We care about your privacy
We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information and to notify affected individuals following a breach of unsecured protected health information. This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
At Rigicon, we respect the privacy of your protected health information and will maintain its confidentiality in a responsible and professional manner. Protected health information includes any information regarding your healthcare that can identify you as the recipient of the healthcare services. We are required by law to provide you with this notice and abide by its terms. This notice explains how we gather and use information about you and when we can share information with others. It also describes your rights as our valued customer and how you can exercise these rights.
How we collect and protect information
We collect information from enrollment or application forms. Examples of information gathered are name, address, Social Security number, general health status information, employment and other information relevant to the diagnosis of the patient’s condition. We also collect information from Patient Surgery Forms submitted to Rigicon and our affiliates. This includes information such as claims, implanted medical device details and surgery related details. We collect information in writing, in person, by telephone or electronically. We ensure the security of your information through physical, technical and procedural safeguards. All information collected is treated in a confidential and secure manner whether you are a prospective, current or former customer.
How we use or share information
We use protected health information and may share it with others (e.g. HCPs specialized in the therapeutic area patient is seeking advice for, local Rigicon representatives/distributors) to assist in your treatment, payment for your treatment and our business operations.
We may share your information with healthcare professionals to help them provide medical guidance/ care to you. For example, we may send medical information about you to a specialist as part of a referral.
We may use or share your information with others to help manage your healthcare. For example, we may talk to your doctor to suggest a disease management or wellness program that could help improve your health.
Providing healthcare information where it’s needed
We may use information about you for the following reasons:
To give you information about alternative medical treatments and programs, or about health-related products and services you may be interested in.
For underwriting or other activities relating to the issuance of a contract for healthcare coverage. Please note that we are prohibited from using or disclosing genetic information for underwriting purposes.
We may share your information for the following reasons:
With a family member or friend to the extent necessary to help with your healthcare or with payment for your healthcare when you are unable to provide authorization due to, for example, a medical emergency.
With authorized private or public entities to assist in disaster relief efforts.
With other individuals or companies who perform business functions on our behalf. For example, we may share your information with a company that does data entry on our behalf.
Protecting your personal healthcare information
Additional types of disclosures:
We will not use or disclose your protected health information unless we are allowed or required by law to do so. We may make additional types of disclosures to:
State and federal agencies who regulate us. (For example, the U.S. Department of Health and Human Services and the State Insurance Department.)
Authorized public health agencies. For instance, we may report concerns to the Food and Drug Administration regarding medical device problems.
Appropriate authorities, if we believe you are a victim of child abuse or neglect, domestic violence or other crimes.
The appropriate agencies, if we believe there is a serious health or safety threat to you or others.
Health oversight agencies for activities authorized by law, including audits, criminal investigations, licensure or disciplinary actions.
Law enforcement agencies for identification and location of a suspect, fugitive, material witness, crime victim or missing person.
A court or administrative agency in response to a search warrant, subpoena or other lawful process.
Coroners, medical examiners and organ procurement entities, and for research in limited cases.
Military authorities and authorized federal officials for intelligence, counterintelligence, and other national security activities.
The extent necessary to comply with laws relating to worker’s compensation or other similar programs.
To a public or private entity authorized by law to assist in disaster relief efforts.
Where your authorization is required
Your authorization is required for uses and disclosures other than those allowed or required by law. These uses and disclosures for which an authorization is required include but are not limited to:
Most uses and disclosures of psychotherapy notes.
Uses and disclosures of your protected health information for marketing purposes.
Disclosures that would constitute the sale of your protected health information.
Know your rights
Your rights include the right to:
Request that we not use or disclose your protected health information for treatment, payment or healthcare operations, or to persons involved in your care except when specifically authorized by you, when required by law or in an emergency. The request must be made in writing. While we will consider your request for restrictions, we are not required to agree to these restrictions.
Request that your protected health information be communicated to you in a confidential manner,
such as sending mail to an address other than your home. The request must be made in writing.
In most cases, you have the right to inspect and obtain a copy of protected health information records that we use to make decisions about your care. Your request must be made in writing. We may charge a reasonable fee for copying and postage.
Request that we amend the records, if you believe that the protected health information in your record is incorrect or if important information is missing. Your request must be in writing and include the basis for your request. We may deny your request if the information was not created by us, if it is not maintained by us, or if we determine that the record is accurate.
Receive notifications of a breach of your unsecured protected health information.
Receive an accounting of certain disclosures of your information made by us during the six years prior to your request.
The accounting will not include disclosures that were made:
- For treatment, payment and healthcare operations purposes
- To you
- Incidental to a use or disclosure otherwise permitted
- Pursuant to your authorization
- To persons involved in your care
- For national security or intelligence purposes
- To correctional institutions or law enforcement agencies
- As part of a limited data set for research, public health or healthcare operations purposes;
We will provide one accounting upon request every 12 months at no charge. We may charge a fee for an additional accounting within 12 months. We will inform you in advance of the fee and allow you to withdraw or modify your request.
