We have been improving patient lives and healthcare outcomes for more than 30 years. It’s our purpose to help people live better.
Standard care protocols and guidelines are combined with custom care algorithms to create an individualized Plan of Care. Our Respiratory Therapists (RT) provide intervention and instruction tailored to each patient.
The company is dedicated to providing home medical equipment and clinical respiratory services to patients with the utmost quality and professionalism. The company will accept only patients whose health care needs, as identified by the referring source, can be met by the services offered by this company.
Scope of Services: An appropriate qualified health professional will compare patient needs to company services to insure that the company can fully comply with the physician’s order through the personnel, equipment, and services if provides:
Home Medical Equipment Home Respiratory Equipment
Ambulatory Accessories Aspirators/Suction Machines
Bariatric Clinical Respiratory Services
Canes CPAP and BiPAP
Crutches, Forearm Crutches Liquid Oxygen
Commodes/Shower Chairs Nebulizer Compressors
Enteral Food Pumps and Nutrition Oxygen Concentrators
Hoyer Lifts Oxygen Conserving Devices
Hospital Beds Portable Oxygen
Lift Chairs/Recliners Ventilators, Invasive & Non-Invasive
Low Air Loss Systems Cough Assist
Negative Pressure Wound Pumps Chest Vest (airway clearance device)
Orthopedic Supplies IPV
Transfer Benches Flutter Device
Note: Not all services are available at each branch. Contact a service representative for information.
ACKNOWLEDGEMENT OF DELIVERY AND INSERVICE
I hereby acknowledge receipt of the items listed afore. I understand that I must notify Med South, Inc. and/or its affiliates within five (5) business days of receipt of any discrepancies about this delivery or credit will not be allowed. I further acknowledge that I have received and understand the Customer Bill of Rights and Responsibilities. I have also been given instructions on using the emergency phone number and how to file a complaint. The equipment received is clean and operating properly and I have been given verbal and/or written instructions as to the safe and appropriate storage, usage, cleaning and routine maintenance of this equipment. I have verified these instructions by a return demonstration. I have also been given instructions regarding basic Home Safety, Infection Control Procedures, and Trouble Shooting Procedures where applicable, and Medicare Supplier Standards.
As a client, you have the right to freely voice any concerns and recommend changes in care of services without fear of reprisal or unreasonable interruption in services. Service, equipment and billing concerns will be communicated to management. If you are a Medicare beneficiary, your complaint will be logged in the Medicare Beneficiaries Complaint Log and completed forms with include your contact information, a summary of the complaint and actions taken to resolve the complaint.
All concerns or complaints will be handled as follows:
Call the company who set up/provided you with your equipment and request to speak with the Manager. Give the details of your concerns. If the Manager is unable to resolve the issue, the concern will be brought to the attention of the VP of Corporate Compliance. Resolution will be rendered in a timely fashion. If the caller is satisfied with the resolution, the case will be closed. However, if the resolution is not to the caller’s satisfaction, the matter will be directed to the President of the Company for resolution. Concerns and complaints are resolved within 14 days.
Safety or Quality Concerns
Our primary goal is to provide you with quality care in a safe environment. Your health is our top priority. To aid us in our efforts we may ask for your help. If you have a safety or quality concern we would like to know. Please contact us at 1-800-423-8677.
If your concerns are not addressed satisfactorily, please contact:
VP of Corporate Compliance, Lisa Wells
Med South, Inc. | 406 Medical Center Drive | Jasper, AL 35501
1-800-423-8677 or [email protected]
If your concerns still have not been addressed to your satisfaction, you may contact:
Joint Commission on Accreditation of Healthcare Organizations
Office of Quality Monitoring
1 Renaissance Boulevard | Oakbrook Terrace, IL 60181
1-800-994-6610 or [email protected]
DMEPOS SUPPLIER STANDARDS
The products and/or services provided to you by Med South, Inc. and all of its Affiliates are subject to the supplier standards contained in the Federal regulations shown at 42 Code of Federal Regulations Section 424.57(c). These standards concern business professional and operational matters (e.g., honoring warranties and hours of operation). The full text of these standards can be obtained from the U.S. Government Printing Office website. Upon request we will furnish you a written copy of the standards.
EQUIPMENT WARRANTY INFORMATION
Company will repair or replace free of charge any equipment that is under warranty. Company will honor all warranties under applicable law. Company will provide an owner’s manual with warranty information to patient/caregiver when this manual is available.
