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HIPAA DISCLAIMER

 

To take advantage of some features of our Website technology, we may need to collect protected health information (PHI) from you.  To comply with the Health Insurance Portability and Accountability Act of 1996, more commonly known as HIPAA, we will treat your PHI as confidential information and not disclose it to anyone other than as necessary to provide you with products and services.

We may at times create a case report (a non-personal summary of your PHI) to be shared with healthcare professionals for medical education and billing purposes.  If we create a case report, we will strictly follow HIPAA regulations, which require us to either 1) get a prior signed authorization from you or 2) to make sure what is included in the case report does not contain any of the 18 health information identifiers noted in HIPAA regulations.  A prior signed authorization from you is not required if none of the 18 identifiers, as listed and described below are used in the case report.

 

These identifiers include:

  1. Your name
  2. Your address, except that we can use your state as well as the initial 3 digits of a zip code unless the resulting aggregate of people living in zip codes beginning with those 3 digits is less than 20,000 people, in which case we will use 000.
  3.        The month and day of any dates directly related to you, including such things as your birthday and admission and discharge dates; and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older
  4. Your phone numbers
  5. Your fax numbers
  6. Your email addresses
  7. Your social security number
  8. Your medical record numbers
  9. Your health insurance plan number
  10. Any account numbers
  11. Any certificate and/or license numbers
  12. Any vehicle identification numbers (VINs) or license plate numbers
  13. Any device identification numbers or serial numbers
  14. Any URLS (website addresses)
  15. Any IP numbers
  16. Any biometric readings or identifiers
  17. Any photos or related images showing the face of any associated individual
  18. Any other uniquely identifying number, characteristic, or code other than a reference number for the case file itself

 

HIPAA Privacy and Disclaimer Statement

Notice of Privacy Practices for Protected Health Information

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!

With your consent, the practice is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of billing DME (Durable Medical Equipment), payment, and health care operations. Protected health information is the information we create and obtain in providing our services to you. Such information may include documenting your symptoms, examination and test results, diagnoses, treatment, and applying for future care or treatment. It also includes billing documents for those services.

Example of uses of your health information for authorization and billing purposes:

A  Medical Supply Inc dba Advanced Care Supplies can gather information about you and your health records. During the course of dispensing and providing you with your equipment. By obtaining a prescription from your doctor for the purpose of obtaining and authorization and billing it out to your insurance provider.

Example of use of your health information for payment purposes:

We submit a request for payment to your health insurance company. The health insurance company requests information from us regarding medical equipment given. We will provide information to them about you and the equipment given.

Example of Use of Your Information for Health Care Operations:

We obtain services from our insurers or other business associates such as quality assessment, quality improvement, outcome evaluation, protocol and clinical guidelines development, training programs, credentialing, medical review, legal services, and insurance. We will share information about you with such insurers or other business associates as necessary to obtain these services.

Your Health Information Rights:

The health record we maintain and billing records are the physical property of the practice. The information in it, however, belongs to you.

You have a right to:

•Request a restriction on certain uses and disclosures of your health information by delivering the request in writing to our office. We are not required to grant the request but we will comply with any request granted;

•Obtain a paper copy of this Notice of Privacy Practices for Protected Health Information (“Notice”) by making a request at our office;

•Request that you be allowed to inspect and copy your health record and billing record—you may exercise this right by delivering the request in writing to our office;

•Appeal a denial of access to your protected health information except in certain circumstances;

•Request that your health care record be amended to correct incomplete or incorrect information by delivering a written request to our office;

•File a statement of disagreement if your amendment is denied, and require that the request for amendment and any denial be attached in all future disclosures of your protected health information;

•Obtain an accounting of disclosures of your health information as required to be maintained by law by delivering a written request to our office. An accounting will not include internal uses of information for treatment, payment, or operations, disclosures made to you or made at your request, or disclosures made to family members or friends in the course of providing care;

•Request that communication of your health information be made by alternative means or at an alternative location by delivering the request in writing to our office; and,

•Revoke authorizations that you made previously to use or disclose information except to the extent information or action has already been taken by delivering a written revocation to our office.

If you want to exercise any of the above rights, please contact this office in person or in writing, during normal hours. We will provide you with assistance on the steps to take to exercise your rights. You have the right to review this Notice before signing the consent authorizing use and disclosure of your protected health information for treatment, payment, and health care operations purposes.

Our Responsibilities:

The practice is required to:

•Maintain the privacy of your health information as required by law;

•Provide you with a notice of our duties and privacy practices as to the information we collect and maintain about you;

•Abide by the terms of this Notice;

•Notify you if we cannot accommodate a requested restriction or request; and

•Accommodate your reasonable requests regarding methods to communicate health information with you.

 

We reserve the right to amend, change, or eliminate provisions in our privacy practices and access practices and to enact new provisions regarding the protected health information we maintain. If our information practices change, we will amend our Notice. You are entitled to receive a revised copy of the Notice by calling and requesting a copy of our “Notice” or by visiting our office and picking up a copy.

Other Disclosures and Uses Notification:

With your consent  we may use or disclose your protected health information to notify, or assist in notifying, a family member, personal representative, or other person responsible for your care, about your services.

Workers Compensation:

If you are seeking compensation through Workers Compensation, we may disclose your protected health information to the extent necessary to comply with laws relating to Workers Compensation.

Abuse & Neglect:

We may disclose your protected health information to public authorities as allowed by law to report abuse or neglect.

Health Oversight:

Federal law allows us to release your protected health information to appropriate health oversight agencies or for health oversight activities.

Website:

If we maintain a website that provides information about our entity, this Notice will be on the website.

 

 

Disclaimer Statement:

Please note that the information contained within this Website amedsupplies.com is provided for the purpose of dispensing DME and breastfeeding supplies. The use of this Website does not imply nor establish any type of doctor/patient relationship. No diagnosis or treatment is being provided by the use of this Website. The use of this Website does not constitute nor offer any specific medical advice, whatsoever to anyone and is not intended for that use, and the use of this site is not intended to solicit patients This Website takes no responsibility with regards to misinterpretation of the information provided within this Website, or any consequences resulting from the use of this Website. This Website takes no responsibility for any websites that may be linked to this Website nor imply any relationships or endorsements to any linked Website.

 

 

 

 


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