PATIENT INFORMATION AND DISCLOSURES
Services Offered by Corner Home Medical include: Delivery and in-home instruction; Insurance processing and billing; Physician contact to assist with coverage issues; 24-hour emergency on-call technicians; Respiratory therapy staff; Medical equipment technicians; Shipping service; Service department
Return Policy: Items may be returned that are new and unused. Such items must be returned within 15 days of purchase, unopened in the original packaging, and be accompanied by a copy of the sales order. Items billed through insurance must be returned un-opened within 15 days of purchase date.
Non-Returnable Items: Items that have suffered physical damage by the customer may not be returned for any reason. ***BATHROOM EQUIPMENT, PERSONAL CARE ITEMS, FOOD OR ENTERAL PRODUCTS, WOUND CARE DRESSINGS AND SUPPLIES, WHEELCHAIR CUSHIONS, SEAT OR BED CUSHIONS, PILLOWS, SEAT LIFT CHAIRS AND BREAST PUMPS CANNOT BE RETURNED***
Special Order Items: All special-order items except for Seat Lift Chairs will require a non-refundable payment of 100% of
the item cost upon placing the order. Seat Lift Chairs will require a non-refundable payment of 50% of the item cost upon placing the order. The balance will be due before delivery of the chair.
Non-Refundable items: Items such as compression stockings, hernia belts or soft goods which have been worn, used or
opened are not refundable
Warranty Information: Every product sold or rented by our company carries a manufacturer’s warranty. Corner Home Medical will notify all customers, including Medicare beneficiaries, of the warranty coverage, and will honor all warranties under applicable law. All warranties are extended by the manufacturer and NOT by Corner Home Medical. Depending on the circumstances, Corner Home Medical will assist you in resolving warranty issues.
Rental Agreement: If you are renting prescribed medical equipment from Corner Home Medical, the minimum rental period is one month. Refunds cannot be made for any unused portion of time. Oral or written instructions regarding the care and operation of the equipment will be provided at the time of delivery. The equipment will be delivered in good working order and with the exception of normal wear, must be returned in good working order. If not, costs incurred to repair equipment is the responsibility of the patient/responsible person renting the equipment. Equipment will remain at the address where delivery is made unless consent is given by Corner Home Medical to move the equipment to another location. If the patient is admitted to a skilled nursing home or admitted to the hospital, Corner Home Medical should be notified. In case of destruction or loss, the patient will be responsible for the charged retail replacement cost of the equipment. The patient is responsible for notifying Corner Home Medical when the equipment is no longer needed.
Service/Repairs: Customers should call anytime you are having difficulty with your equipment, day or night. Our technicians and therapists will guide you through the problem and assist to correct issues. You may bring equipment for service or repair to our retail locations during business hours, Monday through Saturday. All repair charges are due upon receipt, unless arrangements have been made prior to repair services.
Shipping & Delivery: Routine, ongoing supplies may be shipped via parcel delivery, Monday through Friday. Private pay items on orders under $100 will incur a $12.95 shipping fee. Please allow two to three business days to receive your order. Same day delivery may be available for a courier fee. Larger items and durable medical equipment may be subject to additional delivery fees and are delivered by one of our Technicians directly to your home. You will need to be home or have an authorized person at home to sign for the delivery.
Customer Responsibility: Options include 1) Pay in full by check, money order or cash, or 2) Pay by major credit card or check card.
Private Pay portions will be submitted to you on an invoice or statement, which will be mailed to you. This payment is due upon receipt. If your insurance denies payment, you are responsible for all outstanding charges. If your physician does not complete and forward to Corner Home Medical all necessary documentation supporting medical necessity as defined by your insurance, you will be responsible for all outstanding charges.
Insurance Responsibility: Corner Home Medical will accept Medicare, Medical Assistance and most commercial insurance companies for coverage of your needs, as well as many HMO and PPO insurance plans. Insurance claims are filed on your behalf. Your portion is due upon receipt of invoice. If your insurance carrier does not remit payment within 60 days of our billing date, the balance will be due from you. If we do not have a contract with your insurance, we will bill them as a courtesy to you; however, our office does not accept responsibility for collecting on these claims.
