HIPPA NOTICE OF PRIVACY PRACTICES

Indianapolis Home Medical Supplies
HIPPA NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED BY Indianapolis Home Medical Supplies AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Indianapolis Home Medical Supplies keeps the health and financial information of our current and former patients private as required by law, accreditation standards, and our rules. This notice explains your rights. It also explains our legal duties and privacy practices. Indianapolis Home Medical Supplies is required by federal law to give you this notice.

Your Protected Health Information
Indianapolis Home Medical Suppliesmay collect, use, and share your Protected Health Information (PHI) for the following reasons and others as allowed or required by law, including the HIPAA Privacy rule:
For Payment Indianapolis Home Medical Supplies may use and share PHI to manage your account or benefits; or to receive payment of claims for health care equipment and or services. For example, Indianapolis Home Medical Supplies keep information about your deductible, payments. Indianapolis Home Medical Supplies may give information to a doctor’s office to confirm your benefits, if necessary for Indianapolis Home Medical Supplies to receive payment for services.
For Health Care Operations
Indianapolis Home Medical Suppliesuse and share PHI for our health care operations. For example, Indianapolis Home Medical Supplies may use PHI to review services we may be ask to provide on behalf. Indianapolis Home Medical Supplies may also use PHI to provide you with case management or care coordination services.
For Treatment Activities
Indianapolis Home Medical Supplies does not provide treatment. This is the role of a health care provider such as your doctor or a hospital, or hospice company. But, Indianapolis Home Medical Supplies may share PHI with your health care provider so that the provider may treat you.
To You
Indianapolis Home Medical Suppliesmust give you access to your own PHI. Indianapolis Home Medical Supplies may also contact you to let you know about treatment options or other health-related benefits and services. When you or your dependents reach a certain age, Indianapolis Home Medical Supplies may inform you about other products or programs for which you may be eligible.
To Others
You may tell us in writing that it is OK for us to give your PHI to someone else for any reason. Also, if you are present, and give Indianapolis Home Medical Supplies permission to do so, Indianapolis Home Medical Supplies may give your PHI to a family member, friend or other person. Indianapolis Home Medical Supplies would do this if it has to do with your current treatment or payment for your treatment. If you are not present, if it is an emergency, or you are not able to tell us it is OK, Indianapolis Home Medical Supplies may give your PHI to a family member, friend or other person and or agency, if sharing your PHI is in your best interest or in the event of a National Disaster.
As Allowed or Required by Law
Indianapolis Home Medical Supplies may also share your PHI, as allowed by federal law, for many types of activities. PHI can be shared for health oversight activities. It can also be shared for judicial or administrative proceedings, with public-health-authorities, for law enforcement reasons, and to coroners, funeral directors or medical examiners (about decedents). PHI can also be shared for certain reasons with organ donation groups, for research, and to avoid a serious threat to health or safety.
It can be shared for special government functions, for workers’ compensation, to respond to requests from the U.S. Department of Health and Human Services and to alert proper authorities if Indianapolis Home Medical Supplies reasonably believe that you may be a victim of abuse, neglect, domestic violence or other crimes. PHI can also be shared as required by law. If you are insured through an employer sponsored group health plan, Indianapolis Home Medical Supplies may share PHI with your group health plan, Indianapolis Home Medical Supplies and/or your group health plan may share PHI with the sponsor of the plan. Plan sponsors that receive PHI are required by law to have controls in place to keep it from being used for reasons that are not proper. Authorization: Indianapolis Home Medical Supplies will get an OK from you in writing before Indianapolis Home Medical Supplies use or share your PHI for any other purpose not stated in this notice. You may take away this OK at any time, in writing. Indianapolis Home Medical Supplies will then stop using your PHI for that purpose. But, if Indianapolis Home Medical Supplies has already used or shared your PHI based on your permission, Indianapolis Home Medical Supplies cannot undo any actions Indianapolis Home Medical Supplies took before you told us to stop.

