Livingston Hearing Centers, Inc.
Privacy Policy
Notice of Privacy Practices, Policies and Procedures — Effective April 14, 2003
This document describes how your protected health information, audiologic and medical information may be used and disclosed, how you can obtain access to this information, and how you can modify or amend its contents. Please read and review this document carefully. Please notify us of any questions or concerns you have regarding this document and its contents.
A federal regulation created by the United States Department of Health and Human Services, known as the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, requires that Livingston Hearing Centers, Inc. provide our patients with a detailed document, in writing, which outlines our offices' privacy practices, policies, and procedures.
Our Commitment
- Livingston Hearing Centers, Inc. is committed to protecting your protected health information, audiologic and medical records.
- We will outline how we may use and disclose your information. The HIPAA Privacy Rule requires that we protect the privacy of health information that identifies a given patient or where it is reasonable to conclude that it could identify a given patient. This information is called protected health information or PHI.
- PHI is defined as information such as name, social security number, address, telephone number, medical record number, or zip code.
- We are required by law to maintain confidentiality and the privacy of your PHI, to provide you with this document, and to comply with the terms of this document once it is effective.
- We reserve the right to make changes and modifications to this document as needed and to make such changes retroactive. If revised, we will post a copy in our offices in a prominent location and provide you with a copy upon request.
How We May Use & Disclose Your Information
Treatment
We may use and disclose your PHI to provide or manage audiologic, hearing aid, medical or health care services. We may consult with other hearing aid dispensers, audiologists, or health care providers regarding your treatment and coordinate your care with other providers.
Payment
We may use and disclose your PHI to bill and collect payment for services and products provided to you. We may request pre-authorization or verification from your health plan regarding eligibility and benefits prior to providing services or products, including hearing aid coverage verification.
Health Care Operations
We may use and disclose PHI in performing certain business activities, including:
- To improve the quality, efficiency, and cost of the care we provide our patients
- To identify patients with similar hearing healthcare problems and provide information regarding treatment options
- To review and evaluate the performance of our team
- As a training tool within our practice for providers and office team members
- During certification, accreditation, or review processes from outside agencies
- During review of our business activities by accountants, lawyers, software vendors, and others who assist us in managing our business
- To contact you by phone, mail, or email to remind you of appointments and provide you with treatment alternatives or hearing healthcare related benefits
Disclosures to Family & Caregivers
We may disclose your PHI to a family member, close friend, guardian, caregiver, or any other person identified by you, provided the PHI is directly relevant to their involvement in your care or payment. If you are present and able to consent, we will only disclose what you authorize. For example, we may allow a family member to pick up a repaired hearing aid or batteries on your behalf.
Required & Permitted Disclosures Without Authorization
- As required by local, state, and federal law
- To public health authorities for prevention or control of disease, injury, disability, or reporting of birth, death, or child/domestic violence
- To report problems with products or devices regulated by the FDA or State of Texas
- To provide information to officials during audits, investigations, or licensure activities
- To provide information for lawsuits or legal proceedings as required by a court of law
- To law enforcement in cases involving suspected crime victims, missing persons, or crimes committed in our office
- For certain military, veteran, national security, or intelligence activities
- To the Department of Health and Human Services regarding HIPAA Privacy Rule compliance
Livingston Hearing Centers, Inc. may not use your PHI in other situations without your written authorization. Once you provide written authorization, you may revoke it at any time in writing, except where we have already acted based upon the original authorization.
SMS / Text Messaging
By providing your mobile phone number verbally to our team, you agree to receive SMS text messages from Livingston Hearing Aid Center related to appointment scheduling, reminders, updates, or rescheduling notices.
- Message frequency varies depending on your appointments. Message and data rates may apply based on your carrier.
- Reply HELP for assistance or STOP to cancel at any time.
- We do not sell or share your mobile data with third parties for marketing purposes. Participation is not required to receive services.
- When you opt in to receive SMS communications, we collect your phone number and necessary contact information. This information is not shared with third parties for marketing purposes.
- Opt-Out: Reply "STOP" to any message to immediately stop receiving SMS communications from us.
- All mobile opt-in data and consent information will not be shared with any third parties.
Your Rights as a Patient
- You have the right to request additional restrictions to the use and disclosure of your PHI for treatment, payment, or healthcare operations. Requests must be made in writing to our Privacy Officer.
- You have the right to request receipt of confidential communications in a specific manner of your choosing.
- You have the right to request copies of your PHI including audiologic, medical, hearing aid, or billing records. A nominal fee may apply for copying and mailing.
- You have the right to request changes to your PHI. Requests must be made in writing with a stated reason.
- You have the right to receive information about to whom, when, and why your PHI was used or disclosed — for up to six years following the disclosure.
- You have the right to receive a copy of this document at any time upon written request to our Privacy Officer.
- If you believe your privacy rights have been violated, you may file a complaint with Livingston Hearing Centers, Inc. or the U.S. Department of Health and Human Services at 1-800-447-8477, or the Office of Civil Rights at 1-800-368-1019.
Contact Our Privacy Officer
Richard Davila, II
President
Livingston Hearing Aid Center, Inc.
5303 50th Street, Lubbock, TX 79414
Phone: (806) 799-8950
Fax: (806) 799-8939
This document was created and became effective on April 14, 2003.
