Privacy Practices
NOTICE OF PRIVACY PRACTICES / HIPAA PURPOSE
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.
In accordance with the requirements of the Health Insurance Portability and Accountability Act of 1996, HIPAA, Green Rest Mattress LLC is required to inform you of its practices regarding the protected health information it maintains about you.
HIPAA establishes minimum privacy and security standards that a covered entity, such as Green Rest Mattress LLC, must follow regarding protected health information.
This Notice of Privacy Practices is provided to help you understand how Green Rest Mattress LLC meets those standards. It also explains how Green Rest Mattress LLC may use the personal health information it collects about you and how it may disclose that information.
Green Rest Mattress LLC believes that the information we gather about you is highly private, and we are dedicated to keeping this information confidential.
The records we create while providing care, equipment, supplies, or services to you are kept confidential as required by law.
We are also required to inform you of our policies regarding the use, disclosure, and storage of your personal health information.
Green Rest Mattress LLC reserves the right to update this Notice of Privacy Practices. Your personal health information will always be maintained according to the policies stated in the current version of our Notice of Privacy Practices.
If you have any comments or questions about this Notice of Privacy Practices, you may contact our Privacy Officer at:
Phone:
(407) 509-0784
UNDERSTANDING YOUR PROTECTED HEALTH INFORMATION
When you receive care, equipment, supplies, or services from a healthcare provider or covered entity, a record of that service is created.
This record may contain information about your diagnosis, treatment, equipment, supplies, services, payment, and future care needs.
This information is often referred to as your medical record.
Your medical record includes protected health information and helps establish your plan of care, treatment, equipment needs, supply needs, and communication between healthcare professionals involved in your care.
HIPAA protects certain information in your medical record from disclosure without your authorization, except as permitted or required by law.
Protected health information may include:
- Information related to your past, present, or future physical or mental health
- Information related to past, present, or future payment for healthcare services
- Information related to care, equipment, supplies, or services you have received, are receiving, or will receive
- Information that identifies you as the individual receiving care, equipment, supplies, or services
- Information that could reasonably be used to identify you as the individual receiving care, equipment, supplies, or services
This information is referred to throughout this Notice as Protected Health Information, or PHI.
TREATMENT, PAYMENT, AND HEALTHCARE OPERATIONS
As a covered entity, Green Rest Mattress LLC is required to inform you how it may use and disclose your Protected Health Information.
Green Rest Mattress LLC may use and disclose your Protected Health Information for treatment, payment, and healthcare operations.
TREATMENT
For Green Rest Mattress LLC, treatment may include providing drugs, medications, supplies, durable medical equipment, or related services as ordered by your physician or healthcare provider.
Treatment may also include coordination and consultation with your physician and other healthcare providers.
As Green Rest Mattress LLC provides these services to you, information obtained during this process may be recorded in your medical record.
Green Rest Mattress LLC may use this information, in coordination with your physician or healthcare provider, to determine the appropriate course of service, care, or treatment for you.
PAYMENT
Payment activities include actions required to obtain reimbursement from your insurance carrier, payer, or other responsible party for services, equipment, or supplies ordered by your physician and provided to you by Green Rest Mattress LLC.
Payment activities may include, but are not limited to:
- Eligibility determination
- Pre-certification
- Billing
- Collection activities
- Obtaining documentation required by your insurer
- Disclosure of limited information to consumer reporting agencies, when applicable
HEALTHCARE OPERATIONS
Healthcare operations may include internal business, administrative, compliance, and quality-review activities.
These activities may include, but are not limited to:
- Review of Protected Health Information by Green Rest Mattress LLC staff
- Compliance with federal and state regulations
- Quality improvement activities
- Business management
- General administrative activities
- Accreditation activities
- Internal audits
- Staff training
- Customer service review
- Operational reporting
This information may be used to continually improve the quality and effectiveness of the services provided by Green Rest Mattress LLC.
OTHER USES AND DISCLOSURES
For uses and disclosures of Protected Health Information other than treatment, payment, or healthcare operations, Green Rest Mattress LLC will generally obtain a specific signed authorization from you, unless the use or disclosure is otherwise permitted or required by law.
You may revoke such authorization at any time, except to the extent that Green Rest Mattress LLC has already taken action in reliance on the authorization.
There are limited circumstances in which Green Rest Mattress LLC may use or disclose Protected Health Information without your specific authorization.
These may include the following:
EMERGENCY ASSISTANCE
Green Rest Mattress LLC may disclose limited health information about you to local agencies, such as power, gas, phone, or emergency medical services, in the event of an emergency such as a flood, hurricane, or other disaster.
