As
a recipient of home medical equipment services from a licensed provider, you
are entitled to be informed of the following Rights and Responsibilities.
You have the right:
-
To obtain home medical equipment services from a qualified provider
currently licensed and in good standing with the Alabama Board of Home
Medical Equipment Services Providers and in compliance with the Medicare
Supplier Standards attached to this Consumer Bill of Rights.
-
To select those who provide you with home medical equipment services and
to receive reasonable coordination and continuity of services from the
referring agency.
-
To receive clear and current contact information from your provider.
Out of state providers must provide you with written contact information
at the time the services are rendered, including a toll-free telephone
number, physical address and hours of operation, through which you may
obtain repairs, supplies and other services required to use or maintain
the equipment.
-
To receive a timely response from your provider when services are needed
or requested and to be fully informed in advance about the services to
be provided, the availability of financial resources and the policies
and procedures of your health care provider.
-
To be safe from the promotion or sale of unnecessary services or
equipment.
-
To participate in the development and periodic revision of your health
care program, which is designed to satisfy your current health care
needs.
-
To be provided with adequate information from which you can give your
informed consent for the commencement of service, the continuation of
service, the transfer of service to another health care provider, or the
termination of service.
-
To receive manufacturer’s information, education and instruction
regarding the maintenance, use and repair of the home medical equipment
provided, including how to obtain assistance and repair of the equipment
if the provider can no longer provide service.
-
To obtain emergency services/care when medically necessary.
-
To be informed privately and confidentially of the charges for service,
including eligibility for third party reimbursement, such as Medicare,
and any charges for which you will be responsible, in advance of the
receipt of such service and to be given assistance in completing all
necessary forms to receive those services.
-
To have claims for reimbursement from third party payors developed and
submitted in a complete and accurate manner and in compliance with
applicable state, federal and private healthcare billing practices.
-
To be provided with legitimate identification by any person who enters
your residence to provide home medical equipment services or who calls
you regarding such services.
-
To receive the appropriate or prescribed service in a professional
manner without discrimination relative to your age, sex, race, religion,
ethnic origin, sexual preference, psychosocial state, physical or mental
handicap, or personal cultural and ethnic preferences.
-
To receive information regarding available patient support services,
including assistance in a language you can understand or the services of
an interpreter for the hearing impaired.
-
To be promptly informed if the prescribed care or services are not
within the provider’s scope, mission, or philosophy and to obtain
assistance in transferring to an appropriate care or service
organization.
-
To be treated with friendliness, courtesy and respect by the provider’s
agents and employees and to be free from mental, physical, sexual, and
verbal abuse, neglect, and exploitation.
-
To have your confidentiality, privacy, safety, security and property
respected by your provider at all times.
-
To request and receive complete and up-to-date information relative to
your condition, treatment, alternative treatments and risks of treatment
within the legal boundaries of medical disclosure.
-
To refuse care and services within the boundaries set by law and to
receive professional information regarding the potential consequences of
the refusal to accept care or service.
-
To request and receive the opportunity to examine or review your medical
and home healthcare records.
-
To express concerns or grievances to your home care service or the state
authority governing home care service providers or recommend
modifications to your home care service or the provider’s staff without
fear of coercion, discrimination, reprisal or unreasonable interruption
of care and services. The Medicare hotline number is 1-800-633-4227.
-
To receive information regarding your rights under state law to
formulate an advance directive for your health care, such as a Living
Will, Durable Power of Attorney for Health Care or a Do Not Resuscitate
order.
-
To expect that all information received by your provider shall be kept
confidential and shall not be released without your written consent.
-
The right to review your provider’s Privacy Notice.
-
The right to revoke any previous consent for release of medical
information or for obtained consent for media recording or filming.
-
To be involved, as appropriate, in discussions and resolutions of
conflicts and ethical issues related to your care.
-
To be informed of any experimental or investigational studies that are
involved in your care and to be provided the right to refuse to
participate in such studies.
-
To expect that your wishes for pain management will be respected and
supported and that pain related to the care/services provided will be
recognized and addressed appropriately.
CONSUMER RESPONSIBILITIES
1. To give the provider accurate information about present complaints,
past illnesses, hospitalizations and medications and to report unexpected
changes in your condition to your physician and/or provider.
2. To inform your provider of your equipment/supply usage
history.
3. To review the provider’s and/or manufacturer’s safety
booklets and actively participate in maintaining a safe environment in your
home.
4. To request additional information on any operational aspect
of delivered equipment you do not fully understand.
5. To use rental equipment with reasonable care, without
alterations or modifications, and to return the equipment in good condition
(normal wear and tear excepted).
6. To promptly report any malfunctions, damage or defects in equipment to
the home medical equipment provider so that repair/replacement can be
arranged.
7. To use the equipment for the purposes so indicated and in compliance
with the physician’s prescription.
8. To adhere to your provider’s plan of service.
9. To permit the provider access to all equipment for
repair/replacement, maintenance and/or pick-up.
10. To keep the equipment in your possession and control and at the address
to which it was delivered, unless otherwise authorized by the provider.
11. To notify the provider of any hospitalization or change in your health
insurance, address, telephone number, physician or prescribed use and to
further notify the provider when the medical need for any rental equipment
no longer exists, including when you are admitted to a hospital or skilled
nursing facility.
12. To request that payment of authorized Medicare, Medicaid, or other
private insurance benefits be paid directly to the provider for any services
rendered.
13. To accept financial responsibility for all home medical equipment
furnished by the provider, including any
equipment that is lost or stolen while in your possession, or for which your
insurance company does not pay.
14. To pay for the replacement cost of any equipment damaged, destroyed, or
lost due to misuse, abuse or neglect.
15. To modify the rental equipment only with the prior written consent of
the provider, recognizing that any authorized modification shall belong to
the titleholder of the equipment, unless the equipment is purchased and paid
for in full.
16. To understand that title to the rental equipment and all parts shall
remain with the home medical equipment service provider at all times unless
the equipment is purchased and paid for in full.