burgemedsupply.com and burgemedicalsupply.com
As required by the Privacy Regulations Promulgated Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPPA)
This Notice describes how medical health information about you may be used and disclosed, your privacy rights in your identifiable health insurance, and how you can get access to this information. We care about the privacy of your protected health information.
PLEASE REVIEW THIS NOTICE CAREFULLY
- A. OUR COMMITMENT TO YOUR PRIVACY
- Our organization is dedicated to maintaining the privacy of your protected identifiable health information. In conducting our business, we will create records regarding you and the treatment, products, and services you receive from our company. We need this information in order to provide you with the right products and services for your health condition, obtain necessary payment, and run the company’s normal business operations. We are required by law to maintain the confidentiality of health information that identifies you and to abide by the terms of this notice effective for all protected health information we maintain. We are also required by law to provide you this notice of our legal duties and privacy practices concerning your protected health information. A copy of the current notice will be available and posted at our office.
- B. YOUR PROTECTED HEALTH INFORMATION
- Protected Health Information (PHI) is defined as demographic and individually identifiable health information about you that will or may identify you and is related to your past, present, or future physical or mental health condition that involves providing health care services or payment. Burge Medical Supply and staff use your medical information and share it with others in order to provide products and services for your health condition, obtain payment for the products and services, and run the company’s normal business operations. Some examples of the information we are protecting include: 1 Information about your health condition; 2 Information about health care services you have received or may receive in the future; 3 Geographic information (such as where you live or work); 4 Demographic information (such as your race, gender, ethnicity, or martial status); 5 Unique number that may identify you (such as social security number, driver’s license number, or phone number); 6 Other types of information that may identify who you are.
- C. ACKNOWLEDGEMENT OF PRIVACY PRACTICES
- We will ask you to sign a form that states you have received a copy of this Notice. This form does not state you have read the Notice; only that you have received it.
- D. REQUIREMENT FOR WRITTEN AUTHORIZATION
- We will obtain your written permission before using your health information for purposes other than treatment, payment, and healthcare operations. You may also initiate transfer of your records to another person by completing an authorization form. If you provide us with a written authorization, you may revoke that authorization at any time, except to the extent that we have already relied upon it. To revoke an authorization, please call our Compliance Officer at (662) 234-8324. Exceptions to Requirement for Written Authorization: There are some situations when we do not need your written authorization before using your health information or sharing it with others. These situations include treatment, payment, health care operations, an emergency, communicating with your caregivers and family, and many other circumstances which are described in detail in this Notice.
- E. REVISIONS TO THIS NOTICE
- The terms of this notice apply to all records containing your identifiable health information that are created or retained by our practice. Any revision or amendment to this notice will be effective for all of your records our practice has created or maintained in the past and for any of your records we may create or maintain in the future. We reserve the right to change the terms of this notice and to make the new notice provisions effective for all protected health information that we maintain. Whenever there is a material change to the uses or disclosures, the individual’s rights, our company’s legal duties, or other privacy practices stated in this notice, we are required to promptly revise and distribute this notice. Except when required by law, a material change to any term of the notice may not be implemented prior to the effective date of the notice in which such material change is reflected.
- F. ADDITIONAL INFORMATION
- If you have any questions regarding your privacy or any of the information contained in this Notice, please contact our Compliance Officer. Compliance Officer Ricky Burge for Burge Medical Supply P.O. Box 915 Oxford, MS 38655 (662) 234-8324 Burge Management & Marketing NOTICE OF PRIVACY PRACTICES
WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION IN THE FOLLOWING WAYS:
- Treatment: Our organization may use your identifiable health information in order to treat you or to assist others in your treatment. We may share this information with doctors, nurses, technicians, or other people who are involved in taking care of you. We may also share information about you to other health care providers to assist them in caring for you.
- Payment: Our organization may use your health information or share it with others in order to bill and collect payment for the services and items you may receive from us. For example, we may share information with your health insurance company in order to determine whether it will cover your product or service and to obtain pre-approval before providing you products or services. We may share information about you and details regarding your treatment with your insurance company in order to obtain reimbursement after we have provided a product or service. We also may use and disclose your identifiable health information to obtain payment from third parties that may be responsible for such costs, such as family members. Also, we may use your identifiable health information to bill you directly for services and items.
- Health Care Operations: Our organization may use your identifiable health information or share it with others in order to operate our business. For example, we may use your health information to measure and evaluate the quality of care you receive from us or to conduct cost-management and business planning activities for our practice. We may also use this information to conduct any training or get any accreditation certificates, licenses, and or credentials we may need to serve you. We may share your health information with another company that performs business services for us, such as billing companies. If so, we will have a written contract to ensure that this company also protects the privacy of your health information.
