US MED Notice of Privacy Practices
YOUR INFORMATION - YOUR RIGHTS - OUR RESPONSIBILITIES This notice describes how medical information about you may be used or disclosed and how you can access this information from US MED, LLC (US MED).
Your Rights - You Have the Right to:
Get an Electronic or Paper Copy of Your Medical Record
• You can ask us for an electronic/paper copy of your medical record and other health information we have about you.
• We will provide a copy or a summary of your health information, usually within 30 days of your request.
Ask us to Correct Your Medical Record
• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say "no" to your request, but we'll tell you why in writing within60 days.
Request Confidential Communications
• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
• We will say "yes" to all reasonable requests.
Ask us to Limit What we Use Or Share
• You can ask us not to use or share certain health information for treatment, payment, or our operations.
• We are not required to agree to your request, and we may say "no" if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.
• We will say "yes" unless a law requires us to share that information.
Get a List of Those with Whom We've Shared Information
• You can ask for a list of the times we've stored or shared oral, written or electronic communication your health information for six years prior to the date you ask, disclosing who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a Copy of This Privacy Notice
• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose Someone to Act for You
• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.
File a Complaint if you Feel Your Rights Are Violated
• If you have questions regarding this notice or if you feel we have violated your rights, you can contact US MED's Privacy Officer by mail at 8260 NW 27th Street Suite #403 Doral, FL 33122; by phone at 866-938-4482; by Fax 866-223-7369 or by email at [email protected].
• Florida Complaint and Abuse Information - To report a complaint regarding the services you receive, call toll-free 888-419-3456. To report abuse, neglect, or exploitation, call toll-free 800-96-ABUSE.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
By sending a letter to: 200 Independence Avenue, S.W., Washington, D.C. 20201;
or by calling: 1-877-696-6775;
or by visiting: www.hhs.gov/ocr/privacy/hipaa/complaints/
We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information contact us. Tell us what you want us to do and we will follow your instructions.
You have both the right and choice to tell us to:
• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory
If you are not able to tell us your preference, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety. We never share your information for marketing purposes or sell your information unless you give us written permission to do so.
Our Uses and Disclosures:
How do we typically use or share your health information?
We typically use or share your health info in the following ways:
- Conducting Business - We will only use your individually identifiable health information for purposes necessary for conducting the business of the organization, including evaluation activities
- Treat You -We can use your health information and share it with other healthcare professionals who are treating you. Example: A doctor treating you may ask us for our records.
- Run our Organization -We can use and share your health info to run our business, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.
- Bill for Your Services - We can use and share your health info to bill and get payment from health plans or other entities. Example: We would give information about you to your health insurance plan so it will pay for your services.
How Else can we use or Share Your Health Information?
We are allowed or required to share your information in other ways - usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Help with Public Health And Safety Issues
We can share health info about you for situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or violence issues
• Preventing or reducing threat to one's health or safety
• We can use or share your information for health research.
Comply with the Law
• We will share info about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.
Address Workers' Compensation, Law Enforcement, and Other Government Requests
• We can use or share health information about you:
• For workers' compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For government functions such as military, national security, and presidential protective services
Respond to Lawsuits and Legal Actions
• We can share health information about you in response to a court or administrative order, or in response to a subpoena.
• We are required by law to maintain the privacy and security of your PHI.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties & privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information regarding this Notice of Privacy Practices seethe following website:
Changes to the Terms of this Notice - We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our web site, and we will mail a copy to you. This Notice of Privacy Practices applies to US MED, LLC with an Effective Date of December 28th, 2016.