Notice of Privacy Practices
Your Information. Your Rights. Our Responsibilities.
At NutriCareUSA, LLC. Durable Medical Equipment (DME) services, we are dedicated to the rights and privacy of our clients and patients. We are committed to maintaining the confidentiality of your health information as required by
the Health Insurance Portability and Accountability Act (HIPAA) of 1996. 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.
Understanding Your Health Information
Each time you receive services from NutriCareUSA, LLC, a record of your visit and the services provided is generated. We collect information through:
- Coverage assistance forms
- Phone or email contact
- Confidential health records
The types of information we collect may include:
- Name, date of birth, and address
- Diagnoses and medical conditions
- Medications and treatment plans
This information is used for:
- Coverage planning and reimbursement support
- Provider communication and coordination of care
- Legal documentation requirements
- Benefits verification
- Service improvement and quality assurance
We do not sell personal health information or use it for marketing or fundraising purposes.
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- We will consider all reasonable requests and will say "yes" if you tell us you would be in danger if we do not.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations.
- We are not required to agree to your request, and we may say "no" if it would affect your care.
Get a list of those with whom we've shared information
- You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
- We will include all disclosures except for those about treatment, payment, and health care operations, and certain other disclosures.
Get a copy of this privacy notice
- You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
- We will provide you with a paper copy promptly.
Choose someone to act for you
- If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
- You can file a complaint by contacting our Privacy Officer if you feel we have violated your rights.
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You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
www.hhs.gov/ocr/privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we
will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- Share information with your family, close friends, or caregivers involved in your care
- Share information in a disaster relief situation
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a
serious and imminent threat to health or safety.