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.
We are required by law to provide you with this notice explaining RemedyRepack privacy practices with regard to your medical information and how we may use and disclose your protected health information (PHI) for treatment, payment and health care operations, as well as for other purposes that are permitted or required by law. You have certain rights regarding the privacy of your PHI and we also describe those rights in this Notice.
RemedyRepack reserves the right to change the provisions of our Notice and make new provisions effective for all PHI we maintain. If RemedyRepack makes a material change to our Notice, we will post the changes promptly on our website at www.remedyrepack.com.
Protected Health Information (PHI) consists of individually identifiable health information, which may include demographic information RemedyRepack collects from you or creates or receives from a health care provider, a health plan, your employer or a healthcare clearinghouse and that relates to:
This Notice of Privacy Practices became effective on April 14, 2003 and was amended on September 23, 2013.
We may use and disclose your PHI to provide, coordinate, or manage your health care and any related services. We may also disclose your health information to other providers who may be treating you. Additionally, we may disclose your health information to another provider who has been requested to be involved in your care. For example, your PHI may be disclosed to doctors, nurses, technicians or other personnel, including individuals outside of our company, who are involved in your medical care.
We may use and disclose your PHI to obtain payment for the health care services we provide to you. For example, your PHI may be disclosed to your health plan so they will pay for services rendered.
We may use and disclose your PHI to support the business activities of our company. In addition, we may disclose your health information to third party Business Associates who perform various services for our company. For example, your PHI may be disclosed to review and evaluate our treatment and services or to evaluate our staff’s performance.
We may disclose PHI to our Business Associates that perform functions on our behalf. Business Associates are required to appropriately safeguard all PHI. Business Associate Agreements are in place and have been amended to ensure that all safeguards, policies and procedures, and documentation requirements apply directly to the Business Associates.
We may contact you to provide refill reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
We may use and disclose your PHI when required by federal, state or local law, provided the use or disclosure complies with and is limited to the relevant requirements of such law.
We may disclose PHI about you for law enforcement purposes as required by law or in response to a valid subpoena.
If you are involved in a lawsuit or a dispute, we may disclose PHI about you in response to a court or administrative order. We may also disclose PHI about you in response to a subpoena, discovery request or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the requested PHI.
We may use and disclose your PHI to public health authorities permitted to collect or receive the information for the purpose of controlling disease, injury or disability.
We may disclose to the FDA or its agents PHI relative to adverse events with respect to drugs, foods, supplements, products and product defects, or post marketing surveillance information to enable product recalls, repairs or replacements.
We may disclose PHI about you to an oversight agency for activities authorized by law. These oversight activities include audits, investigations and inspections, as necessary for our licensure and for the government to monitor the health care system, government programs and compliance with civil rights laws.
We may use and disclose your PHI for worker’s compensation or similar programs that provide benefits for work-related injuries or illness.
Unless you object, we may disclose relevant portions of your PHI to a member of your family, a relative, a close friend or any other person you identify as being involved in your medical care or payment of care. We may disclose such information as necessary if we determine it is in your best interest based on our professional judgment. You will be given the opportunity to agree or object to future disclosures after the fact if necessary.
We may disclose your PHI in emergencies and to disaster relief organizations that seek your PHI to coordinate your care, or notify family and friends of your location or condition in a disaster. You will be given the opportunity to agree or object to future disclosures after the fact if necessary.
PHI for marketing purposes will only be disclosed with the individual’s written authorization.
Disclosure that constitutes a sale of PHI will only be disclosed with the individual’s written authorization.
Uses and disclosures of your Protected Health Information not covered by this notice or the laws that apply to us will only be made with your written authorization. You may revoke such authorization in writing at any time and we will no longer disclose health information about you for the reasons stated in your authorization. Disclosures made in reliance on the authorization prior to the revocation are not affected by the revocation.
We are required to notify patients whose PHI has been breached. Notification must occur by first class mail within 60 days of the event.
If a patient pays in full for their services out of pocket they can demand that information regarding the service not be disclosed to the patient’s third party payer since no claim is being made against the third party payer.
If your PHI is maintained electronically, you have the right to request an electronic copy of your record be given to you or transmitted to another individual or entity. We may charge a reasonable fee for labor associated with transmitting the electronic record.
You have the right to request that we amend your medical information if you feel it is incomplete or inaccurate. Requests must be submitted in writing to our HIPAA Privacy Officer.
You have the right to request restrictions on how we use or disclose your PHI for treatment, payment or health care operations. Requests must be made in writing.
You have the right to inspect and copy the PHI we maintain about you, subject to applicable legal limitations and reasonable copying fees.
You have the right to request a list of disclosures of your PHI that were not related to treatment, payment or health care operations. Requests must be in writing and may not exceed six years.
You have the right to request how we communicate with you to preserve your privacy. We will attempt to accommodate all reasonable requests.
You have the right to receive a paper copy of this notice at any time.
If you believe your privacy rights have been violated, you may file a complaint with our facility or directly with the Secretary of the Department of Health and Human Services. Complaints to our facility must be submitted in writing within 180 days of the suspected violation.
Cortland G. Kalanavich, RHIA
HIPAA Privacy Officer
Diamond Pharmacy Services
645 Kolter Drive
Indiana, PA 15701
Phone: 1-800-882-6337 x1057
Email:
ckalanavich@diamondpharmacy.com