As a service to our Medicare customers, our office accepts Assignment on most Medicare claims. If Medicare denies your claim, we will bill you, and you can choose one of the above credit options. In some instances, claims will be billed Non-Assigned. Non-Assigned means we will bill the retail amount directly to you, which is due upon receipt. Our office will process the claim with Medicare on your behalf, and Medicare will reimburse you directly (the allowable amount.) If you are covered by Medical Assistance, we will bill Medical Assistance for all eligible dates of service. Please notify our office immediately of any changes to your medical insurance. If we are not notified of a change to your medical insurance, we will bill the retail amount directly to you.
Equipment rental agreements are between Corner Home Medical and the customer. If your insurance covers the rental item, we will bill your insurance company on your behalf; however, the rental agreement remains with you, not the insurance carrier.
It is your responsibility to understand your insurance coverage and its effects on the rental agreement, especially when you consider changing insurance plans. Before you change insurance, we advise you to call your new insurance carrier and inquire about coverage for the equipment you are renting. In some instances, the rental period and number of rental payments applied towards purchase (if available) may change or start over when changing insurance plans.
You understand that if you do not pay for a product or service upon receipt of an invoice, you may receive autodialed, pre-recorded calls, or both, from or on behalf of Corner Home Medical at the telephone or wireless number(s) provided. You consent to receive future calls at those number(s) by autodialed calls, pre-recorded calls, or both, and understand that your consent to such calls is not a condition of purchasing any goods or services.
For Capped Rental Items:
- Medicare will pay a monthly rental fee for a period not to exceed 13 months, after which ownership of the equipment is transferred to the Medicare beneficiary.
- After ownership of the equipment is transferred to the Medicare beneficiary, it is the beneficiaries’ responsibility to arrange for any required equipment service or repair.
- Examples of this type of equipment include: hospital beds, wheelchairs, alternating pressure pads, air-mattresses, nebulizers, suction pumps, continuous positive airway pressure (CPAP) devices, patient lifts and trapeze bars.
For Inexpensive or Routinely Purchased Items:
- Equipment in this category can be purchased or rented; however, the total amount paid for monthly rentals cannot exceed the fee schedule purchase amount.
- It is Corner Home Medical’s discretion to establish some products as “purchase only.”
- Examples of this type of equipment include canes, walkers, crutches, commode chairs, low pressure and positioning equalization pads, home blood glucose monitors, and seat lift mechanisms.
Please remember to contact Corner Home Medical when any of the following situations occur:
- Major changes in your condition that may require changes in your equipment needs.
- Pending changes in your insurance or payer source.
- Financial changes that make it difficult to pay for your services or equipment.
- If you are moving to a new location.
- If you believe you are having problems with the equipment or are unsure as to how to use or care for your equipment.
- If your physician feels you no longer need the equipment.
- If you are being admitted into an acute care hospital or a long-term nursing care facility.
- If your physician makes a change in your prescription.
- Any time you have a question as to what is available in the medical equipment/supply market.
- Any time you feel that you are being treated unfairly by Corner Home Medical or have a complaint or a compliment about the company.
- If you would like a copy of your signed paperwork mailed or emailed to you.
Call 763-535-5335 (Greater Twin Cities area) or
320-257-6184 (St. Cloud) and ask for a Technician or Manager.
507-208-4350 (Rochester) and ask for a Technician or Manager.
FOR CONCERNS WITH BILLING:
Call 763-535-5335 and ask for a Billing Representative (Option #3)
AFTER HOURS CONTACT INFORMATION
Call 763-535-5335 or toll free 866-535-5335. You will be prompted to enter “0” to be connected with our 24-hour on-call service. If you are experiencing a medical emergency, please call your local emergency response services at 911.
