Notice of Privacy PracticesThis Notice of Privacy Practices ("Notice") describes how Advanced Bionics1 may use and disclose protected health information about you and how you can get access to this information. Protected health information means any information that may identify you and that relates to your past, present, or future health care treatment, services, or payment. Treatment, Payment, Health Care Operations Treatment Payment Health Care Operations There are some services provided through contracts with business associates. We may give limited access to your health information to our business associates so they can perform services to support our business. Our business associates are required by contract to safeguard your health information. Disclosures That May Be Made Without Your Authorization
For other uses and disclosures, we will ask you for your written authorization before disclosing any identifiable health information about you. If you choose to sign an authorization to disclose information, you can later revoke that authorization, in writing, to stop future uses and disclosures. Please submit your written revocations to the Privacy Officer, Wendy Chan, at the address below. However, any revocation will not apply to disclosures or uses already made or taken in reliance on the authorization. Your Rights Under Federal Privacy Regulations. The United States Department of Health and Human Services created regulations intended to protect patient privacy as required by the Health Insurance Portability and Accountability Act (HIPAA). Those regulations create certain rights that you may exercise regarding your health information. You have the right to inspect and copy your protected health information. Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to laws that prohibit access to protected health information. You have the right to request a restriction of your protected health information. If you request copies, we will charge you a reasonable fee for copies. This means you may ask us not to use or disclose any part of your protected health information for the purposed of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for your notification purposes as described in this Notice of Privacy Practices. Your request must be in writing, state the specific restriction requested and to whom you want the restriction to apply. Advanced Bionics will consider such requests but is not required to agree to them. You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively i.e., electronically. You may request an amendment of your medical information in the designated record set. Any such request must be made in writing to the person listed below. We will respond within 60 days of your request. We may refuse to allow an amendment if the information: was not created by this organization; is not available for inspection because of an appropriate denial; or if the information is accurate and complete. Even if we refuse to allow an amendment, you are permitted to include a patient statement about the information at issue in your health information record. If we refuse to allow an amendment, we will inform you in writing. If we approve the amendment, we will inform you in writing, allow the amendment to be made, and tell others that we know have the incorrect information.You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. Requests must be made in writing to the person listed below. Complaints
U.S. Department of Health and Human Services Question and Contact Person for Requests
Wendy Chan, HIPAA Compliance Officer This notice is effective on the following date: Jul 29, 2010 Our Promise to You 1 For purposes of the HIPAA Privacy Rule, Advanced Bionics is defined as those components/units that act as direct suppliers of health care products (for example, cables) to patients, and certain units that support the supplier function, for example, Finance. |