Exercising your rights
You have a right to receive a paper copy of this notice upon request at any time. Visit www.rigicon.com to access this notice.
If you have any questions about this notice or about how we use or disclose information, please contact the Rigicon at 888-202-9790 or by email at firstname.lastname@example.org.
If you believe your privacy rights have been violated, you may send a complaint to:
- Attn: Privacy Office
- 2805 Veterans Memorial Hwy, STE 13
- Ronkonkoma, NY 11779
You may also file a written complaint with the Department of Health and Human Services (DHHS), Office of Civil Rights. Visit www.hhs.gov/ocr to find the contact information.
You may also contact our office for more specific information.
We will not take any action against you for filing a complaint.
Changes to our notice
This notice is effective on January 2, 2017. We reserve the right to change the terms of this notice and to make the new notice effective for all protected health information we maintain.
The new notice will be available online at www.rigicon.com.
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.
1. Our Duties
2. Your Complaints
You may complain to us and to the Secretary of the Department of Health and Human Services if you believe that your privacy rights have been violated. You may file a complaint with us by sending a certified letter addressed to “Privacy Officer” at our current address, stating what Protected Health Information you believe has been used or disclosed improperly. You will not be retaliated against for making a complaint.
3. Description and Examples of Uses and Disclosures of Protected Health Information
By signing a Consent form regarding the use and disclosure of your Protected Health Information, you agreed that we may use and disclose your Protected Health Information to carry out (i) treatment, (ii) payment, and (iii) health care operations.
Here are some examples of our use of your Protected Health Information. In connection with treatment, we will, for example, allow a physician associated with us to use your medical history, symptoms, injuries or diseases to treat your current condition. In connection with payment, we will, for example, send your Protected Health Information to your insurer or to a federal program, such as Medicare, that pays for your treatment.
This allows us to obtain payment for the services we rendered on your behalf. In connection with Health Care Operations, we will, for example, allow our auditors, consultants, or attorneys access to your Protected Health Information to determine if we billed you accurately for the services we provided to you.
4. Description of Uses and Disclosures We May Make Without Your Consent
Even without your consent, the privacy regulations, gives us the right to use and disclose your Protected Health Information: (i) if you are an inmate in a correctional institution; (ii) if we have an indirect treatment relationship with you, (iii) if, in an emergency treatment situation, we attempt to obtain consent as soon as reasonably practicable after we delivered such emergency treatment; (iv) if we are required by law to treat you, and we try but are unable to obtain such consent; or (v) if we attempt to obtain consent from an individual who has substantial barriers to communicating, but we determine in our professional judgment, that your consent to receive treatment is clearly inferred from the circumstances. The purposes for which we might use your Protected Health Information would be to carry out treatment, payment, and health care operations similar to those described in Paragraph 1.
5. Other Uses and Disclosures Require Your Authorization
Uses and disclosures other than those allowing us to carry out treatment, payment, and health care operations, and other than those for which you consent is not required by law, will only by made by obtaining a written authorization from you. You may revoke this authorization in writing at any time, except to the extent that we have taken action in reliance of you authorization.
6. Uses of Protected Health Information to Contact You
We may use your Protected Health Information to contact you regarding appointment reminders or to contact you with information about treatment alternatives or other health-related benefits and services that, in our opinion, may be of interest to you. We may use your Protected Health Information to contact you in an effort to raise funds for our operations.
7. Disclosures of Protected Health Information for Billing Purposes
We may disclose your billing information to any person that calls our billing company with billing question after we verify the identity of the person by requesting information such as your social security number or health plan number.
8. Individual Rights
(i) You may request us to restrict the uses and disclosures of your Protected Health Information, but we do not have to agree to your request.
(ii) You have the right to request that we communicate with you regarding your Protected Health Information in a confidential manner or pursuant to an alternative means, such as by a sealed envelope rather than a postcard, or by communicating to a specific phone number, or by sending mail to a specific address. We are required to accommodate all reasonable requests in this regard.
(iii) You have the right to request that you be allowed to inspect and copy your Protected Health Information as long as it is kept as a designated record set, and as long as you pay in advance for the administrative time and costs to make arrangements to have the records inspected and copied.
(iv) You have the right to amend your Protected Health Information for as long as the Protected Health Information is maintained in the designated record set.
(v) You have the right to request, and thereafter receive, an accounting of the disclosures of your Protected Health Information for six years before the date on which you request the accounting.
9. Effective Date
The effective date of this Notice is September 16, 2017.
Memorial Hwy STE 13,
Ronkonkoma, NY 11779
United States of America
+1 (888) 202-9790