Home Nursing With Heart appreciates the opportunity to serve you. We look forward to assisting you and your family, your appointed representatives and caregivers.

Discharge, Transfer and Referral

Discharge, transfer, or referral from this agency may result from several types of situations including the following:

  • The patient or caregiver will no longer pay for the services provided by the agency.
  • The transfer or discharge is appropriate because the physician who is responsible for the plan of care and the agency agree that the measurable outcomes and goals set forth in the plan of care have been achieved, and services are no longer needed.
  • The patient refuses services, or elects to be transferred or discharged.
  • The agency determines, under the agency policy for discharge with cause, that the patient’s (or other persons in the patient’s home) behavior is disruptive, abusive, or uncooperative to the extent that delivery of care to the patient or the ability of the agency to operate effectively is seriously impaired.
  • The patient dies
  • Agency ceases to operate

If you elect to transfer from another agency and were under an established plan of care, Medicare requires us to coordinate the transfer. The initial home health agency will no longer receive Medicare payment on your behalf and will no longer provide·you with Medicare-covered services after the date of your elected transfer to our agency. If you elect, once on our service, to transfer to another agency, you will no longer receive Medicare-covered services under our agency.

Notice of Medicare Non-Coverage: You or your authorized representative will be asked to sign and date a Notice of Medicare Non-Coverage at least 2 days before your covered Medicare services will end. lf you or your authorized representative is not available, we will make contact by phone, and then mail the notice. If you do not agree that your covered services should end, you must contact the Quality Improvement Organization (QIO) at the phone number listed on the form no later than noon of the day before your services are to end and ask for an immediate appeal.

Problem Solving Procedure

We are committed to ensuring that your rights are protected. If you feel that our staff failed to follow our policies or has in any way denied you your rights, please follow these steps without fear of discrimination or reprisal:

Notify the Agency Administrator, Julie Harding, by phone: (402)614-4622

  1. Monday through Friday from 8:00 AM to 5:00 PM. You may also submit your complaint in writing to 7602 Park Drive, Omaha, NE 61827, the agency address. Most problems can be solved at this level.
  2. You may also contact the state’s toll-free home care agency hotline at 1-800-245-5832.Their hours are 8-5 Monday through Friday, but available 24 hours a day. The purpose of the hotline is to receive complaints or grievances against the local home care agencies and complaints regarding advance directive requirements.

Patient Rights and Responsibilities

Patient Rights & Responsibilities

As your home health provider, we have an obligation to explain to you, your rights and responsibilities in a way you understand before we begin care. You will be asked to sign that you have received these rights. Your family or your guardian may exercise these rights in the event you are not able to exercise them for yourself.

Your Rights

You have the right to:

  • Have your property and person be treated with respect
  • You have the right to be free from verbal, mental, sexual, and physical abuse, including injuries of unknown source, neglect and misappropriation of property.
  • You have the right to make complaints to the agency regarding treatment or care that is (or fails to be) furnished, and the lack of respect for property and/or person by anyone who is furnishing services for the home health agency.
  • You have the right to participate in, be informed about, and consent or refuse care in advance of and during treatment, where appropriate such as:
    • Completion of all assessments
    • The care to be furnished, based on the comprehensive assessment
    • Establishing and revising the plan of care
    • The disciplines that will furnish the care
    • The frequency of visits
    • Expected outcomes of care, including patient-identified goals, and anticipated risks and benefits
    • Any factors that could impact treatment effectiveness
    • Any changes in the care to be furnished
  • You have the right to participate in, be informed about, and consent or refuse care in advance of and during treatment, where appropriate such as:
    • Any changes in the care to be furnished
  • You have the right to receive all services outlined in the plan of care
  • You have the right to have a confidential clinical record.
  • You have the right to be advised of:
    • The extent to which payment for services may be expected
    • The charges for services that may not be covered
    • The charges the patient may have to pay BEFORE care is initiated
    • The agency must advise the patient and representative of any changes ASAP, in advance of next home health visit
  • You have the right to receive a proper written notice, in advance of specific service being furnished, if the agency believes that the service may be non-covered, or in advance of the agency reducing or terminating ongoing care.
  • We must notify you of the decision to terminate covered services no later than 2 days before the proposed end of the services. If your services are expected to be fewer than 2 days in duration we must notify you at the time of admission. If, in a non-residential setting, the span of time between services exceeds 2 days, the notice must be given no later than the next to last time services are furnished.
  • You have the right to be advised of state toll-free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions about local home health agencies.
  • Hotline hours are 8AM to 5PM, Monday through Friday. The hotline may be reached at 1-800-245-5832.
  • You have the right to the names, addresses and telephone numbers of the following federally funded and state funded entities that serve the area where you live:
    • Area Agency on Aging-ENOA
      4780 S. 131st Street, Omaha, NE 68137
      P: (402)444-6536
    • Center for Independent Living-League of Human Dignity
      5513 Center Street, Omaha, NE 68106
      P: (402)595-1256
    • Protection for Advocacy Agency-ARC of Nebraska
      215 Centennial Mall, Lincoln, NE 68508
    • Aging and Disability Resource Center-ADRC of Nebraska
      4780 S. 131st Street, Omaha, NE 68137
      P: (844)843-6364
    • Quality Improvement Organization-KEPRO
      5201 W. Kennedy Blvd, Tampa, FL 33609
      P: (855) 408-8557
  • You have the right to be free from any discrimination or reprisal for exercising his or her rights or for voicing grievances to the agency or an outside entity.
  • You have the right to be informed of the right to access auxiliary aids and language services

Privacy and Security

You have the right to:

  • Personal privacy and security during home care visits and to have your property treated with respect. Our visiting staff will wear proper identification so you can identify them.
  • Confidentiality of written, verbal, and electronic information including your medical records, information about your health, social and financial circumstances or about what takes place in your home.
  • Refuse filming or recording or revoke consent for filming or recording of care, treatment and services for purposes other than identification, diagnosis or treatment.
  • Access, request changes to and receive an accounting of disclosures regarding your own protected health information as permitted by law.
  • Request us to release information written about you only as required by law or with your written­ authorization and to be advised or our policies and procedures regarding accessing and/or disclosure of clinical records. Our Notice of Privacy Practices describes your rights in detail.

Financial Information

You have the right to:

  • Be advised orally and in writing before care is initiated of our billing policies and payment procedures and the extent to which payment may be expected from Medicare, Medicaid, any other Federally funded or aided program, or any other sources known to us: charges for services that will not be covered by Medicare; and the charges that you may have to pay.
  • Be advised orally and in writing of any changes in payment, charges, and patient payment liability as soon as possible when they occur, but will not provide services until approval is received from you or your representative.