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.
Pueblo Medical Imaging uses health information about you for testing, to obtain payment for testing, for administrative purposes, and to evaluate the quality of care that you receive. Your health information is contained in a medical record that is the physical property of Pueblo Medical Imaging.
For Testing or Treatment: Pueblo Medical Imaging may use your health information to provide you with medical testing, treatment or services. For example, information obtained by a health care provider, such as a physician, nurse, or other person providing health services to you, will record information in your record that is related to your testing or treatment. This information is necessary for healthcare providers to determine what testing or treatment you should receive. Health care providers will also record actions take by them in the course of your testing or treatment and note how you respond to the actions.
For Payment: Pueblo Medical Imaging may use and disclose your health information to others for purposes of receiving payment for testing, treatment and services that you receive. For example, a bill may be sent to you or a third-party payor, such as an insurance company or health plan. The information on the bill may contain information that identifies you, your diagnosis, and treatment or supplies used in the course of testing or treatment.
For Health Care Operations: Pueblo Medical Imaging may use and disclose health information about you for operational purposes. For example, your health information may be disclosed to members of the medical staff, risk or quality improvement personnel, and others to:
Appointments: Pueblo Medical Imaging may use your information to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Required by law: Pueblo Medical Imaging may use and disclose information about you as required by law. For example, Pueblo Medical Imaging may disclose information for the following purposes:
Public Health: Your health information may be used or disclosed for public health activities such as assisting public health authorities or other legal authorities to prevent or control disease, injury, or disability, or for other health oversight activities.
Decedents: Health information may be disclosed to funeral directors or coroners to enable them to carry out their lawful duties.
Research: Pueblo Medical Imaging may use your health information for research purposes when an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your health information has approved the research.
Health and Safety: Your health information may be disclosed to avert a serious threat to the health or safety of you or any other person pursuant to applicable law.
Government Functions: Your health information may be disclosed for specialized government functions such as protection of public officials or reporting to various branches of the armed services.
Workers’ Compensation: Your health information may be used or disclosed in order to comply with laws and regulations related to Workers’ Compensation.
Other uses: Other uses and disclosures will be made only with your written authorization and you may revoke the authorization except to the extent Pueblo Medical Imaging has taken action in reliance on such.
You have the right to:
You may submit a complaint to Pueblo Medical Imaging or you may submit a complaint to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.
Pueblo Medical Imaging is required by law to:
Pueblo Medical Imaging reserves the right to change its information practices and to make the new provisions effective for all protected health information it maintains Revised notices will be made available to you by mail or upon your next visit.
If you have any questions please contact Pueblo Medical Imaging (702) 228-0031