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.
Your Health Information Is Private
We are required to keep your information private, share your information only when we need to, and follow the privacy practices outlined in this notice. When you filled out our patient information sheet, you may provide us with information about your health. When your doctor, clinic, hospital and other health care providers disclose this information to us so that we may be part of your treatment, we may also get information about your health, treatments, and medications.
When & How We Disclose Your Health Information
- If you or your representative requests your health information.
- If Government agencies request the information as allowed by law such as audits.
- We may Contact you about important medical information.
- We may collect payment from your insurance companies.
- When we manage your health care treatment with 3rd party when needed.
- We may Contact you for appointment reminders.
- You will be asked to sign your name on sign in sheets.
Your Privacy Rights
You have the right to:
- Inspect your health information.
- Ask to restrict parts of your health information when not required by us or law.
- Get a copy of your health information at a nominal copy fee.
- Ask us to change your health information upon written request supporting and stating the reason.
- Ask us to contact and communicate with you through reasonable other means when possible.
- Ask for a form to sign permitting us to share your health information with whoever you choose.
- Complain without reprisal or discontinuation of service.
- Get a paper copy of this notice.
You may complain to us or to the Secretary of the US Department of Health and Human Services if you feel your privacy rights have been compromised or violated by us. You will not be penalized for filing a complaint.
PATIENT RIGHTS AND RESPONSIBILITIES
- The Patient has the right to considerate and respectful service.
- The patient has the right to obtain service without regard to race, creed, national origin, sex, age, disability, diagnosis or religious affiliation.
- Subject to applicable law, the patient has the right to confidentiality of all information pertaining to his/her medical equipment service. Individuals or organizations not involved in the patient’s care, may not have access to the information without the patient’s written consent.
- The patient has the right to make informed decisions about his/her care.
- The patient has the right to reasonable continuity of care and service.
- The patient has the right to voice grievances without fear of termination of service or other reprisal in the service process.
- The patient should promptly notify Next Step Medical of any equipment failure or damage.
- The patient is responsible for any equipment that is lost or stolen while in their possession and should promptly notify Next Step Medical in such instances.
- The patient should promptly notify Next Step Medical of any changes to their address or telephone.
- The patient should promptly notify Next Step Medical of any changes concerning their physician.
- The patient should notify Next Step Medical of discontinuance of use.
- Except where contrary to federal or state law, the patient is responsible for any equipment rental and sale charges which the patient’s insurance company/companies does not pay.
- Should your insurance pay you directly for services rendered by Next Step, it is your responsibility to forward the Explanation of Benefits and the insurance check to us promptly.
Every Product sold or rented by our company carries a (1) year manufacturer’s warranty. Next Step Medical will notify all Medicare beneficiaries of the warranty coverage, and we will honor all warranties under applicable law. Next Step Medical will repair or replace, free of charge, Medicare-covered equipment that is under warranty. I agree that Next Step Medical Corp. is not liable for any incidental or consequential damages resulting from defective equipment/device; and that Next Step Medical Corp’s liability is limited to the repair or replacement of the equipment/device.
MEDICARE SUPPLIER STANDARDS
- A supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements and cannot contract with an individual or entity to provide licensed services.
- A supplier must provide complete and accurate information on the DMEPOS supplier application. Any changes to this information must be reported to the National Supplier Clearinghouse within 30 days.
- An authorized individual (one whose signature is binding) must sign the application for billing privileges.
- A supplier must fill orders from its own inventory, or must contract with other companies for the purchase of items necessary to fill the order. A supplier may not contract with any entity that is currently excluded from the Medicare program, any State health care programs, or from any other Federal procurement or non-procurement programs.
- A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental equipment.
- A supplier must notify beneficiaries of warranty coverage and honor all warranties under applicable State law, and repair or replace free of charge Medicare covered items that are under warranty.
- A supplier must maintain a physical facility on an appropriate site. This standard requires that the location is accessible to the public and staffed during posted hours of business. The location must be at least 200 square feet and contain space for storing records.
- A supplier must permit CMS, or its agents to conduct on-site inspections to ascertain the supplier’s compliance with these standards. The supplier location must be accessible to beneficiaries during reasonable business hours, and must maintain a visible sign and posted hours of operation.
- A supplier must maintain a primary business telephone listed under the name of the business in a local directory or a toll free number available through directory assistance. The exclusive use of a beeper, answering machine, answering service or cell phone during posted business hours is prohibited.
- A supplier must have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier’s place of business and all customers and employees of the supplier. If the supplier manufactures its own items, this insurance must also cover product liability and completed operations.
- A supplier must agree not to initiate telephone contact with beneficiaries, with a few exceptions allowed. This standard prohibits suppliers from contacting a Medicare beneficiary based on a physician’s oral order unless an exception applies.
- A supplier is responsible for delivery and must instruct beneficiaries on use of Medicare covered items, and maintain proof of delivery.
- A supplier must answer questions and respond to complaints of beneficiaries, and maintain documentation of such contacts.
- A supplier must maintain and replace at no charge or repair directly, or through a service contract with another company, Medicare-covered items it has rented to beneficiaries.
- A supplier must accept returns of substandard (less than full quality for the particular item) or unsuitable items (inappropriate for the beneficiary at the time it was fitted and rented or sold) from beneficiaries.
- A supplier must disclose these supplier standards to each beneficiary to whom it supplies a Medicare-covered item.
- A supplier must disclose to the government any person having ownership, financial, or control interest in the supplier.
- A supplier must not convey or reassign a supplier number; i.e., the supplier may not sell or allow another entity to use its Medicare billing number.
- A supplier must have a complaint resolution protocol established to address beneficiary complaints that relate to these standards. A record of these complaints must be maintained at the physical facility.
- Complaint records must include: the name, address, telephone number and health insurance claim number of the beneficiary, a summary of the complaint, and any actions taken to resolve it.
- A supplier must agree to furnish CMS any information required by the Medicare statute and implementing regulations.
- All suppliers must be accredited by a CMS-approved accreditation organization in order to receive and retain a supplier billing number. The accreditation must indicate the specific products and services, for which the supplier is accredited in order for the supplier to receive payment of those specific products and services (except for certain exempt pharmaceuticals). Implementation Date – October 1, 2009
- All suppliers must notify their accreditation organization when a new DMEPOS location is opened.
- All supplier locations, whether owned or subcontracted, must meet the DMEPOS quality standards and be separately accredited in order to bill Medicare.
- All suppliers must disclose upon enrollment all products and services, including the addition of new product lines for which they are seeking accreditation.
- Must meet the surety bond requirements specified in 42 C.F.R. 424.57(c). Implementation date- May 4, 2009
- A supplier must obtain oxygen from a state- licensed oxygen supplier.
- A supplier must maintain ordering and referring documentation consistent with provisions found in 42 C.F.R. 424.516(f).
- DMEPOS suppliers are prohibited from sharing a practice location with certain other Medicare providers and suppliers.
- DMEPOS suppliers must remain open to the public for a minimum of 30 hours per week with certain exceptions.
- For Medical Emergency: call (911)
- For Service: call (855) 997-2438
- Fax Number: (888) 854-4705
Next Step Medical
4501C North Witchduck Road
Virginia Beach, VA 23455