This Notice describes the privacy practices of AIS Healthcare (“we” or “us”), including:
We understand that your health information is personal. That’s why we are committed to protecting your privacy. We are also legally required to do the following:
When we use or disclose your Protected Health Information, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).
In certain situations, we must get your written authorization in order to use and/or disclose your Protected Health Information. However, we may use and disclose your Protected Health Information without your written authorization for the following purposes. (Please note, these situations do not apply if the Protected Health Information is Highly Confidential Information and the applicable law regulating such information imposes special restrictions on us. See below for a definition of Highly Confidential Information.)
We use and disclose your Protected Health Information to provide treatment and other services to you. For example, to provide nursing services or to consult with your physician about your medication. We may use your information to direct or recommend alternative treatments, therapies, healthcare providers or settings of care to you or to describe a health-related product or service. We may also disclose Protected Health Information to other providers involved in your treatment.
State law may be different than federal privacy law. Please call the Privacy Officer or email us at compliance@aiscaregroup.com if you have any questions about state law. AIS Healthcare does not create psychotherapy notes or solicit for fundraising activities.
We may use and disclose your Protected Health Information to obtain payment for healthcare services that we provide to you. For example, disclosures to claim and obtain payment from Medicare, Medicaid, your health insurer, HMO or other company or program that arranges or pays the cost of your healthcare (“Your Payer”) to verify that Your Payer will pay for the healthcare. We may also disclose Protected Health Information to your other healthcare providers when such Protected Health Information is required for them to receive payment for services they provide you.
We may use and disclose your Protected Health Information for our healthcare operations. This includes internal administration and planning and various activities that improve the quality and cost-effectiveness of the care that we deliver to you. For example, we may use Protected Health Information to evaluate the quality and competence of our pharmacy and nursing departments. We may disclose Protected Health Information to our customer service professionals in order to resolve any complaints you may have and ensure that you are satisfied with our services.
We may disclose your Protected Health Information to a family member, other relative, a close personal friend or any other person identified by you. We can do this when you are present for, or otherwise available prior to, the disclosure, if: (1) we get your agreement or provide you with the opportunity to object to the disclosure and you do not object; or (2) we reasonably assume that you do not object to the disclosure.
You may not be available or present before we disclose your health information. An example would be when we receive a telephone call from a family member or other caregiver. In this case, we may exercise our professional judgment to determine whether a disclosure is in your best interests. If we disclose information under such circumstances, we would disclose only information that is directly relevant to the person’s involvement with your care.
We may use and disclose your Protected Health Information when required to do so by any applicable federal, state or local law.
We may disclose your Protected Health Information:
We may disclose your Protected Health Information if we reasonably believe you are a victim of abuse, neglect or domestic violence. We will disclose your information to a government authority authorized by law to receive reports of such abuse, neglect or domestic violence.
We may disclose your Protected Health Information to an agency that oversees the healthcare system. These agencies are responsible for ensuring compliance with the rules of government health programs such as Medicare or Medicaid.
We may disclose your Protected Health Information in the course of a judicial or administrative proceeding. This would be in response to a legal order or other lawful process.
We may disclose your Protected Health Information to the police or other law enforcement officials as required by law or in compliance with a court order.
We may disclose your Protected Health Information to a coroner or medical examiner as authorized by law.
We may disclose your Protected Health Information to organizations that facilitate organ, eye or tissue procurement, banking or transplantation.
We may use and disclose your Protected Health Information for research purposes. This type of disclosure will always be pursuant to a valid authorization from you or when an institutional review board or privacy board has waived the authorization requirement. Under certain circumstances, your Protected Health Information may be disclosed without your authorization to: researchers preparing to conduct a research project, for research on decedents or as part of a data set that omits your name and other information that can directly identify you.
We may use or disclose your Protected Health Information to prevent or lessen a serious and imminent threat to a person’s or the public’s health or safety.
We may use and disclose your Protected Health Information to units of the government with special functions. These could include the U.S. military or the U.S. Department of State under certain circumstances.
We may disclose your Protected Health Information as authorized by and to the extent necessary to comply with state law relating to workers’ compensation or other similar programs.
State law may be different than federal privacy law. Please call the Privacy Officer or email us at compliance@aiscaregroup.com if you have any questions about state law. AIS Healthcare does not create psychotherapy notes or solicit for fundraising activities.
