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HIPAA

NOTICE OF PRIVACY PRACTICES

Effective Date:     APRIL 14, 2003

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.

Wright Therapy Products is committed to protecting the privacy of your medical information. If you have any questions regarding this notice, please contact our Privacy Officer, Dawn Litterini at 800-631-9535 ext. 105 or in writing to: Privacy Officer, Wright Therapy Products, 103-B International Drive, Oakdale, PA  15071.

 

Definitions

Protected Health Information (PHI)
The federal government defines Protected Health Information (PHI) as individually identifiable health information including demographic information, collected from the individual and is created or received by a healthcare provider, relates to past, present, or future physical or mental health or condition of the individual or payment for the provision of care.  PHI identifies the individual directly or affords that the individual can reasonably be identified. 

Covered Entity

Covered entity is defined as a healthcare provider who transmits any health information in electronic form.

This Notice of Privacy Practices is provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA). We are required by law to follow the terms of this Notice and to provide a copy of this Notice to you.  Wright Therapy Products has the right to make changes to this notice.

 

Uses and Disclosures of Your Protected Health Information (PHI)

  • Treatment – We will use medical information to provide, coordinate or manage your medical treatment or any services.  We may share your health information with people and places that provide treatment to you.  For example, we may discuss your health information with your physician and your physical therapist to help them coordinate a treatment plan.
  • Payment- We may use and disclose your protected health information as needed in order to receive payment for product and/or services provided by Wright Therapy Products.  Payment uses and disclosures include activities conducted to obtain payment from you, an insurance company, or third-party.  For example, we may need to discuss your health information with the insurance company to verify coverage or receive pre-authorization.
  • Health Care Operations – We may use and disclose your protected health information to conduct daily activities related to providing health care.  For example, our staff may review your protected health information for training purposes

Uses and Disclosures for Other Purposes

  • Required By Law – We may use and disclose protected health information when required by federal, state or local law.  For example, we may disclose protected health information to comply with mandatory reporting requirements involving a medical device related death.
  • Other Public Health Activities – We may use and disclose your protected health information for public health activities.  For example, we may disclose your protected health information to the FDA to report a product recall.
  • Health Oversight Activities – We may use and disclose your protected health information for purposes of health oversight activities authorized by law.  For example, we may be required to comply with audits, inspections or investigations by Medicare.
  • Lawsuits and Disputes – We may disclose your protected health information for judicial and administrative proceedings in response to a court order or supoena, discovery request, or other lawful process.  For example, we may appear in court to testify in a case involving your medical condition.
  • Military and Veterans – We may disclose your protected health information as required by military command authorities.  We may use and disclose your protected health information as required by the Veterans Affairs medical information about you to determine whether you are eligible for certain benefits.
  • National Security and Intelligence Activities – We may disclose protected health information to authorized federal officials for the conduct of lawful intelligence, counter-intelligence, and other national security activities authorized by the National Security Act.
  • Protected Services for the President and Others - We may disclose protected health information to authorized federal officials for the provision of protective services to the President, other authorized persons, foreign heads of state, or to conduct special investigations.
  • Worker’s Compensation – We may release medical information about you as required for Worker’s Compensation or similar programs.
  • Research Purposes – Under certain circumstances, we may use or disclose protected health information for research purposes if you provide your written permission.  For example, research may be conducted to evaluate the success of treatment on a certain product.

Your Rights Regarding your Medical Information

  •  Right to Inspect and Copy – You have the right to inspect and/or obtain a copy of your medical information.  To inspect and/or copy medical information, you must submit your request in writing to the privacy officer.  If you request a copy of your medical information, we may charge a fee for the costs of copying, mailing, or other costs.  You will be advised of the fee at the time the request is made.  
  • Right to Request Restrictions – You have the right to request restrictions on the protected health information we use or disclose about you for treatment, payment or health care operations.  Your request must be made in writing and sent to our privacy officer.  You must describe in detail the type of restrictions you are requesting.  We are not required by law to agree with your restrictions.
  • Right to Amend – You have the right to request an amendment regarding your protected health information that you feel is incorrect or incomplete.  This request must be made in writing and sent to our privacy officer.   In the written request, a reason must be provided to support a requested amendment.  We are not obligated to make all amendments requested.
  • Right to an Accounting of Disclosure – You have the right to receive an accounting of disclosures of protected health information.  The accounting will only include disclosures made after April 14, 2003.  This right is limited to no more than six years prior to the date of the request. The first accounting in any 12 month period will be at no charge.  We may charge you for the costs of providing the information for all subsequent requests.  You will be notified in advance of the cost involved and you may choose to withdraw or modify your request at that time.
  • Right to Confidential Communication – You may request that we communicate with you using alternative means or at an alternative location.  We will try to accommodate all reasonable requests.
  • Paper Copy of Notice – You have the right to receive a paper copy of this notice upon request.  To obtain a paper copy, please contact our privacy officer

Changes to this Notice

We reserve the right to make changes to this Notice.  We reserve the right to make the revised or changed notice effective for all protected health information we already have about you as well as any protected health information we receive in the future.  At any time, you may request a current notice by contacting our privacy officer.

Complaints

If you feel that these privacy rights have been violated, you may file a written complain to our office or with the Secretary of the Department of Health and Human Services.  If you choose to file a complaint with the Secretary of the US Department of Health and Human Services, you must file in writing within 180 days of when you knew or should have known the violation occurred.  To file a complaint with Wright Therapy Products, contact our privacy officer.  You will not be penalized for filing a complaint.

 

 

  

 
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