HIPAA NOTICE OF PRIVACY PRACTICES
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 about this Notice, please contact: Judith Piscione, Privacy Officer
This Notice of Privacy Practices describes how we maintain the privacy of your protected health information and our legal duties and privacy practices. We will use or disclose your Protected Health Information only in accordance with the terms of this Notice (or other notice in effect at the time of the use or disclosure).
We are required to abide by the terms of this Notice of Privacy Practices. We reserve the right to change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices by accessing our website at www.air-us-com, calling the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next visit.
HOW WE USE YOUR INFORMATION
A.I.R. is committed to the protection of your health information because we understand that medical information about you and your health is personal. "Protected health information" is individually identifiable health information which relates to your past, present, or future physical or mental health or condition, or related to your past, present, or future payment for health care.
A.I.R. will generally obtain your written authorization before using your protected health information or disclosing it to third parties. You may revoke your written authorization at any time, and such revocation will be followed to the extent action on the authorization has not yet been taken. To revoke an authorization, please provide a written request including a copy of the authorization being revoked (or, if not available, a detailed description of the authorization, including the date) to the Privacy Officer indicated above.
EXAMPLES OF USES AND DISCOSURES
There are some instances in which A.I.R. may use or disclose protected health information it creates, receives or maintains about you without your prior written authorization. These instances include:
- Payment. We may use or disclose your protected health information in connection with collecting payment for equipment and services provided to you. For example, we may bill your health insurer, HMO or other company that arranges or pays the cost of some or all of your healthcare, which bill may include information that identifies you, your diagnosis, and equipment and/or services provided to verify that you are eligible for benefits under your plan.
- Healthcare Operations. We may use and disclose your protected health information in running our business. For example, we may use protected health information to evaluate the quality and effectiveness of the equipment and services we provide to you.
- Business Associates. A.I.R. may provide your protected health information to other businesses with whom A.I.R. has contracted to provide services for us in connection with any of the above. For example, we may use a billing service. However, we will require that such businesses agree to follow these privacy practices and take measures to reasonably protect the privacy of your health information. for marketing purposes without you prior written authorization.
- Family, Close Friends or Other Caregivers. We may disclose protected health information about you to a friend or family member whom you have listed as a contact involved in your medical care or an individual who helps pay for your care.
- Health Oversight Agencies. To release protected health information to a health oversight agency for activities authorized by law or to authorized federal officials for the protection of national security.
- Law Enforcement. We may disclose health information when required to do so by federal, state, local law, or law enforcement officials, or in response to a court or administrative order, or when otherwise required by law.
- Public Health. We may disclose health information for certain public health activities or to avert threats to public safety, including the prevention of disease or the prevention of a serious threat to your health and safety or the health and safety of the public or another person, reporting of child abuse, reporting problems about products, or notification about recalls.
- Suppliers/Distributors. A.I.R. may use or disclose your protected health information to fulfill your order(s) for medical devices. It may be necessary for supplier(s) or distributor(s) to contact you from time to time for fulfillment of your order.
OTHER USES AND DISCLOSURES REQUIRE YOUR WRITTEN AUTHORIZATION
A.I.R. will not use or disclose your protected health information for any purpose other than the ones described above without your written authorization.
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION; You have the right to:
- Inspect and Copy Your Health Information. You may request a copy of your protected health information that may be used to make decisions concerning you. Under limited circumstances, we may deny your request, but a reason for any such denial will be provided. A.I.R. may charge a fee for the costs of copying, mailing, or other supplies associated with your request.
- Alternative Means of Communication. You may request that A.I.R. contact you at an alternate address or by alternative means.
- Right to Amend Your Records. You may request that A.I.R. amend, correct, or supplement your protected health information maintained by A.I.R.
- Right to Receive Accounting of Disclosures. You may request a detailed listing of disclosures other than instances for which you gave consent or signed an authorization. This request must be submitted in writing and must include your name, address, and a time period of disclosures, which may not be longer than six (6) years. A.I.R. may charge a fee to cover the cost of preparing the list.
- Paper Copy of Notice. You may request a paper copy of this Notice and/or an electronic copy by email.
- Further Information; Complaints. If you desire further information about your privacy rights, are concerned that we have violated your privacy rights or disagree with a decision that we made about access to your protected health information, you may contact the Privacy Officer at A.I.R. You may also file a written complaint with the Secretary of the Department of Health and Human Services if you believe that your privacy rights have been violated or you are dissatisfied with our privacy policies or procedures. A.I.R. will not take any action against you if you file a complaint.
CHANGES TO THIS NOTICE
A.I.R. reserves the right to change the privacy practices described in this Notice. The right to change or revise its privacy practices is applicable to the protected health information in A.I.R.'s possession as well as information received by A.I.R. in the future. If we change this Notice, we will post the new Notice in waiting areas of our facility and on our Internet site.