Policy Manual sample

MDT Home Health Care Agency, Inc. notes/observation shall be dropped in our facility no longer than 1 week after services was provided (By second business day, before 5:00 pm) (x) This agreement is legally binding. Will be in effect for 12 months, and automatically renewal/evaluated for a period of 12 months, if not cancelled by any party. (xi) This contract/agreement shall be in effect from the date both parties sign the contract and finish for specific patient, the date the patient is discharged from our Agency. (xii) This contract/agreement is subject to review by our Agency at any time and at any frequency as may be necessary based on charges in patient care plan as may be ordered by the patient's physician. (xiii) The contract employee shall ad here to all applicable policies and personnel requirements of MDT Home Health Care Agency, Inc. (xiv) Our Agency has full responsibility over all contracted services, and ensure overall quality of care provided by contracted/contingency staff. (xv) Our Agency has full responsibility to retain and maintain all clinical records of patients served by this Contract. (xvi) The second party must submit evidence of License, Liability and Insurance coverage. As independent Facility your entity is responsible for maintain Worker Compensation Insurance for all contracted staff assigned to our Agency. (xvii) The Patient’s information will be use only for the purposes for which it was engaged by the service provided, will safeguard the information from misuse, and will help the Agency comply with some of the Agency’s duties under the HIPAA Privacy Rule. We may disclose protected health information only to an entity/individual in our role as associated only to help us carry out its health care functions – not for the associate’s independent use or purposes, except as needed for the proper management and administration of the business associate. All records information will maintained “CONFIDENTIAL” (Our Agency is responsible for all patient identifiable information contained in the clinical records, including OASIS data. This information will be kept confidential and will not be released to the public). Both party will assure to be in compliance with all State/Federal regulations, Medicare conditions of participation (if applicable), Equal opportunity Act, and Non Discrimination in any way (age, sex, religion, cultural background, sexual orientation, disability, etc) on employment or during providing services to our patients/clients. (xviii) The use of personal electronic records for contracted staff is permitted. If the contracted staff are using their own personal computers to document patient care, by doing point-of-care documentation electronically, they must be in compliance with our home care's policy on the use of electronic health care information, that must be protected by a password, encryption, encoding and having a back-up security/storage system for all patient electronic health care information. No other person, family member, or friend must be access to patient’s documentation, after documentation is submitted to the Agency, those information must be deleted from their personal computer in a secure form. Each contracted staff must be in compliance with all HIPAA guidelines and rules referent to electronic health documentation. (xix) Our HHA will ensure that all services furnished under arrangement provided by other entities or individuals meet the requirements of section 1861(w) of the Act (42 U.S.C. 1395x (w)). (discharges the patient the liability to pay for the services) (xx) The contracted agency, organization, or individual providing services under arrangement may not have been: (i) Denied Medicare or Medicaid enrollment; (ii) Been excluded or terminated from any federal health care program or Medicaid; (iii) Had its Medicare or Medicaid billing privileges revoked; or (iv) Been debarred from participating in any government program. Home Health Agency Agreements G-5