Effective April 1, 2022This notice describes how medical information about you may be used and how you can get access to this information. Please review it carefully.Imaging Associates is committed to protecting the confidentiality of your health informationWe are required by law to maintain the privacy of your medical information. We are also required to notify you of our legal duties and privacy practices regarding your medical information, and abide by the practices of this Notice, unless more stringent laws or regulations apply. This notice applies to all Imaging Associates facilities that provide health care to you.Who This Notice Applies ToThis notice describes Imaging Associates’ practices and those of
• Any health care professional authorized to enter information into your record at any Imaging Associates facility
• All employees, staff and other personnel of Imaging Associates
• Any volunteer, intern, or student we allow to help you while you are a patient of Imaging AssociatesUses and Disclosures of your medical information that we may make without authorization for treatment, payment and operations
Your information may be shared with any provider who is providing you with health care services. This includes coordinating your care with other providers. We may also use your information to contact you for appointments and to provide information about health related products and services that we believe might be helpful to you. We may share information electronically with your health care providers in order to make sure they have your information as quickly as possible to treat you.
In order to get your health care services paid for, we may have to provide your medical information to the party responsible for paying. This may include Medicare, Medicaid, or your insurance company. Your insurance company or health plan may need your information for activities such as determining your eligibility for coverage or reviewing the medical necessity of the imaging services
HEALTH CARE OPERATIONS:
: Your medical information may be used by us in order to support the business activities of the Imaging Associates facility and to ensure that quality health care services are being provided. Some of the activities which would be part of our operations would be quality assessment activity, employee review, training of medical personnel, licensure and accreditation, data aggregation and audits by regulatory agencies. We may share your protected health information with third parties who perform services such as transcription or billing. In those cases we have written agreements with the third parties that they will not use or disclose your information for any other purposes, except as required by law.Other Uses and Disclosures That We May Make Without Your Authorization
There are a number of ways that your medical information may be used without your authorization, generally either because they are required by law or for public health and safety purposes. Those include:• When required by law
• For public health activities
• Incidental disclosures that are unavoidable by-products of permitted uses or disclosures
• For health oversight activities
• To governmental authorities about victims of suspected abuse, neglect or domestic violence
• To judicial and law enforcement officials in response to a court order or other lawful process
• For certain law enforcement purposes, such as to provide information about someone who is or is suspected to be a victim of a crime
• To coroners, funeral directors, and organ donation
• For research, subject to approval of an institutional review board
• To prevent a serious and imminent threat to health or safety of a person or the public
• To military or national security agencies
• For worker’s compensation claims
• To correctional institutions
FAMILY AND OTHER PERSONS INVOLVED IN YOUR CARE.
We may use or disclose your medical information to notify or assist in the notification of (including identifying or locating), a family member, your personal representative, or another person responsible for your care, of your location, your general condition, or death. If you are present, then we will provide you with an opportunity to object prior to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose your medical information consistent with your prior expressed preference that is known to us, and in your best interest as determined by our professional judgment.
DISASTER RELIEF EFFORTS.
We may use or disclose your medical information to a public or private entity authorized by law or its charter to assist in disaster relief efforts for the purpose of coordinating notification of family members of your location, general condition, or death.How We Will Use and Disclose Your Medical Information With Authorization
If we obtain your psychotherapy notes, we have your written authorization prior to disclosing your psychotherapy notes, subject to the exceptions set forth in applicable law.
MARKETING COMMUNICATIONS; SALE OF YOUR MEDICAL INFORMATION.
We must obtain your written authorization prior to using or disclosing your medical information for marketing or the sale of your medical information, consistent with the related definitions and exceptions set forth in applicable law.
OTHER USES AND DISCLOSURES.
Other uses and disclosures of your medical information will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke the authorization at any time, in writing, except to the extent that we have already taken an action in reliance on the use or disclosure indicated in the authorization. If you need for us to share your medical information with someone for purposes other than those listed here, you should contact our office for an authorization form.
The following information describes your rights with respect to your medical information that we maintain.
RIGHT TO REQUEST RESTRICTIONS:
You have the right to ask us to place restrictions on the way we use or disclose your medical information for treatment, payment, or health care operations. You must request any such restriction in writing to the address below. We are not required to agree to the restriction, except if your request is to restrict disclosing your medical information to a health plan for the purpose of carrying out payment or health care operations, the disclosure is not otherwise required by law, and the medical information pertains solely to a health care item or service which has been paid in full by you or another person or entity on your behalf. If we agree to a restriction, we will not use or disclose your medical information in violation of that restriction, unless it is needed for an emergency. If a restriction is no longer feasible, we will notify you.
We will accommodate reasonable requests to communicate with you about your medical information by different methods or alternative locations.
ACCESS TO YOUR MEDICAL INFORMATION:
You have the right to receive a copy of your medical information that we maintain, with some limited exceptions. We may charge a cost-based fee for the costs of copying and sending you any records requested.
AMENDMENT OF YOUR MEDICAL INFORMATION:
You have the right to ask us to change any of your medical information. You need to request this amendment in writing to the address below, and you must explain why your medical information should be amended. We may deny your request under certain circumstances.
ACCOUNTING OF CERTAIN DISCLOSURES:
You have a right to a listing of certain disclosures we make of your medical information that we have made within the last six (6) years, except for those disclosures made for treatment, payment or health care operations. All such requests must be made in writing.
RIGHT TO RECEIVE NOTIFICATION OF A BREACH:
We are required to notify you if we discover a breach of your unsecured medical information, according to requirements under federal law.
Questions and Complaints:
To exercise any of the above rights, or if you are concerned that any of your privacy rights have been violated, please contact our Privacy Officer at 907-562-1211. You also have the right to complain to the Secretary of Health and Human Services at:
Office for Civil Rights
U.S. Department of Health and Human Services
90 7th Street, Suite 4-100
San Francisco, CA 94103You will not be retaliated against for filing a complaint.
Imaging Associates reserves the right to change its privacy practices and its Notice of Privacy Practices at any time. The new Notice will be effective for any medical information we create or maintain as of the date of the change. If we change this Notice, we will post the revised Notice on our web site at http://www.imagingak.com. You may request a paper copy of this Notice at any time by submitting a written request to the address below. You may also contact the Imaging Associate’s registration staff to get a current paper copy.
3650 Piper Street, Suite A
Anchorage, AK 99508