Be informed of your rights and all regulations regarding your responsibilities as a patient in writing at the time of admission and before the initiation of care, and on an ongoing basis as necessary
Exercise your rights as a patient of Miracle Home Health of Wisconsin; the patient’s family, guardian, or legal representative may exercise the patient’s rights when the patient has been judged incompetent by a court of law
Be afforded the opportunity to participate in the planning of home health services, along with the right to receive information on the scope of services that will be provided and any specific limitations to those services; your participation in planning also includes referrals to health care institutions or other agencies, and the right to refuse to participate in experimental research
Be informed of any financial benefits when referred to another organization
Be informed of your rights under state law to formulate advance directives
Choose a healthcare provider, including the choice of an attending physician; and receive appropriate care without discrimination in accordance with physician orders, including the implementation of advance directives
Be informed in advance about care/service to be provided, including the disciplines that furnish care, and the frequency of visits, to be informed of any changes in care or services before changes occur
Be informed orally and in writing of any changes in care regarding payment sources and charges, when they occur; Miracle Home Health of Wisconsin must advise you as soon as possible, but no later than 30 calendar days from the date that Miracle Home Health of Wisconsin becomes aware of a change
Be informed by knowledgeable staff about your medical condition, unless medically contraindicated, to the extent known and be given an opportunity to participate in preparing a care plan that addresses your needs and preferences, and updating it as your condition changes, as well as being informed of any modifications to the plan of care
Make decisions regarding medical care, including to accept or refuse care, treatment and/or services within the confines of the law after being fully informed, and to be told the consequences of your action
Be informed and when appropriate, have your family informed with your permission, about the anticipated outcomes of care, treatment and/or services, based on the current body of knowledge, along with any barriers to outcome achievement or unanticipated outcomes, related to care
Be taught, and have the family taught, the treatment required, so that the patient can, to the extent possible, help him or herself, and the family or other party designated by the patient can understand and help the patient
Be able to identify visiting personnel members through proper identification
Have your property and person treated with respect, consideration, and full recognition of patient dignity and individuality, including privacy in treatment and care for personal needs; along with the right to be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of patient property
Have the ability to voice grievances and file complaints regarding treatment or care that is provided or has failed to be provided. For example a lack of respect of property, or to recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal, and not be subject to discrimination for so doing
Be informed that Miracle Home Health of Wisconsin must investigate grievances/complaints that you or your family or your legal representative make regarding your treatment and respect for your rights by anyone furnishing services on behalf of Miracle Home Health of Wisconsin; Miracle Home Health of Wisconsin must document such complaints and how they are resolved
Be informed of the procedure to follow to voice concerns, complaints, or grievances, including the implementation of advance directives; as detailed in the Miracle Home Health of Wisconsin Patient Handbook; including contacting Miracle Home Health of Wisconsin Administration, our accrediting organization (ACHC) (855) 937-2242, the State Home Health Agency Hotline (24 hrs/day, 7 days/week) (800) 642-6552, and for Medicare covered patients KEPRO (855) 408-8557
Expect confidentiality and privacy of personal and medical records and to approve or refuse their release to any individual outside the agency ,except in the case of transfer to another health facility, or as required within applicable laws or regulations or third-party payment contract
Be informed of the reasons for collecting and reporting of OASIS information and be provided with a copy of your OASIS Privacy Rights
Access your records upon request in accordance with Miracle Home Health of Wisconsin policies.
Be informed orally and in writing in advance of the care/services covered under, as well as the extent to which payment may be expected from, Medicare, Medicaid, third party payer home care benefits and/or any federally funded or aided program, and any costs for which you may be responsible
Access, request amendments to, and receive an accounting of disclosures regarding your personal health information, as permitted under applicable laws
Be informed within a reasonable amount of time of anticipated termination of service or transfer to another organization; and appeal the anticipated termination date of care, treatment and/or services, if a traditional fee-for-service Medicare beneficiary, to the appropriate Quality Improvement Organization—KEPRO (855) 408-8557
Patient Responsibilities
Confirm understanding, either verbally or in writing, of the plan of care being outlined by the Miracle Home Health of Wisconsin
Remain under a physician’s care while receiving Miracle Home Health of Wisconsin services
Ensure compliance with physician appointments to adhere to the CMS “face-to-face” requirement, as outlined by the Medicare Benefit Policy Manual
Provide Miracle Home Health of Wisconsin with a complete and accurate health history in order to plan and carry out care
Inform Miracle Home Health of Wisconsin staff about any changes in your health status, condition or treatment
Voice any concerns you may have about errors or the quality of care, treatment and/or services you are receiving
Ask questions about your condition and the care, treatment and/or services you are receiving
Report any problems/concerns related to medications, including prescribed and over‑the‑counter medications and herbal/nontraditional preparations
Provide Miracle Home Health of Wisconsin with all requested insurance and financial information/records
Sign or have your legal representative sign the required consents and releases for insurance billing
Allow Miracle Home Health of Wisconsin to act on your behalf in filing appeals of denied payment of service by third-party payers and to cooperate to the fullest extent possible in such appeals
Notify Miracle Home Health of Wisconsin of any changes in treatment made by the physician
Participate in your plan of care including, if appropriate, a pain management plan
Ask your nurse/therapist what to expect regarding pain and pain management
Discuss pain relief options with your nurse/therapist
Provide your nurse/therapist with as much comprehensive information as possible about your pain and any concerns you may have about pain medications and/or management
Be available to Miracle Home Health of Wisconsin staff for home visits at reasonable times
Notify Miracle Home Health of Wisconsin if you are going to be unavailable for a visit
Treat Miracle Home Health of Wisconsin staff with respect and dignity without discrimination as to color, religion, sex or national or ethnic origin
Accept the consequences for any refusal of treatment or choice of noncompliance
Provide Miracle Home Health of Wisconsin staff with a safe home environment in which your care can be provided
Cooperate with your physician, Miracle Home Health of Wisconsin staff and other caregivers
Inform Miracle Home Health of Wisconsin if you are unable to understand or follow the organization’s written instructions
Make a family member or substitute available who will assume a primary caregiver role when Miracle Home Health of Wisconsin staff are not in your home