- Disclosures Required By Law: Our organization may use or disclose your health information when we are required by federal, state, or local law to do so. We will notify you of these uses and disclosures if notice is required by law. Some of the different purposes for which we might be required by law to disclose your protected health information include: audits, investigations, and inspections performed by health oversight agencies; authorized judicial or administrative legal proceedings; law enforcement purposes (including identification and location requests pertaining to victims of a crime or information that may be required to identify or apprehend a criminal individual, suspicion of criminal conduct, suspicion of victim abuse, neglect, or domestic violence, or in case of a medical emergency in which it is likely that a crime has occurred); compliance with worker’s compensation laws or similar legally established programs; controlling of communicable disease; disclosure to a public health authority that is permitted by law to collect or receive protected health information for public health activities and purposes of controlling of disease, injury, or disability; disclosure necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public; disclosure to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biological deviations, tract products, to enable product recalls, to make repairs or replacements, or conduct marketing surveillance as required; disclosure to a coroner or medical examiner for identification purposes, determining cause of death, or other duties authorized by law; disclosure to a funeral director, as authorized by law, to permit them to carry out their duties; and disclosure for cadaveric organ, eye, or tissue donation process. Disclosure may be required by government agencies that oversee the health care system; government benefit programs or other government regulatory programs and civil right laws; public health authorities; the Food and Drug Administration; the Secretary of the Department of Health and Human Services; National Security and Intelligence Officials or Protective Services; the Armed Forces; or Inmate Correctional facilities. Under the law, we must make disclosures when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of federal law.
- Appointment Reminders: Our organization may use your identifiable health information to contact you and remind you of visits/deliveries.
- Equipment Alternatives, Health-Related Benefits and Services: Our organization may use and disclose your protected health information to recommend possible equipment alternatives and inform you of health-related benefits, health education, or services that may be of interest to you. We may send a card to you during the holidays or other occasion. We may provide educational material such as newsletters or information about free seminars offered in our area.
- Release of Information to Caregivers and Family/Friends Involved in Your Care: If you do not object, our organization may share your health information with a family member, relative, or close friend who is involved in your care, helping you pay for your healthcare, or assists in taking care of you.
- Research: We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.
Other Disclosures that May be Required by Law Include:
Military and Veterans: If you are in the Armed Forces, we may disclose health information about you to appropriate military command authorities for activities they deem necessary to carry out their military mission. We may also release health information about foreign military personnel to appropriate foreign military authority. Inmates: We may use or disclose your protected health information if you are an inmate of a correctional facility and your physician created or received your protected health information in the course of providing care to you.
NOTICE OF INDIVIDUAL RIGHTS WITH RESPECT TO PRIVACY
All of your rights may be exercised by contacting the Compliance Officer of Burge Medical Supply.
- Confidential Communications: You have the right to receive confidential communications of protected health information. You have the right to request that our organization communicate with you about your health and related issues in a particular manner or certain location. For instance, you may ask that we contact you at home, rather than at work. In order to request a type of confidential communication, you must make a request in writing to the Compliance Officer specifying the requested method of contact or the locations where you wish to be contacted. Our organization is required to accept and accommodate to reasonable requests.
- Requesting Restrictions: You have the right to request restrictions in our use or disclosure of your protected health information for treatment, payment, or health care operations. Additionally, you have the right to request that we limit our disclosure of your identifiable health information to individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your restriction requests. However, if we do agree, we are bound by our agreement except when otherwise required by law, in emergencies, or when the information is necessary for treatment purposes. In order to request a restriction in our use of disclosures of identifiable health information, you must make a request in writing to the Compliance Officer. Your request must describe in a clear and concise fashion: (a) the information you want restricted; (b) whether you are requesting to limit our practice’s use, disclosure, or both; and (c) to whom you want the limits to apply. If we accept your restrictions, we have the right to terminate them by notifying you of such.
- Inspection and Copies: You have the right to inspect and copy your health information, as permitted by law. You have the right to inspect and obtain a copy of the identifiable health information that may be used to make a decision about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing to the Compliance Officer in order to inspect and/or obtain a copy of your identifiable health information. Our organization may charge a fee for the costs of copying, mailing, labor, and supplies associated with your request. Our practice may deny your request to inspect and copy in certain limited circumstances; however, you may request a review of our denial. Another licensed health care professional chosen by us will conduct reviews.
- Amendments: You have the right to request amendments to your protected health information. You may ask us to amend your health information if you believe it is incorrect or incomplete, and may request an amendment for as long as the information is kept by and for our organization. To request an amendment, your request must be made in writing and submitted to the Compliance Officer. You must provide us with a reason that supports your request for amendment. Our organization will deny your request if you fail to submit your request and the reason supporting your request in writing. Also, we may deny your request if you ask us to amend information that is: (a) accurate and complete; (b) not part of the identifiable health information kept by or for the organization; (c) not part of the identifiable health information which your would be permitted to inspect and copy; or (d) not created by our organization, unless the individual or entity that created the information is not available to amend the information.
