Effective Date: April 14, 2003
Revised Date: September 5, 2017 (currently in effect)
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
Liberator Medical Supply, Inc. (“Liberator Medical,” “we,” or “our”) is required by law to maintain the privacy of its patients’ Protected Health Information (“PHI”). “Protected Health Information” includes certain information about a Liberator Medical patient (“you” or “your”) that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services. This Notice of Privacy Practices, revised and currently in effect as of September 5, 2017 (the “Notice”), describes how we may use or disclose PHI to carry out treatment, payment, and/or health care operations, and for other purposes that are permitted or required by law. This Notice and its contents pertain to your data when it is PHI.
We are required to abide by the terms of the Notice that are currently in effect. We reserve the right to revise the terms of the Notice at any time. Any revised Notice shall be posted on www.liberatormedical.com and shall contain an effective date. Any PHI maintained by Liberator Medical shall be subject to the terms of the Notice that are currently in effect. Upon your request, we will provide you with a copy of the Notice currently in effect. Requests can be made by contacting Liberator Medical in the manners identified below.
In your request, please indicate whether you would like to receive a copy of the Notice (a) by mail or (b) by email. Based on your choice, make sure to include your email address or mailing address.
By Mail: Liberator Medical Supply, Inc. 2979 SE Gran Park Way Stuart, FL 34997
By Email: CustomerService@liberatormedical.com
Phone: 1 (800) 323-0914
Although your health record is the physical property of the health care practitioner or facility that compiled it, the information belongs to you. You have the right to:
1 We will provide a copy or a summary of your PHI, usually within 30 days of your request. We may charge a reasonable cost-based fee.
2 If we decline your request, we will inform you of our rationale, in writing, within 60 days of your request.
3 We will provide one accounting per year for free, but will charge a reasonable, cost-based fee for additional accountings requested within a 12-month period.
Liberator Medical is required to:
We may use or disclose your PHI for the following permitted reasons:
We may use and share your PHI with other professionals who are treating you.
Example: We may provide your treating physician with various medical records that he or she requested as part of deciding how to treat you.
We may use and share your PHI to bill and receive payment for services we provide.
Example: We may need to give your health plan information about products you received so that your health plan will pay us for the care. We may also tell your health plan about a product you may receive so we can obtain prior approval or determine whether your plan will cover the product provided to you.
3. Health Operations
We may use and share your PHI to review our services, evaluate the performance of our staff, and contact you when necessary.
Example: We may combine medical information about many patients to decide what additional services or products we should offer and what services or products we should not.
We may use or disclose your PHI for the following other reasons:
1. Public Health and Safety
We may use or disclose your PHI for public health activities, such as to (i) prevent or control disease, injury, or disability; (ii) notify people of product recalls; (iii) report reactions to medications or problems with products; (iv) notify the appropriate government authority if we believe a patient who is a minor or disabled adult has been a victim of abuse, neglect or exploitation; (v) notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; or (vi) report births or deaths.
We may use or disclose your PHI to researchers when their research has been approved by an institutional review board that has established protocols to ensure the privacy of your PHI.
3. Law Enforcement
We may release PHI (i) in response to a court order, criminal subpoena, warrant, summons or similar process, or whenever otherwise authorized by law; (ii) if asked to do so by a law enforcement official investigating criminal conduct; and (iii) in emergency circumstances to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
4. Organ Tissue and Donation Requests
We may use or disclose your PHI to organ procurement organizations.
5. Medical Examination/Funerals
We may use or disclose your PHI with a coroner, medical examiner, or funeral director, if you die.
6. Workers Compensation
We may use or disclose your PHI to the extent authorized by, and to the extent necessary to comply with, laws relating to workers compensation or other similar programs established by law.
7. Lawsuits and Disputes
We may disclose PHI in response to a court or administrative order. We may also disclose PHI in response to a civil subpoena, discovery request, or other lawful process under the law. Parties using these legal procedures to get PHI may have an obligation to tell you about the request or to obtain an order protecting the information requested.
8. Military and Veterans
If you are a member of the armed forces, we may release PHI as required by military command authorities.
9. As Required by Law
We will disclose PHI when required to do so by federal, state, or local law.
10. Business Associates
We may disclose PHI to business associates who provide services to or on behalf of us. Our business associates have the same obligation to keep PHI confidential as we do. We must require our business associates to ensure that PHI is protected from unauthorized use or disclosure.
Once health information about you has been disclosed pursuant to your authorization, HIPAA protections may no longer apply to the disclosed health information, and that information may be re-disclosed by the recipient without your or our knowledge or authorization.
1. Communication with Family
Under most circumstances,
Although we may contact you for fundraising efforts, you have the right and choice to tell us not to contact you again.
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
Except as identified in the Notice or otherwise permitted or required by HIPAA, Liberator Medical will not use or disclose your PHI without a valid authorization. You may revoke an authorization at any time, provided that (i) the revocation is in writing and (ii) Liberator Medical has not taken any action based on your authorization. Liberator cannot retract any PHI disclosed pursuant to your authorization.
Unless you give us separate written authorization, we will not use or disclose your PHI for marketing.
2. Sale of PHI
Unless you give us separate written authorization, we will not sell your PHI.
3. Psychotherapy Notes
Unless you give us separate written authorization, we will not use or disclose any of your PHI related to psychotherapy notes.
If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. You may contact:
Liberator Medical Supply, Inc.
Attn: Timothy M. Moore, Privacy Officer
2979 SE Gran Park Way
Stuart, FL 34997
US Department of Health and Human Services Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
4“Marketing” does not include, among other things, communications related to your treatment or to a product or service we offer.
on all Medicare, Medicaid and Private Insurance orders.
Liberator Medical has earned The Joint Commission's Gold Seal of Approval and has an A+ rating with the Better Business Bureau
Liberator Medical Supply, Inc. has been Bringing Better Healthcare Home to You™ since 1999. We are a national direct-to-consumer provider of sterile intermittent catheters and urological supplies, ostomy supplies, as well as mastectomy bras and breast prostheses.
Liberator Medical received provider accreditation from The Joint Commission, a national accreditation organization authorized by the federal government's centers for Medicare and Medicaid Services, and holds an A+ rating with the Better Business Bureau.
** Free shipping on all Medicare, Medicaid and Private Insurance orders.