FOR QUESTIONS CALL 866.938.9162

or email at: [email protected]

 

Mobility Braces knowledgeable customer service representatives are available Monday through Friday from 9:00am to 5:00pm EST to answer any fitting, application and product questions you may have.

TERMS

PROTECTED HEALTH INFORMATION

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

In accordance with the requirements of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), MOBILITY BRACES is required to inform you of its practices in relation to the protected health information that it maintains about you. HIPAA mandates minimum standards that a covered entity such as MOBILITY BRACES must maintain in relation to your protected health information. This Notice of Uses is being provided to help you understand how MOBILITY BRACES meets these minimum standards. It is also meant to inform you of the ways that MOBILITY BRACES may use the personal information it collects about you and how it may disclose it.

UNDERSTANDING YOUR PROTECTED HEALTH INFORMATION

When you receive care from a healthcare provider, a record of that treatment is made. This record will typically contain information on your diagnosis, treatment, and future plan of treatment and is often collectively referred to as your medical record. This medical record includes protected health information and lays the foundation for determining your plan of care and treatment and allows for a successful means of communication between all healthcare professionals that contribute to your care.

HIPAA protects information found in your medical record from disclosure without your authorization. The information protected by HIPAA includes:

1. Any information related to your past, present or future physical or mental health;

2. The past, present or future payment for health services you have received;

3. The specific care that you have received, are receiving or will receive;

4. Any information that identifies you as the individual receiving the care; and

5. Any information that someone could reasonably use to identify you as receiving the care.

This information is referred to as protected health information throughout this Notice.

TREATMENT, PAYMENT AND HEALTHCARE OPERATIONS

As a Covered Entity, MOBILITY BRACES is required to inform you of how it may use your protected health information. In providing treatment to you, MOBILITY BRACES will use your protected health information for the purposes of treatment, payment and healthcare operations.

Treatment – As it pertains to MOBILITY BRACES, treatment means providing to you drugs, medications and supplies and durable medical equipment as ordered by your physician. Treatment also includes coordination and consultation with your physician and other health care providers. As MOBILITY BRACES provides these services to you, information obtained during this process will be recorded in your medical record. MOBILITY BRACES will use this information, in coordination with your physician, to determine the best course of treatment for you.

Payment – Payment purposes consist of activities required to obtain reimbursement from your insurance carrier for the services ordered by your physician and provided to you by MOBILITY BRACES. This includes, but is not limited to, eligibility determination, pre-certification, billing and collection activities, obtaining documentation required by your insurer, and when applicable, disclosure of limited information to consumer reporting agencies.

Healthcare operations – Operations can include, but are not limited to, review of your protected health information by members of MOBILITY BRACES professional healthcare staff to ensure compliance with all federal and state regulations. This information will then be utilized to continually improve the quality and effectiveness of the services provided to you by DESERT ROSE MEDICAL SUPPLIES. Healthcare operations also include MOBILITY BRACES business management and general administrative activities.

OTHER USES AND DISCLOSURES

In order to release information contained in your medical record for purposes other than treatment, payment or healthcare operations, MOBILITY BRACES must obtain a specific signed authorization from you. You may revoke such authorization at any time, except to the extent MOBILITY BRACES has taken action in reliance on the authorization.

There are a limited number of other uses and disclosures of protected health information that do not require a specific authorization from you. MOBILITY BRACES may in the following circumstances disclose your protected health information.

1. 1MOBILITY BRACES may disclose to a member of your family, other relative, or a close personal friend, or any other person identified by you, the protected health information directly relevant to such person’s involvement with your care or payment related to your health care.
2. MOBILITY BRACES may disclose protected health information to others as required by law.
3. MOBILITY BRACES may disclose protected health information for certain public health activities and purposes.
4. 4. MOBILITY BRACES may disclose protected health information to a legally-authorized government authority, such as a social service or protective services agency, if we reasonably believe you are a victim of abuse, neglect or domestic violence.
5. MOBILITY BRACES may disclose protected health information for law enforcement purposes and in response to court orders or subpoenas.
6. MOBILITY BRACES may disclose protected health information to agencies authorized by law to conduct health oversight activities, including audits, investigations, licensing and similar activities.
7. MOBILITY BRACES may disclose protected health information to attorneys, accountants, and others acting on behalf of MOBILITY BRACES, provided they have signed written contracts agreeing to safeguard the confidentiality of the information.

YOUR RIGHTS AS A PATIENT OF MOBILITY BRACES

In accordance with HIPAA you have the following rights in relation to your protected health information.

1. You may request, in writing, additional restrictions to the use or disclosure of your protected health information; however, MOBILITY BRACES is not required to agree to the requested restrictions.
2. You have the right to request amendments to your medical record.
3. You have the right to obtain a copy of this Notice of Uses.
4. You have the right of access to inspect and obtain a copy of your medical record, subject to certain limitations.
5. You have the right to obtain an accounting of disclosures of your medical record for purposes other than treatment, payment and healthcare operations.
6. You have the right to request communications of your medical record by alternative means (i.e. electronically) or at alternative locations.
7. You have the right to revoke authorization to use or disclose your protected health information except to the extent that action has already occurred.

