HIPAA Notice of Privacy Practices

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.

Our Commitment to Your Privacy

406 Durable Medical Equipment LLC (“406 DME,” “we,” “us”) is committed to protecting the privacy of your health information. Your care and the equipment and services you receive from us are recorded in a record we maintain. We share your medical information with those involved in your care only to the extent necessary, to collect payment for services and equipment we provide, to conduct our business operations, and as required or permitted by law. We will not use or disclose your health information for any other purpose without your written authorization.

How We May Use and Disclose Your Health Information

• Treatment: to provide, coordinate, or manage the equipment and services you receive from us or your other healthcare providers.
• Payment: to bill and collect payment from you, your insurance company, or a third party for products and services provided.
• Healthcare Operations: for internal purposes such as quality assessment, staff training, licensing, and business management.
• As Required by Law: we will disclose your health information when required by federal, state, or local law.
• Public Health & Safety: for public health activities, such as reporting adverse events, product recalls, or communicable disease as required by law.
• Health Oversight: to a health oversight agency, such as the Montana Department of Public Health and Human Services, for audits, investigations, or licensure purposes.
• Legal Proceedings: in response to a court order, subpoena, warrant, or similar legal process.
• Law Enforcement: in limited circumstances, such as reporting certain wounds or complying with a legal requirement.
• Coroners, Medical Examiners, Funeral Directors: as necessary to carry out their duties.
• Organ/Tissue Procurement: to organizations that handle organ, eye, or tissue donation.
• Workers’ Compensation: as authorized by and to the extent necessary to comply with workers’ compensation laws.

Other uses and disclosures not described in this Notice will be made only with your written authorization, which you may revoke at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

• Inspect and obtain a copy of your health record, subject to certain limited exceptions.
• Request an amendment or correction to your health record.
• Request an accounting of certain disclosures we have made of your health information.
• Request restrictions on certain uses or disclosures of your health information. We are not required to agree, but if we do, we will honor that agreement except in an emergency.
• Request confidential communications — for example, that we contact you at a specific phone number or address.
• Obtain a paper copy of this Notice at any time, even if you agreed to receive it electronically.
• Be notified in the event of a breach of your unsecured health information.

To exercise any of these rights, contact our Privacy Officer using the information below.

Our Duties

We are required by law to maintain the privacy of your health information, provide you with this Notice of our legal duties and privacy practices, and abide by the terms of the Notice currently in effect. We reserve the right to change this Notice and to make the revised Notice effective for health information we already have as well as information we receive in the future. If we make a material change, we will post the updated Notice at our location and on our website

Complaints

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

To file a complaint with us:

To file a complaint with HHS:

Contact Us

If you have questions about this Notice or our privacy practices, contact our Privacy Officer at 406-414-6868.