Notice of Privacy Practice
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.
This Notice of Privacy Practices (the “Notice”) is provided in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and describes how protected health information about you may be used and disclosed, and how you can access that information.
BeSound is operated by BLOCH Quantum Imaging Solutions, Inc. d/b/a BeSound, which provides imaging technology, scheduling, care coordination, and patient experience services.
All clinical and medical services, including image interpretation and medical decision-making, are provided by licensed physicians affiliated with Agape Medical Group, P.C., an independent medical practice.
Uses and Disclosures of Health Information
Uses and Disclosures for Treatment, Payment, and Health Care Operations Without Your Consent or Authorization
Your protected health information (PHI) may be used and disclosed in accordance with HIPAA for the following purposes:
- Treatment: To provide, coordinate, and manage your care, including sharing information with physicians and radiologists involved in your care. For example, we may share information related to your health condition with other doctors involved in your care in order to obtain the information necessary to understand your past and current treatment.
- Health Care Operations: To carry out health care operations, which include quality assurance, operational support, compliance, and administrative functions.
- Payment: For billing and payment processing, if applicable. Our payment activities may include determining your eligibility for benefits and billing your insurance.
Other Uses and Disclosures Without Your Consent or Authorization
- As Required by Law: When required by state, federal, or local law.
- Public Health Activities: To public health authorities or other agencies and organizations conducting public health activities.
- If You Are a Victim of Abuse, Neglect, or Domestic Violence: To an appropriate government agency if we believe you are a victim of abuse, neglect, or domestic violence, and you agree to the disclosure or the disclosure is required or permitted by law. We will let you know if we disclose your health information for this purpose unless we believe that notifying you would place you or another person at risk of serious harm.
- Health Oversight Activities: To health oversight agencies, such as state departments of health, for activities authorized by law, such as audits, investigations, and inspections of us.
- Judicial and Administrative Proceedings: In the course of any judicial or administrative (legal) proceeding in response to an appropriate order of a court or other administrative body.
- Law Enforcement Purposes: To the police or law enforcement officials as required or permitted by law, as requested by a court order or a grand jury or administrative subpoena.
- If You Pass Away: To a coroner, medical examiner, or a funeral director as necessary if you pass away and as authorized by law.
- Health or Safety: To prevent or lessen a threat to your health or safety or that of the general public, to disaster relief organizations such as the Red Cross, or to other organizations participating in bioterrorism countermeasures.
- Specialized Government Functions: To provide assistance for certain types of government activities. If you are a member of the armed forces of the United States or a foreign country, we may disclose your health information to appropriate military authority as is deemed necessary. We may also disclose your health information to federal officials for lawful intelligence or national security activities.
- Workers’ Compensation: As permitted by the laws governing the workers’ compensation program or similar programs that provide benefits for work-related injuries or illnesses.
- Business Associate Agreements: To a business associate only if we obtain satisfactory assurances from the business associate that the business associate will safeguard your health information from any misuse and will use the information only for certain limited permitted purposes. A business associate is a person or entity that performs certain functions that involve the use or disclosure of your personal health information to a covered entity.
- Individuals Involved in Your Care: To a family member, relative, or close personal friend assisting you in receiving health care services, unless prohibited by state law, and only if you tell us to do this or if we can reasonably infer that you do not object.
Other State Laws
To the extent that you reside in a state that provides additional protections to medical information or a subset of treatment information, we will protect your information in accordance with state law.
Uses and Disclosures for Which We Will Obtain Your Written Authorization
- Marketing: We will not use your health information for marketing without your authorization.
- Sale: We will not sell your health information without your authorization.
Obtaining Your Authorization for Other Uses and Disclosures
We will not use or disclose your health information for any purpose not specified in this Notice unless we obtain your express written authorization or the authorization of your legally appointed representative. If you give us your authorization, you may revoke it at any time by providing us with a written notice stating that you wish to revoke your authorization, in which case we will no longer use or disclose your health information for the purpose you authorized, except to the extent that we have relied on your prior authorization to provide your care.
Potential for Redisclosure
When we disclose your information as described in this Notice, either with or without your authorization, it has the potential to be redisclosed by the person receiving the information, and the information is no longer subject to the protections we’ve described, or protected by the laws with which we comply.
Your Rights Under HIPAA
Under HIPAA, you have the right to:
- Access and receive a copy of your medical records
- Request corrections to your health information
- Request restrictions on certain uses or disclosures
- Request confidential communications
- Receive an accounting of certain disclosures
- Receive a paper copy of this Notice upon request
To exercise these rights, please contact us using the information below.
Our Responsibilities
We are required by HIPAA and applicable law to:
- Maintain the privacy and security of your protected health information
- Provide you with this Notice of Privacy Practices
- Follow the terms of this Notice
If a breach of unsecured protected health information occurs, you will be notified as required by law.
Changes to This Notice
We may change the terms of this Notice at any time. If the terms of the Notice are changed, the new terms will apply to all of your health information, whether created or received by us before or after the date on which the Notice is changed. Any updates to the Notice will be made available on besoundbreast.com within 60 days of the date on which they become effective.
Questions or Complaints
If you have questions about this Notice or believe your HIPAA privacy rights have been violated, you may file a complaint with us by contacting: people@besoundbreast.com. You may also file a complaint with the U.S. Department of Health and Human Services. We will not penalize or retaliate against you for filing a complaint.