Privacy & HIPAA Notice — Rome Radiology Group

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. If you have any questions, contact our Privacy Officer at (706) 291-2661.

Using this website

This website is provided for general informational purposes only. It is not a patient portal, medical record system, or secure channel for sending protected health information.

Please do not submit personal medical information through this website, including diagnosis details, medical history, insurance information, medical record numbers, images, reports, prescriptions, or other sensitive health information.

The contact and procedure request forms on this site are intended only to help us respond to general questions, scheduling requests, or requests for more information. Submitting a form does not create a physician–patient relationship and should not be used for urgent or emergency medical needs.

If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.

We make reasonable efforts to protect information submitted through this website. However, ordinary website forms and email communications may not provide the same protections as a designated patient portal or other secure healthcare communication system. If your request requires discussion of personal medical information, we may direct you to a more appropriate communication method.

This site does not intentionally collect, store, or process protected health information through its public pages. If you accidentally submit health information through a form, we will use it only as needed to respond to your request and will handle it according to applicable privacy obligations.

For questions about privacy practices or how to communicate securely with our office, please contact:

Rome Radiology Group
901 North Broad Street, Suite 120
Rome, GA 30161
(706) 291-2661

Our pledge regarding your health information

Rome Radiology Group is committed to protecting the privacy of your protected health information ("PHI"). PHI is information about you, including basic demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related health care services. We are required by law to maintain the privacy of PHI, provide you with this notice of our legal duties and privacy practices, and follow the terms currently in effect.

How we may use and disclose your health information

The following describes the ways we may use and disclose your PHI without your written authorization. Not every use or disclosure will be listed, but every permitted use will fall within one of these categories.

For treatment

We use and disclose your PHI to provide, coordinate, or manage your radiology care and any related services. This includes sharing your imaging studies and reports with the physician who ordered your exam, with other physicians and providers involved in your care, and with the imaging center where your exam was performed.

For payment

We use and disclose your PHI so that we, the facility where your study was performed, and your health plan can bill and receive payment for the services provided to you. This may include sharing information with your insurance company, our billing partner, or other entities involved in payment.

For health care operations

We use and disclose your PHI to support the business activities of our practice, including quality review, peer review, accreditation, staff training, credentialing, and similar activities.

Other permitted and required uses and disclosures

We may also use or disclose your PHI without your authorization in certain other circumstances, including:

When required by law, court order, or subpoena
For public health activities, such as reporting communicable diseases
To report suspected abuse, neglect, or domestic violence
For health oversight activities, audits, and investigations
To avert a serious threat to health or safety
For specialized government functions, including military, national security, and protective services
For workers' compensation purposes as authorized by state law
To coroners, medical examiners, and funeral directors as permitted by law
For organ and tissue donation
For research, with appropriate approvals and safeguards

Uses and disclosures that require your written authorization

Other uses and disclosures of your PHI not described in this notice will be made only with your written authorization. This includes most uses or disclosures of psychotherapy notes, uses and disclosures of PHI for marketing purposes, and any sale of PHI. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Your rights regarding your health information

You have the following rights with respect to your PHI:

Right to access. You have the right to inspect and obtain a copy of your PHI in our designated record set, including your imaging studies and reports, with limited exceptions. Requests should be directed to the imaging center where your study was performed.
Right to request amendment. If you believe information in your record is incorrect or incomplete, you may request that we amend it. We may deny your request in certain circumstances, but you have the right to file a written statement of disagreement.
Right to an accounting of disclosures. You have the right to receive a list of certain disclosures of your PHI made by us. Some types of disclosures, such as those for treatment, payment, or health care operations, are not included.
Right to request restrictions. You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to your request, except in limited circumstances (for example, when you have paid for an item or service out of pocket in full and request that the information not be disclosed to your health plan).
Right to request confidential communications. You have the right to request that we communicate with you about your health information in a specific way or at a specific location, when reasonable.
Right to a paper copy of this notice. You have the right to receive a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Right to be notified of a breach. You have the right to be notified following a breach of your unsecured PHI.

How to exercise your rights or ask a question

To exercise any of these rights, or to ask a question about how your health information is handled, contact our Privacy Officer:

Privacy Officer
Rome Radiology Group
901 North Broad Street, Suite 120
Rome, GA 30161
(706) 291-2661

To request copies of imaging studies or reports, contact the imaging center where your exam was performed. Please do not include personal health information in the website contact form.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us by contacting the Privacy Officer above. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by visiting hhs.gov/ocr. You will not be retaliated against for filing a complaint.

Changes to this notice

We reserve the right to change the terms of this notice at any time. Any change will apply to the PHI we already maintain as well as information we receive in the future. The current notice will be posted on this website and available at our locations, and will indicate the effective date in the section below.

Effective date: pending practice review.

Privacy & HIPAA notice.