Introduction

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

Home Sleep Health Services, PLLC is required by law to maintain the privacy of your Protected Health Information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of this Notice currently in effect.

1. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

Treatment
We may use and disclose your Protected Health Information to provide, coordinate, or manage your healthcare and related services. This may include sleep medicine consultations, home sleep testing, interpretation of sleep studies, CPAP therapy management, communication with your referring provider, and coordination with other healthcare professionals involved in your care.

Payment
We may use and disclose your Protected Health Information to obtain payment for services we provide. This may include insurance eligibility verification, claims submission, billing, collections, prior authorizations, and payment processing.

Healthcare Operations
We may use and disclose your Protected Health Information for healthcare operations necessary to run our practice. This may include quality improvement, staff training, credentialing, licensing, accreditation, audits, compliance activities, business management, and general administrative functions.

2. OTHER USES AND DISCLOSURES PERMITTED OR REQUIRED BY LAW

We may use or disclose your Protected Health Information when permitted or required by applicable law. Examples may include disclosures for public health reporting, health oversight activities, law enforcement requests, judicial or administrative proceedings, workers compensation matters, government investigations, or to prevent a serious threat to health or safety.

3. USES REQUIRING YOUR WRITTEN AUTHORIZATION

Uses or disclosures of your Protected Health Information that are not otherwise permitted by law generally require your written authorization.

You may revoke an authorization at any time in writing, except to the extent action has already been taken in reliance on your authorization.

4. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

Right to Access
You have the right to inspect and request copies of certain health information maintained by our practice, subject to applicable legal limitations.

Right to Request Amendment
You have the right to request that we amend information you believe is inaccurate or incomplete.

Right to Request Restrictions
You have the right to request restrictions on certain uses or disclosures of your information. We are not required to agree to every requested restriction unless required by law.

Right to Confidential Communications
You have the right to request that we communicate with you by alternative means or at alternative locations when reasonable.

Right to Accounting of Disclosures
You have the right to request an accounting of certain disclosures of your Protected Health Information made outside of treatment, payment, or healthcare operations.

Right to a Paper Copy
You have the right to request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

5. OUR DUTIES

Home Sleep Health Services, PLLC is required by law to maintain the privacy and security of your Protected Health Information, provide you with this Notice, notify you following certain reportable breaches when required, and abide by the terms of the Notice currently in effect.

6. COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with Home Sleep Health Services, PLLC or with the U.S. Department of Health and Human Services.You will not be retaliated against for filing a complaint.

7. CONTACT FOR PRIVACY QUESTIONS OR COMPLAINTS

Privacy Officer
Home Sleep Health Services, PLLC
37 West Center Street, Suite 1A
Southington, CT 06489
Phone: (844) 226-7870
Fax: (844) 534-7652

8. CHANGES TO THIS NOTICE

We reserve the right to revise this Notice at any time. Updated versions will be posted on our website and made available upon request. Revised terms may apply to all Protected Health Information maintained by our practice.