This Notice describes the obligations that Nipro Diabetes Systems (NDS)
has to keep all medical information confidential, the circumstances when
such information can be used or disclosed, and how you can get access to
your Personal Health Information (PHI). Please review this notice carefully.
NDS follows the privacy practices described in this Notice; however,
we reserve the right to change our privacy practices and this Notice
at anytime. Any changes will apply both to PHI we have on file and to
PHI we receive or generate after the change. We will post the most current
Notice at our website.
We are committed to protecting the privacy of your PHI. This Notice
describes how we may use and disclose PHI about you.
This Notice also describe our obligation and your rights regarding the
use and disclosure of your PHI. Please note that not every possible use
or category of uses of disclosers is included.
How Nipro Diabetes Systems Will Use your Information
NDS may
use, share, or disclose to your physician(s) and/or medical providers
the PHI we
create or receive on your behalf. This may include
information about your diagnosis, prescriptions, and other treatment
information necessary to (a) provide you with quality healthcare treatment
or receive reimbursement from your health insurance or medical benefits
plan, and for (b) NDS to operate it’s business or in connection
with treatments by a healthcare provider covered by the Health Insurance
Portability Act and Account Ability Act (HIPAA) of 1996, as amended.
In addition, NDS may use or disclose your information in other special
circumstances described in this notice. NDS will not use or disclose
your PHI for any other purpose without your prior written authorization.
Your Individual Rights
You have the right to access certain portions of your PHI, inspect and
copy this information, amend the information, request restrictions on
the use of and disclosure of the information, request that communications
be made to you through alternative means or at an alternative location,
and obtain an accounting of the information that NDS has disclosed for
reasons other than treatment, payment, healthcare operations, or other
circumstances. There are certain limitations on these rights that are
explained more fully in the Notice.
Use and Disclosures for Treatment, Payments, or Healthcare Operations
Under HIPAA, NDS may use, receive, or disclose your PHI for treatment,
payment, or health care operations without obtaining a written authorization
from you. These activities cover a broad range of activities, including:
Treatment: We may disclose your PHI to your providers for treatments,
including the provision of care (diagnostic, cure, etc.), or the coordination
or management of that care.
Payment: We may use and disclose your PHI to receive payment from our
products and services. Payment activities may include sending claims
or bills to your heath insurance carrier, HMO or medical insurance plan,
review the medical necessity of the services rendered with your physician,
and coordinate the payment of benefits between medical plans.
Health Care Operations: We may use and disclose your PHI for plan operational
purposes. For example, we may use or disclose your PHI for activities
such as verification with your health insurance carrier that you are
eligible for benefits under the Plan, Quality Control Activities of our
organization, services, and training.
We may contract with other businesses for certain services. Those businesses
may require access to your personal health information in order to perform
a payment, treatment, or healthcare operation for us. We will not permit
those businesses to gain access to your PHI unless they enter into a
written agreement that they will follow these privacy practices and make
reasonable measures to protect the privacy of your PHI.
Unless you authorize us, your PHI will be available only to the individuals
who need the information to conduct treatment, payment, or healthcare
operation activities.
Important Summary Information
Written Authorization Policy.
We will generally obtain your written authorization before using your
PHI or disclosing it to outside persons or organizations. You may revoke
any written authorization you have provided to NDS at any time, except
to extent that we have made any use(s) or disclosure(s) of your PHI in
reliance of the authorization. To revoke an authorization, please send
your request in writing to our privacy official. Include a copy of the
authorization being revoked, or, if not available, a detailed description
of the authorization including the date authorized.
Exceptions to Written Authorization Policy
There are some situations when NDS may use or disclose PHI without prior
written authorization. They are:
For treatment, payment and healthcare operations. We are allowed to use
or disclose your PHI without your prior written authorization to provide
you with treatment (i.e. o provide you with healthcare related product
and services, collect payment for that treatment, and or run our normal
business operations.)
For disclosure to family and friends involved in your care. Under certain
circumstances, we may disclose PHI to your family and your friends involved
in your care without your prior written authorization.
In an emergency or for public health. We may use or disclose your PHI
without your prior written authorization for emergency or for public
health needs. For example, we may share your PHI with public health officials
who are authorized to investigate and control spread of diseases.
If information does not identify you. We may use or disclose your private
health information if we have removed any information that may reveal
your identity.
Research. Under some circumstances, we may use or disclose your public
health information without your prior written authorization in connection
with research activities.
How to Access Your Protected Health Care Information
You may request to inspect and receive a copy of your PHI by contacting
our privacy official.
How to Correct Your Protected Health Information
If you believe that your PHI is inaccurate or incomplete, you can request
that we amend your PHI by contacting our privacy official.
How To Keep Track Of The Ways Your Protected Health Information Has Been
Shared With Others
You may request an accounting from us that provides information about
when and how we have disclosed your PHI to certain outside persons or
organizations. The accounting will not include certain types of disclosers,
such as disclosures pursuant to your authorization.
How To Request Restriction On Certain Uses And Disclosure
You can request that we adopt stricter privacy protection on the way
we use or disclose your PHI for certain purposes. However, NDS is not
required to agree to any request for stricter privacy protection. Please
submit your request in writing to our privacy official specifying the
PHI and the restriction(s) being requested.
How To Request More Confidential Communications
You can request that we contact you or send PHI to you in a way that
is more confidential, such as to your home instead of work address. We
will not ask you for the reason for your request, and we will try to
accommodate all reasonable requests.
How Someone May Act On Your Behalf
You may name a personnel representative who may act on your behalf to
control a privacy of your PHI. Parents and guardians will generally have
the wrights to control the privacy of PHI about minors, unless the minors
are permitted by law to act on their own behalf.
How To File A Complaint
If you believe the privacy of your PHI has been violated, you may file
a complaint with us or with the Secretary of the Department of Health
and Human Services. To file a complaint with us, please contact our Customer
Service Manager or submit your complaint in writing to our Customer Service
Manager. NDS will not retaliate or take action against to you for filing
a complaint.
To Avert a Serious Threat To Health or Safety
We may use or disclose your PHI with others when necessary to prevent
a serious threat to your health or safety, or to the health or safety
of another person or to the public. In such cases, we will only disclose
your PHI to someone able to help prevent the threat, including the target
threat. We may also disclose your PHI to law enforcement officers that
inform us that you have participated in a violent crime that may cause
serious physical harm to another person, or if we determine that you
escaped from lawful custody.
Military and Veterans
If you are in the Armed Forces, we may disclose your PHI to appropriate
military authorities for activities that they deem necessary to carry
out their military mission. We may disclose your PHI about a foreign
military personnel to the appropriate foreign military authority.
Inmates and Correctional Institutions
If you are an inmate or are detained by a law enforcement officer, we
may disclose your PHI to the prison officers or law enforcement officer,
if necessary to provide you with health care, or to maintain safety,
security, and good order at the place where you are confined. This includes
disclosing your PHI that is necessary to protect the health and safety
of other inmates or persons involved in supervising or transporting inmates
or detainees.
Uses and Disclosures With Your Written Permission
Your PHI will not be used or disclosed for other purposes without your
written permission. We will obtain your written permission before using
or disclosing your PHI for purposes other than those provided in this
notice.
You May Revoke Your Permission
You may revoke your permission at any time but must be done so in writing.
Upon receipt of the written revocation, we will stop using or disclosing
your PHI in accordance with the written permission, except to the extent
we have already acted in reliance on your written permission. |
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