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.

 

Greenville Radiology, P.A. (GRPA) is legally required to protect the privacy of your health information.  We call this information “protected health information,” or “PHI” for short, and it includes information that we have created or received about your past, present, or future health status or condition, health care services that have been provided to you, or the payment of health care services that can be used to identify you.  We must provide you with this notice about our privacy practices.  This policy explains how, when, and why we use and disclose your PHI.  With some exceptions, we may not use or disclose any more of your PHI than is necessary to accomplish the purpose of the use or disclosure.  We are legally required to follow the privacy practices that are described in this notice.

 

We reserve the right to change the terms of this notice and our privacy policies at any time.  Before we make a significant change in our policies, we will promptly change this notice and post the new notice in the GRPA lobby areas.  You can also request a copy of this document at any time.  For additional information about our privacy practices, please see the contact information at the end of this page.

 

I. How We May Use and Disclose Your Protected Health
Information 

We use health information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive.  For example, we may provide your PHI to your physician or portions of your PHI to our billing department and your health plan to get paid for the health services we provide to you.

 

We may use or disclose identifiable health information about you without your authorization for several other reasons.  Subject to certain requirements, we may give out health information without your authorization for public health purposes, for auditing purposes, for research studies, for workers’ compensation purposes, and for emergencies.  We may also provide information when otherwise required by law, such as for law enforcement in specific circumstances.  In addition, we will use your PHI in order to remind you of appointments, re-schedule, or contact you for additional information as needed.  In any other situation, we will ask for your written authorization before using or disclosing any identifiable health information about you.  If you choose to sign an authorization to disclose information, you can later revoke that authorization to stop any future uses and disclosures.

 

        II. What Rights You Have Regarding Your PHI

 

In most cases, you have the right to look at or get a copy of your health information, but you must make such a request in writing.  We will respond to you within 30 days after receiving your written request.  If you request copies, we may charge you $.05 (five cents) for each page and/or $8.00 per sheet for x-rays.

 

You also have the right to receive a list of instances where we have disclosed health information about you for reasons other than treatment, payment or related administrative purposes.  We will respond within 60 days of receiving your request for this information.  If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct the existing information or add the missing information.  You must provide the request and your reason for the request in writing.  We will respond within 60 days of receiving your request.  We may deny your request in writing if the PHI is correct and complete, not created by us, not allowed to be disclosed, or not part of our records.  Our written denial will state the reasons for the denial and explain your right to file a written statement of disagreement with the denial.  Any alterations will include the original information, your requested changes, and if applicable, a response from GRPA.

 

You may request in writing that we not use or disclose your information for treatment, payment and administrative purposes except when specifically authorized by you, when required by law, or in emergency circumstances.  We will consider your request but are not legally required to accept it.

 

  III. Complaints

 

If you are concerned that we have violated your privacy rights, or you disagree with a decision we made about access to your records, you may contact the person listed below.  You also may send a written complaint to the U.S. Department of Health and Human Services.  The person listed below can provide you with the appropriate address upon request.  We will take no retaliatory action against you if you file a complaint about our privacy practices.

 

 IV. Contact Information
If you have any questions about this notice or complaints about our privacy practices, please contact:

 

                                                                                                 Robin Freeman, Privacy Officer

                                                                                                 Greenville Radiology, P.A.
                                                                                                 1210 West Faris Road
                                                                                                 Greenville, South Carolina 29605
                                                                                                 (864)295-4410 ext. 368
  top                                                                                             rfreeman@gvlrad.com