Fairfax Radiological Consultants, P.C. (“FRC”) is committed to maintaining the privacy of your health information. We are required by law to:
WHO WILL FOLLOW THIS NOTICE:
This notice describes the health information privacy practices of Fairfax Radiological Consultants, P.C. The words “we” or “our” used in this Notice refer to the company (FRC), its employees and radiologists providing services at this facility.
HOW WE MAY USE AND DISCLOSE INFORMATION:
We may use and disclose personal and identifiable health information about you in different ways. Except for the purposes described below, we will use and disclose your health information only with your written permission. You may revoke such permission at any time by providing a written notice to the facility or to our company Privacy Officer.
For Treatment: We are permitted to use and disclose your health information to provide you with medical related health care services. For example, we are permitted to disclose medical information about you to doctors, nurses, technicians/technologists, or other personnel, including persons outside our offices, who are involved in your medical care and need the information to provide the medical care.
For Payment: We are permitted to use and disclose information about you to bill and receive payment for the services you received at our facilities. For example, we may need to give your insurance company specific information about your current medical condition in order to receive payment for the services that we have furnished you. We may also inform your insurance company of any services and/or tests that you are going to receive and your diagnosis to obtain prior approval/preauthorization or to determine whether the service is covered.
For Health Care Operations: We are permitted use and disclose information about you for operation of our business. These uses and disclosures are necessary to make sure that all of our patients receive quality care. For example, we may use your health information for training/education and for quality assurance to assist us in making improvements in the care and services we provide. We are permitted to disclose you health information to accrediting organizations.
For Appointment Reminders/ New Services: Unless you request otherwise, we are permitted to use and disclose your health information to provide you with appointment reminders or other information about services we offer that might be of interest to you. For example, we are permitted to contact our female patients to announce new services we are offering to support Breast Cancer Awareness.
For Research: We may use or disclose certain health information about your condition and treatment for research purposes where an Institutional Review Board or a similar body referred to as a Privacy Board determines that your privacy interests will be adequately protected in the study. We may also use and disclose your protected health information to prepare or analyze a research protocol and for other research purposes.
As Required or Permitted by Law: To comply with federal, state and local laws , we may be required to report specific health information to legal authorities such as law enforcement officials, court officials and/or government agencies. For example, we are required to provide information in cases of abuse, neglect, domestic violence or to in response to a subpoena or court order. We may disclose information about you for legal or administrative proceedings that involve you. We may release such information upon order of a court or administrative tribunal. We may also release health information in the absence of such an order and in response to a discovery or other lawful request, if efforts have been made to notify you or secure a protective order.
For Public Health Risks: We may disclose specific health information about you in connection with certain public health reporting activities. For instance, we may disclose such information to a public health authority authorized to collect or receive PHI for the purpose of preventing or controlling disease, injury or disability, or at the direction of a public health authority, to an official of a foreign government agency that is acting in collaboration with a public health authority. Public health authorities include state health departments, the Centers for Disease Control, the Food and Drug Administration, the Occupational Safety and Health Administration and the Environmental Protection Agency, to name a few.
For Health Oversight Activities: We may disclose health information in connection with certain health oversight activities of licensing and other agencies. Health oversight activities include audit, investigation, inspection, licensure or disciplinary actions, and civil, criminal, or administrative proceedings or actions or any other activity necessary for the oversight of 1) the health care system, 2) governmental benefit programs for which health information is relevant to determining beneficiary eligibility, 3) entities subject to governmental regulatory programs for which health information is necessary for determining compliance with program standards, or 4) entities subject to civil rights laws for which health information is necessary for determining compliance.
To Coroners, Medical Examiners or Funeral Directors: We may release health information to a coroner or medical examiner to identify a deceased person or determine the cause of death.
For Organ and Tissue Donation: We may release health information about you to organ procurement organizations.
For Workers’ Compensation: We may release specific health information about you to workers’ compensation or similar programs.
To Avert a Serious Threat to Health or Safety: Information about you also will be disclosed when necessary to prevent a serious threat to your health and safety or the health and safety of others
For Military Personnel and Veterans: If you are a member of the Armed Forces, we may release health information about you as required by military command authorities. We also may release personal health information about foreign military personnel to the appropriate foreign military authority.
For Inmates or Individuals in Custody: If you are an inmate, we may release health information about you to a correctional institution where you are incarcerated or to law enforcement officials.
For National Security: We may disclose health information for national security and intelligence activities and for the provision of protective services to the President of the United States and other officials or foreign heads of state.
To Our Business Associates: We sometimes work with outside individuals and businesses that help us operate our business successfully. We may disclose your health information to these business associates so that they can perform the tasks that we hire them to do. Our business associates must guarantee to us that they will respect the confidentiality of your personal and identifiable health information.
To Individuals Involved in Your Care or Payment for Your Care: Unless you object in writing and there is not an emergency situation, we may disclose information to individuals identified by you involved in your care or in the payment for your care. This includes people and organizations that are part of your “circle of care” — such as your spouse, persons accompanying you to your appointment, your other doctors, or an aide who may be providing services to you.
Other Uses and Disclosures of Your Health Information: Other uses and disclosures of your health information not covered by this Notice or the laws that apply to us will be made only with your written permission. If you provide us with such permission, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose personal information about you for the reasons covered by your written authorization. We will be unable to take back any disclosures already made based upon your original permission. The following uses and disclosures of your health information will be made only with your written authorization:
When it comes to your health information, you have certain rights. You have the right to:
CHANGES TO THIS NOTICE
We reserve the right to make changes to this notice at any time. We reserve the right to make the revised notice effective for personal health information we have about you as well as any information we receive in the future. In the event there is a material change to this Notice, the revised Notice will be posted. In addition, you may request a copy of the revised Notice at any time.