EQUIPMENT WARRANTY
ADVANCE DIRECTIVES
ADVANCE DIRECTIVES
All information is confidential and is under HIPAA compliance.
6737 Poss Rd #204 San Antonio, TX 78238
Call us at: 210-520-7496
Open: Mon - Thu: 9 am. - 5 p.m. · Fri: 9 a.m .- 12 p.m.
DME COMPANY
Bill Of Rights & Responsibilities
Home care clients have a right to be notified in writing of their rights and obligations before treatment is begun. The client’s family or guardian may exercise the client’s rights when the client has been judged incompetent. Home care providers have an obligation to protect and promote the rights of their clients, including the following rights.
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Client Rights:
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Be treated with dignity, courtesy, and respect.
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Be fully informed upon admission of the company’s policies, procedures, ownership, or control of the local facility and the process for receiving, reviewing, and resolving your complaints or concerns.
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Receive complete explanations of charges for services and equipment, including eligibility for third-party reimbursement and an explanation of all forms you are requested to sign.
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Receive quality equipment, supplies, and services that meet or exceed professional and industry standards regardless of race, religion, political belief, sex, social status, age, or disability.
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Receive equipment, supplies, and services from qualified personnel and receive instructions on self-care, safe and effective operation of equipment, and your responsibilities regarding equipment, supplies, and services, without discrimination in accordance with your physician orders.
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Participate in decisions concerning the nature and purpose of any technical procedure which will be performed and who will perform it, the possible alternatives and/or risks involved, and your right to refuse all or part of the services and to be informed of expected consequences of any such action.
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Confidentiality of all your records (except as otherwise provided for by law or third-party payer contracts) and to review and even challenge those records and to have your records corrected for accuracy.
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Express dissatisfaction and suggest changes in any service without discrimination, reprisal, or unreasonable interruption of services.
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Be advised of the telephone number of the Medicare “Fraud Hot Line” is 1-800-638-6833, ACHC 1-919-785-1214.
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Participate in the planning of the care and in planning changes in the care, and be advised that you have the right to do so.
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Accept or refuse medical treatment while competent and make decisions about care/services to be received should you lose competency.
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Able to identify company personnel through proper organizational identification badges or cards.
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Be informed of any financial benefits when referred to an outside organization.
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Be informed of client rights under state law to formulate advanced care directives.
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Client Responsibilities:
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Adhere to the plan of care or service established by their physician.
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Participate in the development of an effective plan of care.
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Provide medical and personal information necessary to plan and provide services.
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Be available at the time deliveries are made and to allow an SP MEDICAL SUPPLY, LLC representative to enter their residence at reasonable times to repair or exchange equipment or to provide care.
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Notify the company if he/she is going to be unavailable.
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Treat company personnel with respect and dignity without discrimination.
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Provide a safe environment for staff to provide care and services.
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Care for and safely use equipment, according to instructions provided, for the purpose it was prescribed and only for/on the client for whom it was prescribed. Monitor the quantity of oxygen, nutritional products, and supplies in their homes and reorder as required to assure timely delivery of the required items.
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Protect equipment from fire, water, theft, or other damage. The client agrees not to transfer or allow his/her equipment to be used by any other person without the prior written consent of the company and further agrees not to modify or attempt to make repairs of any kind to the equipment.
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Except where contrary to federal or state law, the client is responsible for equipment rental and sale charges which the client’s insurance company or companies does not pay. The client is responsible for settlement in full of his/her accounts.
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The company should be notified of any changes in the client’s physical condition, physician’s prescription, or insurance coverage. Notify the company immediately of any address or telephone changes whether temporary or permanent.