HIPAA Notice of Privacy Practices.
Effective Date: 06/01/2019
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.
Our Commitment to Your Privacy
Audiology Advantage is committed to protecting the privacy of your protected health information (“PHI”). PHI includes information that can identify you and relates to your past, present, or future health or condition, the provision of healthcare to you, or payment for that care.
Who We Are
Audiology Advantage
4036 S 6th St, Ste 3
Klamath Falls, OR 97603
Phone: 541-887-0123
Email: awu@audadvantage.com
Privacy Officer: Amber Wu, Owner/Audiologist
How We May Use and Disclose Your PHI Without Your Authorization
We may use or disclose your PHI for the following purposes:
Treatment: To provide, coordinate, or manage your healthcare and related services. For example, we may share information with other healthcare providers involved in your care, send reports and referrals to your physician, or share necessary information with hearing aid manufacturers to order, program, or repair your devices.
Payment: To obtain payment or reimbursement for services provided to you, including billing your insurance company or other third-party payers.
Healthcare Operations: For administrative, quality assessment, and improvement activities. This may include training staff, internal audits, or evaluating the quality of our services.
Appointment Reminders & Communication: We may use your PHI to contact you by phone, text message, or email regarding appointments, test results, or other healthcare-related information.
As Required by Law: We may disclose your PHI when required by federal, state, or local law.
Public Health and Safety: We may disclose PHI to public health authorities to prevent or control disease, report abuse or neglect, or reduce threats to health or safety.
Law Enforcement and Legal Proceedings: We may disclose PHI in response to valid subpoenas, court orders, or other legal processes.
Other Uses and Disclosures Requiring Your Written Authorization
Other uses and disclosures of your PHI not covered by this Notice or by applicable law will be made only with your written authorization. This includes, but is not limited to:
Marketing communications not related to your care;
The sale of your PHI;
Certain disclosures of psychotherapy notes.
You may revoke your authorization at any time, in writing, except to the extent that we have already acted based on your authorization.
Your Rights Regarding Your PHI
You have the following rights regarding the PHI we maintain about you:
Right to Inspect and Copy: You may request to see and obtain a copy of your PHI, including medical and billing records.
Right to Request Amendment: You may request that we amend your PHI if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions: You may request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree but will honor reasonable requests when possible.
Right to Request Confidential Communications: You may request that we communicate with you in a certain way (e.g., at an alternate address or phone number).
Right to a Paper Copy: You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
Right to Notification of a Breach: You have the right to be notified if there is a breach of your unsecured PHI.
To exercise any of these rights, please contact:
Amber Wu, Privacy Officer
Audiology Advantage
Phone: 541-887-0123
Email: awu@audadvantage.com
Our Duties
We are required by law to:
Maintain the privacy of your PHI;
Provide you with this Notice of our legal duties and privacy practices;
Abide by the terms of the current Notice;
Notify you if there is a breach of your unsecured PHI.
We reserve the right to change our privacy practices and this Notice. Any changes will apply to all PHI we maintain, and a revised Notice will be posted at our office and on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services, Office for Civil Rights (OCR).
To file a complaint with us: Contact Amber Wu at 541-887-0123 or awu@audadvantage.com.
To file a complaint with OCR: Visit www.hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019.
You will not be retaliated against for filing a complaint.
This Notice is effective as of 06/01/2019.