Develop a personal action plan, which describes what you will do in case a natural hazard threatens your area. You should assemble a portable survival kit which includes:
Disease Prevention and Control Activities
Wash your hands after changing diapers, going to the bathroom or coming in contact with any of the things listed on this page that may carry disease.
During everyday activities, disease outbreaks, and emergency events such as flooding, it is vital to know about disease control and prevention. Cover your mouth and nose with a tissue every time you cough or sneeze, and throw the tissue in a trash container. If you do not have a tissue, cough into your sleeve. Wash your hands afterwards.
What are the warning signs of elder abuse? While one sign does not necessarily indicate abuse, some tell-tale signs that there could be a problem are:
Remember, it is not your role to verify that abuse is occurring, only to alert others of your suspicions. If someone is in immediate danger, call 911 or the local police for immediate help. To report elder abuse, contact the Adult Protective Services (APS) agency in the state where the elder resides. You can find the APS reporting number for each state by visiting:
ARE YOU OR A LOVED ONE AT RISK FOR FALLS?
Falls are responsible for major disabilities and death. In those over the age of 65, more than one third have at least one fall each year.
Who is at Risk of Falls? Everyone is at risk for falling, but that risk increases as we get older. It is most likely due to changes we experience as we age, such as changes to our vision, hearing, balance, touch, arthritis, medications, loss in muscle tone (usually due to lack of exercise), poor nutrition, cognitive impairments such as Alzheimer’s. Since most falls occur in the home, basic home safety corrections can go a long way in reducing your chances of falling.
What to Do if You Fall:
Med South, Inc. and Affiliates
NOTICE OF PRIVACY PRACTICES
Our Duties in Protecting Your Health Information
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.
Med South, Inc. and its Affiliates are providing this Notice of Privacy Practices because the privacy of your health information is very important to you and to us, and in compliance with federal regulations.
By “your health information” we mean your protected health information that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services and other information related to your health care that we maintain about you.
We are required by law to maintain the privacy of your health information. We must inform patients or their legal representatives of our legal duties and privacy practices with respect to health information. This Notice discharges that duty, and we must abide by the terms of the Notice currently in effect.
We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that we maintain. At any time, you may obtain a copy of the current Notice from the VP of Corporate Compliance, Lisa Wells at 406 Medical Center Drive, Jasper, AL 35501.
The Notice covers:
Uses or Disclosures Which Do Not Require Your Written Authorization
We use or disclose your health information to carry out your treatment; to obtain payment for your treatment; and to conduct health care operations. For example:
Uses or Disclosures of Your Health Information to Which You May Object
Uses or Disclosures Required or Permitted
Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization.
Your Authorization Is Needed for Other Uses and Disclosures
We will not use or disclose your medical information for any other purpose unless you give us written authorization to do so. If you give us written authorization to use or disclose your medical information for a purpose that is not described in this notice, then, in most cases, you may revoke it in writing at any time. Your revocation will be effective for all your medical information that we maintain, unless we have taken action in reliance on your authorization. Below are some of the circumstances when we may use and disclose your medical information only with your authorization:
Your Rights as a Patient to Privacy of Your Health Information
The Right to Request Additional Restrictions on Uses and Disclosures of Your Medical Information. You have the right to ask that we put additional restrictions on how we use and disclose your medical information, including, in limited circumstances, the disclosure of certain medical information to your health plan when you pay out of pocket in full for a treatment you receive. We do not have to agree to your request, unless such request relates to a permissible restriction on disclosure of medical information to your health plan.
Complaints, Contact Person, Effective Date, and Acknowledgement
You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint. You may file your complaint with our agency by writing to:
Lisa Wells, VP of Corporate Compliance
Med-South, Inc. & Affiliates
406 Medical Center Drive, Jasper, AL 35501
If you believe your protected health information has been misused, you may file a complaint with Lisa Wells at 205-221-8258.
OR, in writing to:
The Secretary of Health and Human Services
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Washington, D.C. 20201
OR, in writing to:
Office for Civil Rights, DHHS
61 Forsyth Street, SW
Suite 3B70 Atlanta, Ga. 30303-8909
(Region IV—Al, FL, GA, KY, MS, NC, SC, TN)
OR, at website: