Notice of Patient Privacy

Last Updated: November 2, 2016

 

As part of the federal Health Insurance Portability and Accountability Act of 1996, known as HIPAA, ERMI, Inc. (hereinafter “ERMI”) has created this Notice of Privacy Practices (Notice). This Notice describes ERMI’s privacy practices and the rights you, the individual, have as they relate to the privacy of your Protected Health Information (PHI). Your PHI is information about you, or that could be used to identify you, as it relates to your past and present physical health care services. The HIPAA regulations require that ERMI protect the privacy of your PHI that ERMI has received or created.

ERMI will abide by the terms presented within this Notice. For any uses or disclosures that are not listed below, ERMI will obtain a written authorization from you for that use or disclosure, which you will have the right to revoke at any time, as explained in more detail below. ERMI reserves the right to change ERMI’s privacy practices and this Notice.

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HOW ERMI MAY USE AND DISCLOSE YOUR PHI

The following is an accounting of the ways that ERMI is permitted, by law, to use and disclose your PHI.

Uses and disclosures of PHI for Treatment: We will use the PHI that we receive from you to provide you with medical devices and coordinate or manage your health care.

Uses and disclosures of PHI for Payment: ERMI will disclose your PHI to obtain payment or reimbursement from insurers for your health care services.

Uses and disclosures of PHI for Health Care Operations: ERMI may use your PHI to conduct quality assessments, improvement activities, and evaluate the workforce. The following is an accounting of additional ways in which ERMI is permitted or required to use or disclose PHI about you without your written authorization.

Uses and disclosures as required by law: ERMI is required to use or disclose PHI about you as required and as limited by law.

Uses and disclosure for Public Health Activities: ERMI may use or disclose PHI about you to a public health authority that is authorized by law to collect for the purpose of preventing or controlling disease, injury, or disability.

Uses and disclosure about victims of abuse, neglect or domestic violence: ERMI may use or disclose PHI about you to a government authority if it is reasonably believed you are a victim of abuse, neglect or domestic violence.

Uses and disclosures for health oversight activities: ERMI may use or disclose PHI about you to a health oversight agency for oversight activities that it is authorized by law to conduct.

Disclosures for judicial and administrative proceedings: ERMI may disclose PHI about you in the course of any judicial or administrative proceedings, provided that proper documentation is presented to ERMI. 

Disclosures for law enforcement purposes: ERMI may disclose PHI about you to law enforcement officials for authorized purposes.

Uses and disclosures about the deceased: ERMI may disclose PHI about the deceased, or prior to, and in reasonable anticipation of an individual’s death, to coroners, medical examiners, and funeral directors.

Uses and disclosures for research purposes: ERMI may use and disclose PHI about you for research purposes with a valid waiver of authorization from the research board. Otherwise, ERMI will request a signed authorization by the individual for all other research purposes.

Uses and disclosures to avert a serious threat to health or safety: ERMI may use or disclose PHI about you, if it believed in good faith, and is consistent with any applicable law and standards of ethical conduct, to avert a serious threat to health or safety.

Disclosure for workers’ compensation: ERMI may disclose PHI about you as authorized by and to the extent necessary to comply with workers’ compensation laws or programs established by law.

Disclosures for disaster relief purposes: ERMI may disclose PHI about you as authorized by law to a public or private entity to assist in disaster relief efforts.

Disclosures to business associates: ERMI may disclose PHI about you to ERMI’s business associates for services that they may provide to or for ERMI.

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OTHER USES AND DISCLOSURES

ERMI may contact you for the following purposes:

Re- certification purposes: ERMI may contact you to check on your progress and verify that you want to continue using the prescribed device.

Health related benefits or services: ERMI may use your PHI to notify you of benefits and services the ERMI provides.

FOR ALL OTHER USES AND DISCLOSURES

ERMI will obtain a written authorization from you for all other uses and disclosures of PHI, and ERMI will only use or disclose pursuant to such an authorization. In addition, you may revoke such an authorization in writing at any time. To revoke a previously authorized use or disclosure, please contact Fredrik Westin.

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YOUR HEALTH INFORMATION RIGHTS

The following are a list of your rights in respect to your PHI.

Request restrictions on certain uses and disclosures of your PHI: You have the right to request additional restrictions of ERMI’s uses and disclosures of your PHI; however, ERMI is not required to accommodate a request.

The right to have your PHI communicated to you by alternate means or locations: You have the right to request that ERMI communicate confidentially with you using an address or phone number other than your residence. ERMI will consider all reasonable requests.

The right to inspect and/or obtain a copy your PHI: You have the right to request access and/or obtain a copy of your PHI that is kept by ERMI for the duration ERMI maintains PHI about you. If you wish to inspect or obtain a copy of your PHI. There may be a reasonable cost-based charge for photocopying documents. You will be notified in advance of incurring such charges, if any.

The right to amend your PHI: You have the right to request an amendment of the PHI ERMI maintains about you, if you feel that the PHI ERMI has maintained about you is incorrect or otherwise incomplete. Under certain circumstances we may deny your request for amendment. If we do deny the request, you will have the right to have the denial reviewed by someone we designate who was not involved in the initial review. You may also ask the Secretary, United States Department of Health and Human Services, or their appropriate designee, to review such a denial.

The right to receive an accounting of disclosures of your PHI: You have the right to receive an accounting of certain disclosures of your PHI made by ERMI. You should be aware, however, that such an accounting excludes uses and disclosures made for treatment, payment, or health care operations purposes.

The right to receive additional copies of ERMI’s Notice of Privacy Practices: You have the right to receive additional paper copies of this Notice, upon request.

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COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with ERMI and/or to the Secretary of HHS, or their designee. If you wish to file a complaint with ERMI, please contact Fredrik Westin. If you wish to file a complaint with the Secretary, please write to:

The U.S Department of Health and Human Services
200 Independence Ave, S.W.
Washington, D.C. 20201

ERMI will not take any adverse action against you as a result of your filing of a complaint.

REVISIONS TO THE NOTICE OF PRIVACY PRACTICES

ERMI reserves the right to change and/or revise this Notice and make the new revised version applicable to all PHI received prior to its effective date. The revised Notice will be available, upon request.

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CONTACT INFORMATION

If you have any questions on ERMI’s privacy practices or for clarification on anything contained within the Notice, please contact:

ERMI, Inc
Attn: HIPAA Official

441 Armour Place NE
Atlanta GA, 30324
(404) 687-0505
HIPAAofficial@getmotion.com

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