NOTICE OF PRIVACY POLICIES AND PRACTICES
Telemedicine For Us
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
At Telemedicine For Us, we are committed to treating and using protected health information about you responsibly. This Notice describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is effective September 23, 2013 and applies to all protected health information as defined by federal regulations.
UNDERSTANDING YOUR MEDICAL RECORD / HEALTH INFORMATION
Each time you visit Telemedicine For Us a record of your visit is made. Typically, this record contains information about your visit including your examination, diagnosis, test results, treatment as well as other pertinent healthcare data. This information, often referred to as your health or medical record, serves as a:
Understanding what is in your record and how your health information is used helps you to ensure it’s accuracy, determine what entities have access to your health information, and make an informed decision when authorizing the disclosure of this information to other individuals.
You have certain rights under the federal privacy standards. These include:
Telemedicine For Us is required to:
As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Whatever the reason for these revisions, we will provide you with a revised notice on your next office visit. The revised policies and practices will be applied to all protected health information that we maintain.
We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue using or disclosing your health information after we have received a written revocation of the authorization according procedures included in the authorization.
HOW WE MAY USE AND/OR DISCLOSE YOUR HEALTH INFORMATION
We will use your health information for treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example: results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.
We will use your information for payment. Your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated in order to pay for the service rendered to you.
We will use your information for regular health operations. Your health information may be used as necessary to support the day-to-day activities and management of Telemedicine For Us For example: information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.
Business Associates. In some instances, we have contracted separate entities to provide services for us. These “in order to accomplish the tasks that we as associates” require your health information k them to provide. Some examples of these “business associates” might be a billing service, collection agency, answering services and computer software/hardware provider.
Additional Use and/or Disclosures Include:
Uses and Disclosures Where You Have an Opportunity to Object and Opt Out:
For Individuals Involved in Your Care or Payment for Your Care. . Due to the nature of our field, we will use our best judgment when disclosing member, other relatives, or any other person that is involved in your care or that you have authorized to receive this information. Please inform the practice when you do not wish a family member or other individual to have authorization to receive your information.
Written Authorization is required for the Following Uses and Disclosure:
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have complaints, questions or would like additional information regarding this notice or the privacy practices of S.W. Atlanta Nephrology PC please contact:
Telemedicine For Us
If you believe that your privacy rights have been violated, please contact the aforementioned practice Privacy Official, or, you may file a complaint with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the practice’s Privacy Official or with the Office for Civil Rights. The address for the Office for Civil Rights is listed below:
OFFICE FOR CIVIL RIGHTS
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, D.C., 20201
Or call (202) 619-0257 (or (877) 696-6775
Or visit the OCR website, www.hhs.gov/ocr/hipaa/ for more information on the options listed above, or for electronic filing options.
© 2022 Telemedicine For Us. All rights reserved.
Virtual appointments only
Virtual appointments only