Patient Rights and Responsibilities

Patient Rights
As a patient of Neurotech, you have the right to:

• EEG testing regardless of age, race, color, ethnicity/national origin, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or source of payment
• be treated with courtesy and respect of your dignity by Neurotech staff members, in a safe environment, free of abuse and harassment
• have another individual appointed to have legal responsibility to make decisions regarding medical care on behalf of the patient
• know the name, role, and qualification of the referring physician, interpreting physician, and the EEG tech(s) providing care or monitoring of your EEG
• confidentiality of all communications and medical records pertaining to your care; written permission will be obtained prior to the release of records to anyone not directly involved in your care
• access to your medical records within a reasonable time period and in accordance with federal HIPAA policies and procedures
• receive as much information as possible regarding the EEG procedure so you can give informed consent or refuse the course of treatment
• prompt and reasonable responses to your requests for service
• be informed of Neurotech policies and practices that relate to patient care, treatment and service
• details and explanations regarding the billing of the EEG test regardless of source of payment
• file a written complaint without fear of retaliation or discrimination

If your complaint cannot be resolved promptly, you may discuss your concern with the Compliance Officer by calling 262-875-6555.

You also have the right to file a complaint with The Joint Commission by going to the Report a Patient Safety Event link and sending by either fax or mail:
Office of Quality Monitoring
Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Fax: 630-792-5636
Website: www.jointcommission.org
E-mail: complaint@jointcommission.org

Patient Responsibilities
As patient of Neurotech, you have the responsibility to:

• provide accurate and complete information regarding your health to the best of your knowledge, including past illnesses, medications, allergies, and any other matters related to your health care status
• keep scheduled appointments (or provide ample notice if you are unable to keep an appointment)
• cooperate and communicate with Neurotech staff and ask questions if you do not understand directions or have problems
• support mutual respect by maintaining civil language and conduct in interactions with Neurotech staff
• follow instructions, policies, rules, and regulations in place to support quality care for patients and a safe environment for EEG techs entering your home
• understand that you are responsible for your outcome if you choose not to follow Neurotech’s instructions
• contact the ordering/referring physician for EEG test results
• contact your health insurance company to ensure you have active insurance coverage on the day(s) of the test, the EEG test is a covered benefit, and Neurotech is an in-network provider
• pay any and all sums that may become due for the services provided by Neurotech, included but not limited to deductibles, co-payments, co-insurance, out-of-pocket requirements, and non-covered services
• ensure another competent adult is present during the duration of the EEG test
• contact emergency medical responders for urgent medical matters
• remove electrodes at the conclusion of the EEG test
• return all Neurotech equipment and property at the conclusion of the EEG test