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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
Bluefield Rescue Squad is required by the Health Insurance Portability
and Accountability Act (“HIPAA”) to maintain the privacy of your
protected health information (“PHI”). We are also required by law to
provide you with the attached detailed Notice of Privacy Practices
(“Notice”) explaining our legal duties and privacy practices with
respect to your PHI.
Uses and Disclosures for Treatment, Payment or Healthcare Operations
Bluefield Rescue Squad may use or disclose your PHI without your authorization, for the following purposes:
Treatment
We can use your PHI for treatment provided to you by us and other
medical personnel (including doctors and nurses who give orders to
allow us to provide treatment to you). We may also share your PHI with
other individuals involved in your care. For example, we may share PHI
via radio or telephone to the hospital or dispatch center as well as
provide the hospital with a copy of the record we create in the course
of providing you with treatment and transport. We may also share your
PHI with other healthcare providers for their treatment activities.
Payment
We may use and disclose your PHI for any activities we things as
organizing your PHI, submitting bills to insurance companies (either
directly or through a third party billing company), managing billed
claims for services rendered, performing medical necessity
determinations and reviews, performing utilization reviews, and
collecting outstanding accounts. We may also disclose PHI to another
healthcare provider or entity for the payment activities of the
provider or entity that receives the PHI (such as your hospital).
Healthcare Operations
We may use or disclose your PHI for things such as quality assurance
activities, licensing, and training programs to ensure that our
personnel meet our standards of care and follow established policies
and procedures, obtaining legal and financial services, conducting
business planning, processing grievances and complaints, creating
reports that do not individually identify you for data collection
purposes, fundraising, and certain marketing activities. We may also
disclose your PHI to another healthcare provider (such as the hospital
to which you are transported) for the healthcare operations activities
of the entity that receives the information as long as the entity
receiving the information has or has had a relationship with you and
the PHI pertains to that relationship.
Reminders for Scheduled Transports and Information on Other Services
We may also contact you to provide you with a reminder of any scheduled
appointments for nonemergency ambulance and medical transportation, or
for other information about alternative services we provide or other
health‐related benefits and services that may be of interest to you.
Other Uses and Disclosure of Your PHI We Can Make Without Authorization
Bluefield Rescue Squad is also permitted to use or disclose your PHI
without your written authorization the following situations:
* · For healthcare fraud and abuse detection or for activities related to compliance with the law;
* · To a family member, other relative, or close personal friend or other individual involved in your care;
* · To a public health authority in certain
situations (such as reporting a birth, death or disease, as required by
law), as part of a public health investigation, to report child or
adult abuse, neglect or domestic violence, to report adverse events
such as product defects, or to notify a person about exposure to a
possible communicable disease, as required by law;
* · For health oversight activities including audits
or other actions undertaken by the government (or their contractors) by
law to oversee the healthcare system;
* · For judicial and administrative proceedings, as
required by a court or administrative order, or in some cases in
response to a subpoena or other legal process;
* · For law enforcement activities in limited
situations, such as when there is a warrant for the request, or when
the information is needed to locate a suspect or to stop a crime;
* · To avert a serious threat to the health and safety of a person or the public at large;
* · For workers’ compensation purposes, and in compliance with workers’ compensation laws;
* · To coroners, medical examiners, and funeral
directors for identifying a deceased person, determining cause of
death, or carrying on their duties as authorized by law;
* · If you are an organ donor, we may release health
information to organizations that handle organ procurement or organ and
as necessary to facilitate organ donation and transplantation.
Uses and Disclosures of Your PHI That Require Your Written Authorization
Any other use or disclosure of PHI, other than those listed above, will
only be made with your written authorization. You make revoke this
authorization at any time by contacting us. Specifically, we must
obtain your written authorization before using or disclosing your: (a)
Patient Care Report, other than for the purpose of carrying out our own
treatment, payment or health care operations purposes, (b) PHI for
marketing when we receive payment to make a marketing communication; or
(c) PHI when engaging in a sale of your PHI.
Your Rights Regarding Your PHI
As a patient, you have a number of rights with respect to your PHI, including:
Right to access, copy or inspect your PHI
You have the right to inspect and obtain a paper or electronic copy of
most of the PHI that we collect and maintain about you. You also have
the right to request that we transmit your PHI to a third party.
Requests for access to your PHI or to transmit your PHI to a third
party should be made in writing to our HIPAA Compliance Officer, and by
filling out an access request form.
Right to request an amendment of your PHI
You have the right to ask us to amend PHI that we maintain about you.
Requests for amendments to your PHI should be made in writing and you
should contact our HIPAA Compliance Officer if you wish to make a
request for amendment.
Right to request an accounting of certain disclosures of your PHI
You may request an accounting of certain disclosures of your PHI.
Bluefield Rescue Squad will provide an accounting of those disclosures
that we are required to account for under HIPAA. If you wish to request
an accounting of disclosures of your PHI that are subject to the
accounting requirement, you should contact, our HIPAA Compliance
Officer and make a request in writing.
Right to request restrictions on uses and disclosures of your PHI
You have the right to request that we restrict how we use and disclose
your PHI for treatment, payment or healthcare operations purposes, or
to restrict the information that is provided to family, friends and
other individuals involved in your healthcare. However, we are
only required to abide by a requested restriction under limited
circumstances, and it is generally our policy that we will not agree to
any restrictions unless required by law to do so. If you wish to
request a restriction on the use or disclosure of your PHI, you should
contact our HIPAA Compliance Officer and make a request in writing.
Right to notice of a breach of unsecured PHI
If we discover that there has been a breach of your unsecured PHI, we will notify you about that breach
by first-class mail dispatched to the most recent address that we have
on file. If you prefer to be notified about breaches by electronic
mail, please contact our HIPAA Compliance Officer, to make Bluefield
Rescue Squad aware of this preference and to provide a valid email
address to send the electronic notice.
Right to request confidential communications
You have the right to request that we send your PHI to an alternate
location (e.g., somewhere other than your home address) or in a
specific manner (e.g., by email rather than regular mail). If you wish
to request that we communicate PHI to a specific location or in a
specific format, you should contact our HIPAA Compliance Officer and
make a request in writing.
Internet, Email and the Right to Obtain Copy of Paper Notice
We will prominently post a copy of this Notice on our web site and make
the Notice available electronically through the web site. If you
allow us, we will provide our Notice of Privacy Practices to you
electronically instead of on paper. You may always request a paper copy
of our Notice.
Revisions to the Notice
Bluefield Rescue Squad is required to abide by the terms of the version
of this Notice currently in effect. However, Bluefield Rescue Squad
reserves the right to change the terms of this Notice at any time, and
the changes will be effective immediately and will apply to all PHI
that we maintain. Any material changes to the Notice will be promptly
posted in our facilities and on our web site, if we maintain one. You
can get a copy of the latest version of this Notice by contacting our
HIPAA Compliance Officer.
Your Legal Rights and Complaints
You also have the right to complain to us, or to the Secretary of the
United States Department of Health and Human Services, if you believe
that your privacy rights have been violated. You will not be retaliated
against in any way for filing a complaint with us or to the government.
If you have any qestions or if you wish to file a complaint or exercise
any rights listed in this Notice, please contact:
HIPAA Compliance Officer
Bluefield Rescue Squad
1900 Stadium Drive
Bluefield, WV 24701
304-327-7173
Effective Date of the Notice: 01/01/2021
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