User Manual

Appendix
157
■ HIPAA Privacy Notice
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION IS USED
AND DISCLOSED AND HOW YOU CAN GET ACCESS TO IT. PLEASE
REVIEW IT CAREFULLY.
This notice of privacy practices (the “HIPAA Privacy Notice”)
describes how we may use and disclose your Medical
Information to carry out treatment, payment, or health care
operations and for other purposes that are permitted or required
by law, including by the Health Insurance Portability and
Accountability Act (“HIPAA”) and all regulations issued
thereunder. It also describes your rights to access and control
your Medical Information. As used herein, “Medical Information”
is information about you, including demographic information,
that may identify you and that relates to your past, present, or
future physical or mental health or condition and related health
care services.
Uses and Disclosures of Medical Information
We will only use and disclose your Medical Information
as
permitted by law. Except for disclosures outlined in this HIPAA
Privacy Notice and/or permitted by law, we will obtain your
written authorization before using your Medical Information or
disclosing it to any outside persons or organizations. You may
revoke any written authorization you have provided to us at any
time, except to the extent that we have made any uses or
disclosures of your Medical Information in reliance on such
authorization. To revoke a previously issued authorization, please
send your request in writing, along with a copy of the
authorization being revoked, to our Privacy Officer. If a copy of
the applicable authorization is not available, please provide a
detailed description and date of the same to our Privacy Officer.
There are some situations in which we may use or disclose your
Medical Information without your prior written authorization, as
described further below.
Uses and Disclosures of Your Medical Information Relate
d
to the Treatment and Services Provided by Us
Treatment, Payment, and Health Care Operations: We may use
your Medical Information for treatment, to obtain payment for
treatment, for administrative purposes, and to evaluate the
quality of care that you receive without your authorization. We
may use or disclose Medical Information about you without your
authorization for several other reasons.
Example of Treatment: In connection with treatment, we may
use your Medical Information to provide you with one of our
medical devices.
Example of Payment: We may use your Medical Information to
generate a health insurance claim and to collect payment on
invoices for services and/or medical devices provided.
Example of Health Care Operations: We may use your Medical
Information in order to process and fulfill your orders and to
provide you with customer service.