy of Account Information
It is very important that you, as a customer, help us keep our information up to date and accurate. You have access to your account information through account statements. In most cases, Diversified Radiology of Colorado, P.C. receives account information directly from the medical centers and hospitals which it has contracted with. If you believe that Diversified Radiology of Colorado, P.C. may not have your updated information on file, please contact our office as soon as possible.
It is not necessary for patients to send Diversified Radiology of Colorado, P.C. written requests asking us to not share their personal information (otherwise known as an “opt-out” form) because:
- We do not sell or share patient information for marketing purposes;
- We do not share non-public personal health or financial information about current or former patients with non-affiliated third parties beyond what is necessary (e.g. for claims processing) to provide you with radiological services or as permitted by law.
You have certain rights under the federal privacy standards. These include:
- The right to request restrictions on the use and disclosure of your protected health information. We are required to agree to a request for restriction related to disclosure of your information to your health plan for payment or healthcare operations where you pay for the service in full. We are not otherwise required to agree to any restriction on the use or disclosure of your information.
- The right to receive confidential communications concerning your medical treatment.
- The right to inspect and copy your protected health information.
- The right to amend or submit corrections to your protected health information.
- The right to receive an accounting of how and whom your protected health information has been disclosed.
- The right to receive a printed copy of this notice.
Duties of Diversified Radiology of Colorado, P.C.
We are required by law to maintain the privacy of your protected health information and to provide you with this “Notice of Privacy Practices.” We are also required to abide by the privacy policies and practices that are outlined in this notice.
As permitted by law, we reserve the right to amend or modify our privacy policies and practices. Changes in our policies and practices may be required by updates or modifications to federal and state laws and/or regulations. Upon request, we will provide you with the most recent notice. The revised policies and practices will be applied to all health information we maintain.
We are required to notify you if there is a breach of your unsecured protected health information.
If you would like to submit a comment or complain about our privacy practices or if you believe your privacy rights have been violated, you submit a letter or email outlining your concerns to the HIPAA Privacy Officer at the contact information at the beginning of this document or to the Department of Health and Human Services Office of Civil Rights.
You will not be penalized or otherwise retaliated against for filing a complaint.
This notice became effective February 27, 2013.