Notice Of Privacy Practices - Radiant Dermatology printable pdf download

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.

Our Responsibilities

Radiant Dermatology is required by applicable federal and state law to maintain the privacy of your protected health

information. "Protected health information" (PHI) is information about you, including demographic information, that may

identify you and that relates to your past, present, or future physical or mental health or condition and related health

care services. We are also required to give you this notice about our privacy practices, our legal duties, and your rights

concerning your PHI. We must follow the privacy practices that are described in this notice while it is in effect. This

notice takes effect March 1, 2015, and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided such changes are

permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of

our notice effective for all PHI that we maintain, including PHI we created or received before we made the changes.

Before we make a significant change in our privacy practices, we will change this notice and make the new notice

available upon request.

For more information about our privacy practices, or for additional copies of this notice, please contact us using the

information listed at the end of this notice.

Uses and Disclosures of Protected Health Information

We use and disclose PHI about you for treatment, payment, and health care operations. Following are examples of the

types of uses and disclosures that we are permitted to make.

Treatment: We may use or disclose your PHI to a physician or other health care providers providing treatment to you.

Payment: We may disclose your PHI to another health plan, to a health care provider, or other entity subject to the

federal Privacy Rules for their payment purposes. Payment activities may include processing claims, determining

eligibility or coverage for claims, issuing premium billings, reviewing services for medical necessity, and performing

utilization review of claims.

Health Care Operations: We may use and disclose your PHI in connection with our health care operations. Health care

operations include the business functions conducted by Radiant Dermatology. We may also in our health care operations

disclose PHI to business associates with whom we have written agreements containing terms to protect the privacy of

your PHI.

We may disclose your PHI to another entity that is subject to the federal Privacy Rules and that has a relationship with

you for its health care operations relating to quality assessment and improvement activities, reviewing the competence or

qualifications of health care professionals, case management and care coordination, or detecting or preventing health

care fraud and abuse.

On Your Authorization: You may give us written authorization to use your PHI or to disclose it to another person and for

the purpose you designate. If you give us an authorization, you may withdraw it in writing at any time. Your withdrawal will

not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written

authorization, we cannot use or disclose your PHI for any reason except those described in this notice or required by law.

Personal Representatives: We will disclose your PHI to your personal representative when you have properly designated

the personal representative and the existence of your personal representative is documented to us in writing through a

written authorization.

Health Related Services: We may use your PHI to contact you with information about health-related benefits and services

or about treatment alternatives that may be of interest to you. We may disclose your PHI to a business associate to assist

us in these activities.

Notice Of Privacy Practices - Radiant Dermatology