HIPAA Notice of Privacy Practices
Effective Date: January 1, 2024
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 Commitment to Your Privacy
Parkwood Open Imaging is committed to protecting the privacy of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) and your rights concerning that information.
Uses and Disclosures of Your Health Information
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes sharing information with your referring physician, other healthcare providers involved in your care, and specialists who may be consulted.
For Payment
We may use and disclose your health information to obtain payment for services. This includes billing your insurance company, processing claims, and determining eligibility for coverage.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, training programs, accreditation, and business management activities.
Other Uses and Disclosures
We may also use or disclose your health information:
- When required by law
- For public health activities (e.g., reporting diseases)
- To report abuse or neglect
- For health oversight activities
- In response to court orders or subpoenas
- To law enforcement when required
- To coroners, medical examiners, and funeral directors
- For organ donation purposes
- For research (with appropriate approvals)
- To prevent serious threat to health or safety
- For specialized government functions
- For workers' compensation purposes
Your Authorization
For uses and disclosures not covered by this Notice, we will ask for your written authorization. You may revoke an authorization in writing at any time, except to the extent that we have already taken action in reliance on it.
Your Rights
Right to Access
You have the right to inspect and obtain a copy of your health information. We may charge a reasonable fee for copies.
Right to Amend
You have the right to request that we amend your health information if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your health information.
Right to Request Restrictions
You have the right to request restrictions on certain uses and disclosures of your health information. We are not required to agree to all requests.
Right to Confidential Communications
You have the right to request that we communicate with you in a certain way or at a certain location.
Right to a Paper Copy
You have the right to obtain a paper copy of this Notice upon request.
Our Duties
We are required by law to:
- Maintain the privacy of your health information
- Provide you with this Notice of our legal duties and privacy practices
- Notify you if a breach of your unsecured health information occurs
- Follow the terms of the Notice currently in effect
Changes to This Notice
We reserve the right to change this Notice and make the new provisions effective for all health information we maintain. The revised Notice will be posted on our website and available at our facility.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
Contact Information
For questions about this Notice or to exercise your rights, please contact our Privacy Officer:
- Phone: 248-268-2789
- Email: privacy@parkwoodmri.com
- Address: Oak Park, MI 48237