Notice of Privacy Practices
Introduction
Pepper Road Endoscopy (“we,” “our,” “us”) 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) for treatment, payment, and healthcare operations, and for other purposes that are permitted or required by law. It also describes your rights regarding your PHI. This Notice applies to all records containing your PHI that are created or retained by our care team.
We are required by law to:
For Treatment: We may use your PHI to provide you with medical treatment or services. For example, we may share your PHI with specialists, laboratories, or other healthcare providers involved in your care.
For Payment: We may use and disclose your PHI so that the treatment and services you receive may be billed to, and payment collected from, an insurance company or other third party.
For Healthcare Operations: We may use and disclose your PHI for our internal business operations, such as for quality assessment, staff training, and conducting other medical review activities.
With Your Authorization: Other uses and disclosures of your PHI not covered by this Notice will be made only with your written authorization. You may revoke this authorization in writing at any time.
Without Authorization: We may use or disclose your PHI without your authorization in certain situations, such as as required by law, for public health activities, health oversight audits, law enforcement purposes, and to avert a serious threat to health or safety.
Your Rights Regarding Your Health Information
Right to Inspect and Copy: You have the right to inspect and obtain a copy of your medical and billing records.
Right to Request an Amendment: If you feel that the PHI we have is incorrect or incomplete, you may request an amendment.
Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we made of your PHI for purposes other than treatment, payment, or healthcare operations.
Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or healthcare operations.
Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice.
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
If you have any questions about this Notice or wish to exercise any of your rights, please contact our Privacy Officer at the following address. For technical issues with the website, please contact: tech@gipartnersofil.com.