For any purpose other than the ones described above in How We Can Use or Disclose Your Information Without Your Written Authorization, we only use or disclose your Protected Health Information when you give us your written authorization.
We must get your written authorization prior to using your Protected Health Information for purposes that are considered marketing under the HIPAA privacy rules. For example, we will not accept any payments from other organizations or individuals in exchange for making communications to you about treatments, therapies, healthcare providers, settings of care, case management, care coordination, products or services unless you have given us your authorization to do so or the communication is permitted by law.
We may provide refill reminders or communicate with you about a drug or biologic that is currently prescribed to you. We are only allowed to do this if any payment we receive for making the communication is reasonably related to our cost of making the communication. In addition, we may market to you in a face-to-face encounter and give you promotional gifts of nominal value without getting your written authorization.
We will not make any disclosure of Protected Health Information that is a sale of Protected Health Information without your written authorization.
Federal and state law require special privacy protections for certain health information about you (“Highly Confidential Information”). This includes Alcohol and Drug Abuse Treatment Program records and other health information that is given special privacy protection under state or federal laws other than HIPAA. We generally do not maintain any Highly Confidential Information. However, in order for us to disclose any Highly Confidential Information for a purpose other than those permitted by law, we must get your authorization.
You may revoke your authorization, except to the extent that we have taken action in reliance upon it. You can do this by delivering a written revocation statement to the Privacy Officer. Contact information can be found below.
If you want further information about your privacy rights, are concerned that we have violated your privacy rights or disagree with a decision that we made about access to your Protected Health Information, you may contact our Privacy Officer or file a complaint.
Mail:
Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Bldg.
Washington, D.C. 20201
Online:
https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
Email:
OCRComplaint@hhs.gov
You may request restrictions on our use and disclosure of your Protected Health Information:
We will consider all requests for additional restrictions carefully. However, we are not required to agree to a requested restriction unless three things are true: 1) the request is to restrict our disclosure to a health plan for purposes of carrying out payment or healthcare operations; 2) the disclosure is not required by law; and 3) the information pertains solely to a healthcare item or service for which you (or someone on your behalf other than the health plan) have paid us out of pocket in full. If you wish to request additional restrictions, please get a request form from our Privacy Officer and submit the completed form to the Privacy Officer. We will send you a written response.
You may request to receive your Protected Health Information by alternative means of communication or at alternative locations. We will accommodate any reasonable requests.
You may request access to your medical record file and billing records maintained by us in order to inspect and request copies of the records. Under limited circumstances, we may deny you access to a portion of your records. If you desire access to your records, please get a record request form from the Privacy Officer and submit the completed form to the Privacy Officer. If you request copies, we may charge you a reasonable copy fee.
You have the right to request that we amend your Protected Health Information maintained in your medical record file or billing records. If you desire to amend your records, please get an amendment request form from the Privacy Officer and submit the completed form to the Privacy Officer. We will comply with your request unless we believe that the information that would be amended is already accurate and complete, or if other special circumstances apply.
Upon request, you may get a list of certain disclosures of your Protected Health Information made by us. This list can go back up to six years. If you request such a list more than once during a twelve (12)-month period, we may charge you a reasonable fee for the accounting statement.
Upon request, you may get a paper copy of this Notice, even if you agreed to receive this notice electronically.
On or after September 1, 2013. Revised on or after February 1, 2014. Revised October 8, 2020.
We may change the terms of this Notice at any time. If we change this Notice, we may make the new notice terms effective for all your Protected Health Information that we maintain, including any information created or received prior to issuing the new notice. If we change this Notice, we will post the new notice on our Internet site at www.aiscaregroup.com. You also may get any new notice by contacting the Privacy Officer.
You may contact the Privacy Officer at: compliance@aiscaregroup.com.
Bond Pharmacy DBA Advanced Infusion Solutions
Intrathecal Care Solutions DBA Advanced Nursing Solutions
1st America Infusion Services DBA Advanced Infusion Care
Hunt Valley Pharmacy, LLC DBA Hunt Valley PharmaLAB
AIS Healthcare
18451 Dallas Parkway
Suite 150
Dallas,TX 75287
and
623 Highland Colony Parkway
Suite 100
Ridgeland, MS 39157
Toll-free: 877.443.4006
Fax: 888.298.2220