If you have a complaint about Corner Home Medical or a person providing you with care, you may write, call or visit the office of Health Facility Complaints, Minnesota Department of Health. You may also call the Ombudsman for Older Minnesotans:
OFFICE OF HEALTH FACILITY COMPLAINTS
Minnesota Department of Health
DME REGIONAL CARRIER (MEDICARE)
P.O .Box 39
Lawrence, KS 66044
THE COMPLIANCE TEAM
Note: This is an abbreviated version of the supplier standards every Medicare DMEPOS supplier must meet in order to obtain and retain their billing privileges. These standards, in their entirety, are listed in 42 C.F.R. 424.57(c).
- A supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements.
- 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.
- A supplier must have an authorized individual (whose signature is binding) sign the enrollment application for billing privileges.
- A supplier must fill orders from its own inventory, or contract with other companies for the purchase of items necessary to fill orders. A supplier may not contract with any entity that is currently excluded from the Medicare program, any State health care programs, or 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 and must maintain a visible sign with posted hours of operation. The location must be 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 suppler must permit CMS or its agents to conduct on-site inspections to ascertain the supplier’s compliance with these standards.
- 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 in 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 1. own items, this insurance must also cover product liability and completed operations.
- A supplier is prohibited from direct solicitation to Medicare beneficiaries. For complete details on this prohibition see 42 CFR § 424.57 (c) (11).
- A supplier is responsible for delivery of and must instruct beneficiaries on the use of Medicare covered items, and maintain proof of delivery and beneficiary instruction.
- 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 cost either directly, or through a service contract with another company, any 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 standards to each beneficiary it supplies a Medicare-covered item.
- A supplier must disclose 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 it’s 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 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 for those specific products and services (except for certain exempt pharmaceuticals).
- 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.
- A supplier must meet the surety bond requirements specified in 42 CFR § 424.57 (d).
- 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 CFR § 424.5716(f).
- A supplier is prohibited from sharing a practice location with other Medicare providers and suppliers.
- A supplier must remain open to the public for a minimum of 30 hours per week except physicians (as defined in section 1848(j) (3) of the Act) or physical and occupational therapists or a DMEPOS supplier working with custom made orthotics and prosthetics.
We are committed to preserving the privacy of your personal health information. In fact, we are required by law to protect the privacy of your medical information and to provide you with NOTICE describing:
HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
We are required by law to have your written consent before we use or disclose to others, your medical information for purposes of providing or arranging for your health care, the payment for, or reimbursement of the care that we provide to you, and the related administrative activities supporting your treatment.
We may be required or permitted by certain laws, to use and disclose your medical information for other purposes, without your consent or authorization.
As our patient, you have important rights relating to inspecting and copying your medical information that we maintain, amending or correcting that information, obtaining an accounting of our disclosures of your medical information, requesting that we restrict certain uses and disclosures of your health information, or making a complaint if you think your rights have been violated.
We have available a detailed Notice of Privacy Practices which fully explains your rights and our obligations under the law. We may revise our Notice from time to time. The effective date at the top right-hand side of this page indicates the date of the most current Notice in effect.
You have the right to receive a copy of our most current Notice in effect. If you have not yet received a copy of our current Notice, please call Customer Service at (763) 535-5335 and we will provide you with a copy.
If you have any questions, concerns, or complaints about the Notice or your medical information, please contact Tammi Bagstad, Compliance Officer, Corner Home Medical at 1-866-535-5335, or The Compliance Team at 1-888-291-5353.
EMERGENCY SUPPLY KIT
Keep these items on hand in your Emergency Supply Kit
one gallon of water per person per day for at least
Battery Powered Radio
and a charged cell phone, as well as extra batteries
First Aid Kit
be sure to check expiration dates of the contents and
keep them up to date
or cotton T-shirt, to help filter contaminated air
Wrench or Pliers
to turn off utilities when necessary
Infant Formula and diapers
if you have an infant
at least a three-day supply of nonperishable food
and extra batteries
to signal for help
Plastic Sheeting and Duct Tape
to open canned food, as well as eating utensils
including a map of your area and a map for where you plan to go if you evacuated