RESPONSIBILITIES OF MOBILITY BRACES

In accordance with HIPAA, MOBILITY BRACES is required to:

1. Maintain the confidentiality of your protected health information. Your state laws may provide more protection than the federal laws and, in that case, we will abide by the more restrictive statute.
2. Provide you with notice of our legal obligations and privacy practices regarding information it may accumulate about you and is obligated to abide by the terms of this notice.
3. Notify you if it is unable to agree to a requested restriction, and make every effort to accommodate reasonable requests for communication of health information by alternative means.

Please be advised that in addition to these responsibilities, MOBILITY BRACES reserves the right to change the terms of its Notice of Uses and make those changes applicable to all protected health information maintained at that time. If there is a change to its Notice of Uses, may obtain a copy of the revised Notice of Uses by contacting the Privacy Officer at the address below.

MOBILITY BRACES will not use or disclose your protected health information without your authorization, except as described in this notice.

FOR MORE INFORMATION OR TO REPORT A PROBLEM

If you have questions, would like additional information or, if you suspect misuse of your protected health information and believe that your rights have been violated, you may, without fear of retaliation, contact us.

PRIVACY POLICY

ACCEPTANCE

By using the Mobility Braces site, you signify your acceptance of this Privacy Policy. If you do not agree with the terms of the Policy, you should exit the web site.

INTEGRITY/SECURITY

Mobility Braces understands that in order to maintain your privacy, your personal information must be collected and stored in a secure manner, and the integrity of your information must be preserved. Therefore, we follow a number of administrative, technical and physical safeguards to achieve this goal.

INFORMATION COLLECTION

View/General Use: To personalize and enhance your browsing and shopping experience, we use a feature on your Internet browser called a cookie. Cookies are small files that your Web browser places on your computer’s hard drive. We do not store personal information in cookies, however we are able to link cookies to customer member ID numbers which we then can use to identify customer-specific personal information for identification and website personalization purposes. Cookies are not used to access information entered on the secure server.

Information Service. If you decide to contact us by email, you will be asked to provide certain information so that we may contact you. We will ask you to provide your name, telephone numbers, and e-mail address.

INFORMATION USE AND DISCLOSURE

The information that you share with us, either to sign up for our information service or to reorder products, will only be used by Mobility Braces to evaluate your needs so that we may provide you with information that is most useful and relevant to you. We do not sell, lease, or otherwise provide this information to any outside third parties. We only share information in accordance with our Privacy Policy.

SHARING INFORMATION

As a policy, this site does not share personally identifiable information, including e-mail addresses, with third parties, except where specifically stated and does not accept advertising.

Mobility Braces may also disclose personally identifiable information to government authorities, and to other third parties when compelled to do so by government authorities, at our discretion, or otherwise as required or permitted by law, including but not limited to in response to court orders and subpoenas.

We also may disclose personally identifiable information when we have reason to believe that someone is causing injury to or interference with our rights or property, other users of the website or anyone else that could be harmed by such activities.

In the event that Mobility Braces, any affiliate of Mobility Braces, or substantially all of its assets, are acquired by one or more third parties as a result of an acquisition, merger, sale, reorganization, consolidation or liquidation, personally identifiable information may be one of the transferred assets.

MINORS

Mobility Braces is designed and intended for use only by adults and is not directed at anyone under the age of 13. Minors under the age of 18 may use this site only with the prior express consent of a parent or legal guardian, and then only under their direct supervision.

THIRD PARTY LINKS

Our web site provides links to other companies’ web sites. If you leave Mobility Braces by linking to one of these third party sites, you will be subject to the privacy policies and procedures posted there, and this Privacy Policy will no longer apply.

NOTIFICATION OF CHANGE

Mobility Braces reserves the right at its discretion to change, modify, add or remove portions of this policy, at any time. We will communicate any updates to our policy on the site for any site visitors. We encourage you to check this policy from time to time to review any changes that might be made. The date found below tells you when this policy was last updated.

IMAGES, GRAPHICS AND FACTS

The information on this website is for general information purposes only. Factual information sources include: The National Health Institute and Centers for Disease Control. Use of stock photography on this site is used for graphical representation only and may not depict actual participants, users or clients.

YOUR CONSENT

By using our Web site, you consent to the collection, use, and disclosure of information in accordance with the terms of this privacy policy.

DISCONTINUING THE SERVICE/UNSUBSCRIBE

By using the Mobility Braces website, you agree that Mobility Braces may send you reminders, special offers/promotions, order confirmations, status of your order, newsletters/monthly specials, requests to update your account information and customer surveys via email. If for any reason you decide to stop participating in our home delivery program after you have enrolled, you may contact us online, and we will discontinue this service.

Please email: [email protected] if you no longer wish to receive e-mail updates from mobilitybraces.com.