- Accounting of Disclosures: All of our patients have the right to request an “Accounting of Disclosures”. An “Accounting of Disclosures” is a listed account of all disclosures our organization made of your protected health information and of all entities that obtained information unrelated to treatment, payment, or health care operations that you did not approve by an authorization (except as required by law). In order to obtain this, you must submit your request in writing to the Compliance Officer. All requests for “Accounting of Disclosures” must state a time period that may be no longer than six years and may not include dates before October 30, 2007. The first list request within a 12-month period is free of charge, but our practice may charge you for additional lists within the same 12-month period. Our organization will notify you of the costs involved with additional requests, and you may withdraw your request before you incur any costs.
- Right to a Paper Copy of this Notice: You have a right to this Notice of Privacy Practices. Any individual, including one who has agreed to receive this notice electronically, has the right to obtain a paper copy of this notice upon request. You my ask us to give you a copy of this notice at any time. Any revisions to this Notice will be made available to you. To obtain a paper copy of this notice contact Compliance Officer Ricky Burge at 662-234-8324.
- Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with our organization Compliance Officer. All complaints must be submitted in writing. You may also file a complaint with the Secretary of the Department of Health and Human Services (http://www.hhs.gov/ocr/hipaa) if you feel your privacy rights have been violated. You will not be penalized for filing a complaint.
- Right to Provide an Authorization for Other Uses and Disclosures: Our organization will obtain your written authorization before using or disclosing your health information for purposes other than treatment, payment, and healthcare operations or otherwise permitted by applicable law. You may also initiate transfer of your records to another person by completing an authorization form. You do not have to sign an authorization form, however, not doing so may prevent us from completing a task you have requested. Your refusal to sign an authorization form will not be held against you. If you provide us with a written authorization, you may change your mind and revoke any authorization you provided at any time, except to the extent that we have already relied on the authorization up to that point. All authorizations must be revoked in writing. After you revoke your authorization, we will no longer use or disclose your identifiable health information for the reasons described in the authorization. To revoke an authorization, please call our Compliance Officer at (662) 234-8324.
- Right to Ask Questions and Receive Answers: You have a right to contact the Compliance Officer: Ricky Burge to request additional information or ask questions. He may be reached at (662) 234-8324 or P.O. Box 915, Oxford, MS 38655.
- How do we protect visitor information?
- Our website is scanned on a regular basis for security holes and known vulnerabilities in order to make your visit to our site as safe as possible. We use regular Malware Scanning. Your personal information is contained behind secured networks and is only accessible by a limited number of persons who have special access rights to such systems, and are required to keep the information confidential. In addition, all sensitive/credit information you supply is encrypted via Secure Socket Layer (SSL) technology. We implement a variety of security measures when a user places an order enters, submits, or accesses their information to maintain the safety of your personal information. All transactions are processed through a gateway provider and are not stored or processed on our servers.
- Help remember and process the items in the shopping cart.
- Compile aggregate data about site traffic and site interactions in order to offer better site experiences and tools in the future. We may also use trusted third party services that track this information on our behalf.
- If you disable cookies, some features will be disabled. It will turn off some of the features that make your site experience more efficient and some of our services will not function properly:
- Items stored in shopping cart and user preferences will be deleted if the user navigates away from the site or the browser session is closed. However, you can still place orders over the telephone by contacting customer service.
You can choose to have your computer warn you each time a cookie is being sent, or you can choose to turn off all cookies. You do this through your browser (like Internet Explorer) settings. Each browser is a little different, so look at your browser's Help menu to learn the correct way to modify your cookies.
California Online Privacy Protection Act (CalOPPA)
- According to CalOPPA we agree to the following:
- Users are able to change their personal information:
- By calling us or by logging in to their account
Do Not Track Signals
- How does our site handle do not track signals?
- We honor do not track signals and do not track, plant cookies, or use advertising when a Do Not Track (DNT) browser mechanism is in place.
- Does our site allow third party behavioral tracking?
- It's also important to note that we do not allow third party behavioral tracking
The CAN-SPAM Act is a law that sets the rules for commercial email, establishes requirements for commercial messages, gives recipients the right to have emails stopped from being sent to them, and spells out tough penalties for violations.
- We collect your email address in order to:
- Provide order status updates and shipping notifications
- Deliver newsletters or any other user subscribed correspondence
- Provide customer service
To be in accordance with CANSPAM we agree to the following: If at any time you would like to unsubscribe from receiving future emails, you can request to be removed and we will promptly remove you from ALL correspondence.
Burge Medical Supply is committed to protecting the personal data of our customers and will not sell, share, or otherwise provide any personal user data for any purpose, marketing or otherwise, for any reason other than providing the products and services requested by the customer. Your privacy, security, and trust is a priority. Should you have privacy concerns please do not hesitate to contact us. We will work to address your questions and issues to your satisfaction.