Patient Rights (Your Rights)
Under federal law, you have the right to:
• Send us a written request to see or get a copy of certain PHI or ask that Indianapolis Home Medical Supplies correct your PHI that you believe is missing or incorrect. If someone else (such as your doctor) gave us the PHI, Indianapolis Home Medical Supplies will let you know so you can ask them to correct it.
• Send us a written request to ask us not to use your PHI for treatment, payment or health care operations activities. Indianapolis Home Medical Supplies is not required to agree to these requests.
• Give Indianapolis Home Medical Supplies a verbal or written request to ask us to send your PHI using other means that are reasonable. Also let us know if you want us to send your PHI to an address other than your home if sending it to your home could place you in danger.
• Send us a written request to ask us for a list of certain disclosures of your PHI.
Contact Indianapolis Home Medical Supplies at [Phone] to use any of these rights. Indianapolis Home Medical Supplies can give you the address to send the request. They can also give you any forms Indianapolis Home Medical Supplies have that may help you with this process.
How Indianapolis Home Medical Supplies protects information
Indianapolis Home Medical Supplies is dedicated to protecting your PHI. Indianapolis Home Medical Supplies has set up a number of policies and practices to help make sure your PHI is kept secure. Indianapolis Home Medical Supplies will keep your oral, written, and electronic PHI safe using physical, electronic, and procedural means. These safeguards follow federal and state laws. Some of the ways Indianapolis Home Medical Supplies keeps your PHI safe include offices that are kept secure, computers that need passwords, and locked storage areas and filing cabinets. Indianapolis Home Medical Supplies requires our employees to protect PHI through written policies and procedures. The policies limit access to PHI to only those employees who need the data to do their job. Also, where required by law, our affiliates and non-affiliates must protect the privacy of data Indianapolis Home Medical Supplies share in the normal course of business. They are not allowed to give PHI to others without your written permission, except as allowed by law.
Potential Impact of Other Applicable Laws
HIPAA (the federal privacy law) generally does not preempt, or override other laws that give people greater privacy protections. As a result, if any state or federal privacy law requires Indianapolis Home Medical Supplies to provide you with more privacy protections, then Indianapolis Home Medical Supplies must also follow that law in addition to HIPAA.
Complaints
If you think Indianapolis Home Medical Supplies has not protected your privacy, you can file a complaint with Indianapolis Home Medical Supplies. You may also file a complaint with the Office for Civil Rights in the U.S. Department of Health and Human Services. Indianapolis Home Medical Supplies will not take action against you for filing a complaint.
Contact Information
Please call Indianapolis Home Medical Supplies at []. Indianapolis Home Medical Supplies can help you apply your rights, file a complaint, or talk with you about privacy issues.
Copies and Changes
You have the right to get a new copy of this notice at any time. Even if you have agreed to get this notice by electronic means, you still have the right to a paper copy. Indianapolis Home Medical Supplies reserve the right to change this notice. A revised notice will apply to PHI Indianapolis Home Medical Supplies already has about you as Indianapolis Home Medical Supplies as any PHI Indianapolis Home Medical Supplies may get in the future. Indianapolis Home Medical Supplies is required by law to follow the privacy notice that is in effect at this time. Indianapolis Home Medical Supplies may tell you about any changes to our notice in a number of ways. Indianapolis Home Medical Supplies may mail or hand-deliver you a letter that tells you about any changes.

STATE NOTICE OF PRIVACY PRACTICES
As Indianapolis Home Medical Supplies told you in our HIPAA notice, Indianapolis Home Medical Supplies must follow state laws that maybe more strict than the federal HIPAA privacy law. This notice explains your rights and our legal duties under state law.
Your Personal Information
Indianapolis Home Medical Supplies may collect, use and share your nonpublic personal information (PI) as described in this notice. PI identifies a person and is often gathered. PI could also be used to make judgments about your health, finances, character, habits, hobbies, reputation, career, and credit.
Indianapolis Home Medical Supplies may collect PI about you from other persons or entities such as doctors, hospitals, or other carriers.
Indianapolis Home Medical Supplies may share PI with persons or entities outside of our company without your permission in some cases. If Indianapolis Home Medical Supplies take part in an activity that would require us to give you a chance to opt-out, Indianapolis Home Medical Supplies will contact you. Indianapolis Home Medical Supplies will tell you how you can let us know that you do not want us to use or share your PI for a given activity.
You have the right to access and correct your PI. Indianapolis Home Medical Supplies takes reasonable safety measure to protect the PI Indianapolis Home Medical Supplies has about you.

A more detailed notice is available from Indianapolis Home Medical Supplies upon request. Please call [phone]or request in writing; Indianapolis Home Medical Supplies [Address]

State Short Notice 2007
Indianapolis Home Medical Supplies HIPAA Notice of Privacy Practices Revised Effective 01/01/2009