This may be done to notify them of your need for life-sustaining equipment or assistance with evacuation due to your medical condition.
FAMILY MEMBERS, RELATIVES, FRIENDS, OR CAREGIVERS
Green Rest Mattress LLC may disclose Protected Health Information to a family member, relative, close personal friend, caregiver, or any other person identified by you.
This disclosure will be limited to information directly relevant to that person’s involvement in your care or payment related to your healthcare.
REQUIRED BY LAW
Green Rest Mattress LLC may disclose Protected Health Information when required by law.
PUBLIC HEALTH ACTIVITIES
Green Rest Mattress LLC may disclose Protected Health Information for certain public health activities and purposes.
ABUSE, NEGLECT, OR DOMESTIC VIOLENCE
Green Rest Mattress LLC may disclose Protected Health Information to a legally authorized government authority, such as a social service agency or protective services agency, if we reasonably believe that you are a victim of abuse, neglect, or domestic violence.
LAW ENFORCEMENT AND LEGAL PROCEEDINGS
Green Rest Mattress LLC may disclose Protected Health Information for law enforcement purposes and in response to court orders, subpoenas, or other lawful legal processes.
HEALTH OVERSIGHT ACTIVITIES
Green Rest Mattress LLC may disclose Protected Health Information to agencies authorized by law to conduct health oversight activities, including audits, investigations, inspections, licensing, and similar activities.
BUSINESS ASSOCIATES AND PROFESSIONAL SERVICES
Green Rest Mattress LLC may disclose Protected Health Information to attorneys, accountants, consultants, contractors, and others acting on behalf of Green Rest Mattress LLC, provided they have signed written agreements requiring them to safeguard the confidentiality of the information.
COMMUNICATIONS WITH YOU
Green Rest Mattress LLC may leave messages for you on your answering machine, voicemail, or at an alternative phone number or contact method that you have provided for that purpose.
MARKETING INFORMATION
Green Rest Mattress LLC may mail or send marketing information to you, as requested by you, while you are a customer of Green Rest Mattress LLC.
PRIVACY POLICY
The following describes how Green Rest Mattress LLC may use and disclose your personal health information.
MEDICAL NECESSITY DOCUMENTATION
We may collect and share appropriate information about you to document the medical necessity of the equipment, supplies, or services we provide.
Examples may include:
- Diagnosis information
- Prescription information
- Referral information
- Physician information
- Healthcare provider information
BILLING AND PAYMENT COLLECTION
We may share appropriate information about you to bill and collect payment for the healthcare, equipment, supplies, or services we provide.
This may include sharing information with:
- Insurance companies
- Third-party payers
- Family members or financially responsible parties identified by you
- Billing service providers
- Collection service providers, when applicable
Examples may include insurance coverage and eligibility verification.
BUSINESS OPERATIONS
We may use and disclose information to monitor and operate our business.
Examples may include:
- Satisfaction surveys
- Healthcare outcomes reporting
- Utilization reporting
- Accreditation activities
- Reports provided to federal, state, or local authorities as required by law
- Reminders related to equipment, supplies, or service needs
FAMILY OR FRIENDS ASSISTING WITH FINANCIAL RESPONSIBILITIES
We may release appropriate information about you to family members, friends, or caregivers who are helping you with financial responsibilities related to equipment, supplies, or services received from us.
LEGAL REQUESTS
We may use and disclose information about you to respond to a court, legal authority, or lawful request for information.
Examples may include:
- Legal subpoenas
- Discovery proceedings
- Court orders
- Testimony by staff regarding services or care provided
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION
You have certain rights regarding the information Green Rest Mattress LLC maintains about you.
RIGHT TO REQUEST RESTRICTIONS
You may request, in writing, additional restrictions on the use or disclosure of your Protected Health Information.
Green Rest Mattress LLC is not required to agree to all requested restrictions.
If we do agree to a restriction, we will honor it unless otherwise required or permitted by law.
RIGHT TO REQUEST AMENDMENTS
You have the right to request amendments to your medical record or Protected Health Information.
Requests must be made in writing and must explain the requested revision and the reason for the modification.
Revision requests will be evaluated on an individual basis and amended when appropriate.
No revision will be made if it would cause the medical record or personal health information to become inaccurate or misleading.
If your request for amendment is denied, you may have the right to file a statement of disagreement.
RIGHT TO RECEIVE A COPY OF THIS NOTICE
You have the right to obtain a copy of this Notice of Privacy Practices.
