Effective Date: Updated in accordance with HIPAA Omnibus Regulations
 

TO OUR PATIENTS: THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU, AS A PATIENT OF BRIGHT MEDICAL TECHNOLOGY, INC., MAY BE USED AND DISCLOSED. YOU WILL ALSO FIND BELOW INFORMATION ON YOUR RIGHTS AND HOW YOU CAN GET ACCESS TO YOUR HEALTH INFORMATION. THIS IS REQUIRED BY THE PRIVACY REGULATIONS CREATED AS A RESULT OF THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) AND UPDATED MARCH 2013. PLEASE REVIEW IT CAREFULLY.

 

Our Commitment to Your Privacy

Bright Medical Technology, Inc. is dedicated to maintaining the privacy of your health information. We are required by law to maintain the confidentiality of your health information. We realize that these laws are complicated, but we must provide you with the following important information:
 

Use and Disclosure of Your Health Information in Certain Special Circumstances

The following circumstances may require us to use or disclose your health information:
 

• Treatment & Payment: In the process of providing you services and equipment, and in claims submission to insurance carriers, Medicare, Medicaid, or other healthcare organizations for reimbursement.

• Public Health & Oversight: To public health authorities and health oversight agencies that are authorized by law to collect information.

• Legal Proceedings: In lawsuits and similar proceedings in response to a court or administrative order.

• Law Enforcement: If required to do so by a law enforcement official.

• Threat to Health or Safety: When necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public. We will only make disclosures to a person or organization able to help prevent the threat.

• Military & Veterans: If you are a member of U.S. or foreign military forces (including veterans) and if required by the appropriate authorities.

• National Security: To federal officials for intelligence and national security activities authorized by law.

• Inmates & Custody: To correctional institutions or law enforcement officials if you are an inmate or under the custody of a law enforcement official.

• Workers’ Compensation: For Workers' Compensation and similar programs authorized by law.

 

SMS Opt-In / Consent Data Disclosure

“SMS opt-in/consent data disclosure: Mobile information and SMS opt-in/consent data may be shared only with service providers or subcontractors as necessary to support patient communications and service delivery and are not shared with third parties or affiliates for marketing or promotional purposes.”

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Your Rights Regarding Your Health Information

• Right to Inspect and Copy: You have the right to inspect and obtain a copy of the health information that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing.

• Right to Amend: You may ask us to amend your health information if you believe it is incorrect or incomplete, and as long as the information is kept by or for our practice. To request an amendment, your request must be made in writing and submitted to us. You must provide us with a reason that supports your request for amendment.

• Right to Request Confidential Communications: You can request that Bright Medical Technology, Inc. communicate with you about your health and related issues in a particular manner or at a certain location. For instance, you may ask that we contact you at home, rather than work. We will accommodate reasonable requests.

• Right to Request Restrictions: You can request a restriction in our use or disclosure of your health information for treatment, payment, or healthcare operations. Additionally, you have the right to request that we restrict our disclosure of your health information to only certain individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your request; however, if we do agree, we are bound by our agreement except when otherwise required by law, in emergencies, or when the information is necessary to treat you.

• Right to Restrict Disclosures for Out-of-Pocket Payments: You have the right to restrict disclosures of Private Health Information to a health plan with respect to health care for which the individual (or their family or friends) has paid out-of-pocket and in full.

• Right to an Accounting of Disclosures: You may request a list of those with whom we have shared your health information.

• Right to a Paper Copy: You are entitled to receive a copy of this Notice of Privacy Practices. You may ask us to give you a copy of this Notice at any time. To obtain a copy of this notice, contact us.

• Right to Legal Representation: You have the right to give someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

• Right to Breach Notification: You have the right to be notified in the event of a breach of unsecured Private Health Information.

• Right to Opt Out of Fundraising: You have the right to opt out of receiving any fundraising communications.

• Written Authorization Required: Our practice will obtain your written authorization for uses and disclosures that are not identified by this notice or permitted by applicable law, including but not limited to the sale of Private Health Information and marketing activities.

 

Complaints & Contact Information

If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
 

• To file a complaint with our practice or exercise your rights, contact:

 

Bright Medical Technology, Inc.

 

Attn: Privacy Officer

Address: 855 Dunksferry Rd, Ste B & C, Bensalem, PA 19020

Phone: (215) 639-9000

Website: https://www.brightmedi.com/

 

• To file a complaint with the Department of Health and Human Services:

 

Office for Civil Rights (OCR)

U.S. Department of Health and Human Services

 

Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

Toll-Free Phone: 1-800-368-1019