{"id":921,"date":"2018-07-09T16:17:17","date_gmt":"2018-07-09T16:17:17","guid":{"rendered":"http:\/\/www.flnavigator.com\/health\/?p=921"},"modified":"2020-10-03T01:35:55","modified_gmt":"2020-10-03T01:35:55","slug":"your-rights-as-a-patient","status":"publish","type":"post","link":"https:\/\/flnavigator.com\/healthfairs\/2018\/07\/health-care-2\/your-rights-as-a-patient\/","title":{"rendered":"Your Rights as a Patient"},"content":{"rendered":"<p><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Your Rights as a Patient<\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">By Robert Goodman, MSW<\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Geriatric Social Worker<\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Medicare Appeal Rights<\/b><\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"> Do you know your rights as a healthcare consumer? Do you have a complaint about the quality of your care? Do you want to appeal a decision about a discharge from a hospital, skilled nursing facility, or home health care agency? An appeal is an action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or Medicare Prescription Drug Plan.<\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">You have the right to appeal if Medicare, your Medicare health plan, or your Medicare drug plan denies one of the following:<\/span><\/span><\/p>\n<ul>\n<li><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">A request for a health care service, supply, item, or prescription drug that you think you should be able to receive.<\/span><\/span><\/li>\n<li><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">A request for payment of a health care service, supply, item, or prescription drug you already use.<\/span><\/span><\/li>\n<li><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">A request to change the amount you must pay for a healthcare service, durable medical equipment, or prescription drugs.<\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">You may also appeal if Medicare or your plan stops providing or paying for all or part of a healthcare service, durable medical equipment, or prescription drug you think you still need. (Source: www.medicare.gov\/claims-and-appeals).<\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Before filing an appeal, gather all the relevant information about the service you are appealing and the reason given for the denial of service or discharge. Then compile whatever documentation is necessary to show that you need that service to continue. This includes notes from a doctor, therapist, or another healthcare provider. Be sure the information is specific to your situation. Document every phone call, email or letter you write or receive. <\/span><\/span><br \/>\n<a name=\"_GoBack\"><\/a> <span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Contact Kepro, the Medicare Quality Improvement Organization for Florida, at 1-844-455-8708 to file an appeal or a complaint about a service. You can learn more information about your right to appeal and download forms on their website, www.keproqio.com.<\/span><\/span><br \/>\n<b> <\/b><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">You can find interesting information on the Medicare.gov website about your rights and benefits. The website has sections where you can find and compare doctors, health plans, hospitals, medical equipment suppliers, nursing homes, home health agencies, dialysis centers, and other providers. You can also locate medical equipment suppliers. <\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Your Other Rights<\/b><\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"> You have the right to receive a copy of your medical records. You should keep a copy of your lab work, diagnostic reports, and other important medical information. <\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"> If you have a visual impairment, you have the right under the Americans with Disabilities Act (ADA) to request that your health care provider supply you with information written in large print. Under the ADA, any business or health care provider must make print documents available in an alternate format for people with visual impairments. This includes large print, Braille, or audio tapes. They also have the option of reading the material to a consumer. <\/span><\/span><br \/>\n<span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"> The following are additional resources for information on health care providers:<\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Accreditation Association for Ambulatory Health Care<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Finding out if urgent care centers and ambulatory surgical centers are accredited.<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">(847) 853-6060<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>American Association for Accreditation of Ambulatory Surgical Facilities<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Finding out if an ambulatory surgical center is accredited. (888) 545-5222<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>American Board of Medical Specialties<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Finding out if a doctor is board certified. (866) 275-2267<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>MAXIMUS Center for Health Dispute Resolution (CHDR)<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Requesting external reviews of Medicare managed care denials.<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">(585) 425-5210<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Florida Medical Quality Assurance Inc., The Florida ESRD Network &#8211; Network 7<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Where to submit a complaint about the quality of care I received from my kidney dialysis facility.<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Report Medicaid fraud and abuse: (866) 762-2237<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Florida Agency for Health Care Administration<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Where to submit a complaint about the quality of life or quality of care inside a nursing home. (888) 419-3456<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Long Term Care Ombudsman of Florida<\/b><\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Obtaining information on nursing homes or resolving problems between nursing homes and residents or their families. (888) 831-0404, 561-837-5038<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\"><b>Florida Health Finder <\/b><\/span><\/span><\/span><span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">www.floridahealthinder.gov<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Learn about medical conditions, symptoms, procedures, tests and more. Find and learn about Florida health care facilities and providers in your area.<\/span><\/span><\/span><br \/>\n<span style=\"color: #3e3c39;\"><span style=\"font-family: 'Times New Roman', serif;\"><span style=\"font-size: large;\">Source: http:\/\/www.medicare.gov\/contacts\/topic-search-results.aspx<\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Your Rights as a Patient By Robert Goodman, MSW Geriatric Social Worker Medicare Appeal Rights Do you know your rights as a healthcare consumer? Do you have a complaint about the quality of your care? Do you want to appeal a decision about a discharge from a hospital, skilled nursing facility, or home health care [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[105,163],"class_list":["post-921","post","type-post","status-publish","format-standard","hentry","category-health-care-2","tag-health-care","tag-rights"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/posts\/921","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/comments?post=921"}],"version-history":[{"count":1,"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/posts\/921\/revisions"}],"predecessor-version":[{"id":1862,"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/posts\/921\/revisions\/1862"}],"wp:attachment":[{"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/media?parent=921"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/categories?post=921"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/flnavigator.com\/healthfairs\/wp-json\/wp\/v2\/tags?post=921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}