Akin Ambulance
Notice of Privacy Practice

IMPORTANT: 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.

As an essential part of our commitment to you, Akin Ambulance maintains the privacy of certain confidential health care information about you, known as Protected Health Information of PHI. We are required by law to protect your health care information and to provide you with the attached Notice of Privacy Practices.
The notice outlines our legal duties and privacy practices respect to your PHI. It not only describes our privacy practices and your legal rights, but lets you know; among other things, how Akin Ambulance is permitted to use and disclose PHI about you, how you can access and copy that information, how you may request amendment of that information, and how you may request restrictions on our use and disclose of your PHI. Akin Ambulance is also required to abide by the terms of the version of this Notice currently in effect. In most situations we may use this information as described in this Notice without your permission, but there are some situations where we may use it only after we obtain your written authorization, if we are required by law to do so. We respect your privacy, and treat all health care information about our patients with care under strict policies of confidentiality that all of our staff are committed to following at all times.

PLEASE READ THE ATTACHED DETAILED NOTICE. IF YOU HAVE ANY QUESTIONS ABOUT IT, PLEASE CONTACT; SCOTT AKIN, OUR PRIVACY OFFICER, AT 830-303-3559.

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.

Purpose of this Information: Akin Ambulance is required by law to protect and maintain the confidentiality of health care information, also known as PHI. This notice is for your protection and describes the privacy policy we are currently using, and lets you know how Akin Ambulance uses the information you provide to us for billing.
Uses of PHI: Akin Ambulance uses the information you provide to us for billing purposes, treatment, and information for the hospital.
Treatment: The information is utilized for patient report to the hospital, by verbal and written information. Also via telephone and radio as directed by circumstances of the emergency.
Payment: As of October 1, 2006, Akin Ambulance utilizes an outside billing company. Akin Ambulance bills through Crown Consulting and Billing, P.O. Box 117 Converse, Texas 78109, in order to get reimbursement for the procedures and necessary care we provide. You may contact Crown Consulting and Billing at (210) 656-8700, by fax at (210) 653-8168 or email at agray@crownbilling.com. Your PHI is submitted as a bill to the insurance companies; the strictest of confidentiality is maintained in order to protect your PHI in this process. Your payment will still be sent directly to Akin Ambulance.
Quality Assurance/Training: Akin Ambulance may also utilize your PHI in order to provide further training and assist in maintaining high standards of care through policies and procedures.
Your Rights to Privacy: Akin Ambulance will maintain your privacy of PHI by keeping records in a secure location with a set of number of people with access to your PHI. You have every right to view and review your PHI. The process that Akin Ambulance is utilizing requires a written authorization specific in the required information needed and must be specific as to how and why information is needed. The written authorization may be provided within 30 days of your request; your request may be denied; but there is an appeal available for the above services please contact the Privacy Officer of Administrator.

In Summary: Akin Ambulance will maintain your PHI with the strictest of confidentiality. There are circumstances, which require us to provide your PHI. We will maintain your confidentiality by blocking out the identifiers for you. Other examples when it is necessary to provide your PHI include court orders/subpoenas, and legal processes, worker’s compensation, reporting communicable diseases coroner/ medical examiner’s when necessary in determining cause of death, organ donation, transplant banks, and law enforcement as when there is a warrant or when there is a potential for crime or to stop a crime, or to report child/ adult abuse/neglect.

SCOTT AKIN-Privacy Officer
P.O. BOX 1780 (Mail)
13305 Hwy 123 S. (physical address)
Seguin, Texas 78155
830-303-3559 (non-emergency)
830-372-4340 (emergency)
Akinambulance@the-cia.net