Medical Account Management Solutions, L.L.C.
Notice of Privacy Practices for Protected Health Information

This notice describes how medical information about you may be used and disclosed and how you may get access to this information.
Please read it carefully.

Medical Account Management Solutions, L.L.C. is dedicated to protecting your medical information. We are required by law to maintain the privacy of protected health information and to provide this Notice of our legal duties and privacy practices with respect to protected health information. We are required by law to abide by the terms of this Notice, and we reserve the right to change the terms of this Notice, making any revision applicable to all of the protected health information we maintain. If we revise the terms of this Notice, our office will post a revised Notice at our office and will make paper copies of the Notice of Privacy Practice for Protected Health Information available upon request.

HOW MEDICAL INFORMATION WILL BE USED AND DISCLOSED:

Medical information may be used by our business office to process payment for services rendered by your healthcare professional.

We may also use and/or disclose information in accordance with federal and state laws for the following purposes:

  • We may disclose medical information when required by the United States Department of Health and Human Services as part of an investigation or determination of our compliance with relevant laws.
  • We may disclose medical information to a public or private entity for the purpose of coordinating with that entity to assist in disaster relief efforts.
  • We may disclose medical information for public health activities, including the reporting of disease, injury, vital events and the conduct of public health surveillance, investigation and/or intervention. We may disclose medical information to a health oversight agency for oversight activities authorized by law, including audits, investigations, inspections, licensure or disciplinary actions, administrative and legal proceedings.
  • We may disclose medical information for law enforcement purposes or other specialized governmental functions.
  • We may disclose medical information to a coroner, medical examiner or a funeral director.
  • We may use or disclose patient medical information to prevent or lessen a serious threat to the health or safety of another person or to the public.
  • We may disclose medical information when required by your provider(s) or payor(s) of health care services to facilitate payment for those services.

We will not use or disclose patient medical information for any other purpose without your written authorization. Once given, an authorization may be revoked, in writing, at any time.

PATIENT RIGHTS REGARDING MEDICAL INFORMATION

You have the following rights with respect to medical information:
  • The right to request restrictions on certain uses and disclosures of medical information. We are not required to agree with any requested restriction.
  • The right to receive confidential communication of medical information from us.
  • The right to inspect and copy medical information. This right is subject to specific limitations as we are a medical account management service and maintain only minimal medical information necessary for the business office to process payment for services rendered. Complete medical information is available through the Hospital; there may be a reasonable fee for copies of such records.
  • The right to request an amendment of medical information. However, such a request must be directed to your healthcare provider.
  • The right to receive an accounting of the disclosures of medical information made by us in the six years prior to a request, except for disclosures of treatment, payment, or healthcare operation purposes, and for certain other specific disclosure types.
  • The right to complain to us and/or to the United State Department of Health and Human Services if it is believed that we have violated patient privacy rights. To complain to us, please contact our Privacy Officer at (770) 427-4800 or by writing to P O Box 1908, Marietta, Georgia, 30061-1908. If a complaint is made, we will not retaliate in any way.

If further information regarding patient rights or regarding uses and disclosures of medical information is desired, please contact our Corporate Compliance Officer, Darleen Humphries at (770) 427-4800 ext 234 or by writing to P O Box 1908, Marietta, Georgia, 30061-1908.

This notice is effective as of April 14, 2003

 

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