RIGHT TO ACCESS AND COPY RECORDS
You have the right to access, inspect, and obtain a copy of your medical record, subject to certain limitations.
Requests must be made in writing.
A fee may apply for copying, producing, and delivering your information, as permitted by law.
RIGHT TO AN ACCOUNTING OF DISCLOSURES
You have the right to request an accounting of certain non-routine disclosures of your Protected Health Information.
This accounting applies to disclosures made for purposes other than treatment, payment, and healthcare operations.
You may receive one free accounting within a twelve-month period.
Green Rest Mattress LLC may charge a fee for additional accounting requests within the same twelve-month period.
You must agree to the fee before we provide any additional accounting.
These requests may cover dates of service on or after December 14, 2023.
RIGHT TO REQUEST ALTERNATIVE COMMUNICATIONS
You have the right to request that communications regarding your medical record or Protected Health Information be made by alternative means or sent to alternative locations.
For example, you may request electronic communication or communication at a different address.
RIGHT TO REVOKE AUTHORIZATION
You have the right to revoke an authorization to use or disclose your Protected Health Information, except to the extent that action has already been taken based on your previous authorization.
RIGHT TO DIRECT THE USE OF YOUR INFORMATION
You have the right to direct the use of your personal health information at any of our locations, subject to applicable law and operational requirements.
RIGHT TO TERMINATE OR REVISE AUTHORIZATIONS OR CONSENTS
You have the right to terminate or revise authorizations or consents related to our use of your personal health information.
Such terminations or revisions may apply to new equipment, supply, or service provisions, as permitted by law.
WRITTEN REQUEST REQUIREMENT
All requests related to restrictions, amendments, copies, accountings, alternative communications, or revocations must be submitted in writing.
Green Rest Mattress LLC is not required to accept every requested restriction.
If we do accept your requested restrictions, we will honor them unless prohibited or otherwise required by law.
RIGHT TO FILE A COMPLAINT
You have the right to file a complaint about our use or disclosure of your Protected Health Information.
You may file a complaint directly with Green Rest Mattress LLC or with the Secretary of the U.S. Department of Health and Human Services.
You will not be retaliated against for filing a complaint.
RESPONSIBILITIES OF GREEN REST MATTRESS LLC
In accordance with HIPAA, Green Rest Mattress LLC is required to:
- Maintain the confidentiality of your Protected Health Information
- Follow applicable federal and state privacy laws
- Follow more restrictive state privacy laws when they provide greater protection than federal law
- Provide you with notice of our legal obligations and privacy practices
- Abide by the terms of this Notice of Privacy Practices
- Notify you if we are unable to agree to a requested restriction
- Make reasonable efforts to accommodate requests for communication by alternative means or at alternative locations
- Post this Notice of Privacy Practices on our website
Website:
www.GreenRestMattress.com
Green Rest Mattress LLC reserves the right to change the terms of this Notice of Privacy Practices and to make those changes applicable to all Protected Health Information maintained at that time.
If this Notice changes, Green Rest Mattress LLC will provide a revised notice to the most recent address you have supplied to Green Rest Mattress LLC.
Green Rest Mattress LLC will not use or disclose your Protected Health Information without your authorization, except as described in this Notice or as otherwise permitted or required by law.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have questions, would like additional information, or believe your privacy rights have been violated, you may contact Green Rest Mattress LLC without fear of retaliation.
GREEN REST MATTRESS LLC
Address:
3750 W Colonial Dr, Unit 2
Orlando, FL 32809
United States
Email:
support@greenrestmattress.com
Phone:
(407) 509-0784
You may also contact:
Office for Civil Rights
U.S. Department of Health and Human Services
Address:
200 Independence Ave
Room 509F, HHH Building
Washington, DC 20201
Phone:
1-800-368-1019
CONSUMER COMPLAINT AND ABUSE HOTLINES
If a complaint is not resolved, the client, immediate family member, or caregiver has the right to report complaints, abuse, neglect, or exploitative practices.
TO REPORT A COMPLAINT REGARDING SERVICES
BOC Toll-Free Number:
1-877-776-2200
TO REPORT ABUSE OF A DISABLED ADULT OR ELDERLY PERSON
Abuse Hotline:
1-800-962-2873
IF YOUR CONCERN IS AN EMERGENCY
First call:
911
Then contact the appropriate abuse hotline.
TO REPORT MEDICAID FRAUD
Phone:
1-866-966-7226
TO REPORT MEDICARE FRAUD
Phone:
1-800-MEDICARE
1-800-633-4227