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Home Medical Equipment Service Provider - Inspection Report Questions Mobile App

The Home Medical Equipment Service Provider - Inspection Report Questions mobile app provides a detailed inspection specific for in home medical equipment. The app covers the following areas: General Information, Facility Policy and Procedure Manual, Facility Operations, Facility Patient Files and Facility Personnel Files. GoCanvas makes it easy to publish custom software applications for your phone.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Home Medical Equipment Service Provider - Inspection Report Questions Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    1.1 Telephone Number

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    1.2 Tax Identification Number

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    1.3 HME Permit Number

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    Type of Facility?

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    Is the Facility currently accredited?

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    1.6 Type of Inspection

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    Does the facility policy and procedure manual include detailed Personnel policies?

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    Does the facility policy and procedure manual include detailed equipment maintenance policies?

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    Does the facility policy and procedure manual include detailed Quality Assurance policies?

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    Does the facility policy and procedure manual include detailed vehicle policies (including maint...

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    Notice of Privacy Practices (HIPAA) posted for the public?

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    Liability Insurance certificate available for inspection?

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    Proof of accreditation (where applicable) available for inspection?

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    FDA compliance guidelines for enteral food products available for inspection (where applicable)?

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    Medicare standards (where applicable) being provided at time of service?

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    Hours of operation posted for the public?

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    OSHA 300 Form available to employees?

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    Federal and State labor regulations sign current and posted for employees?

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    Pharmacy Permit (where applicable) current and posted for public view?

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    How does the facility have access to current Indiana HME Statutes and Rules?

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    Retail Merchants Certificate posted for the public?

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    Weights and Measures certificate (where applicable) posted for the public?

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    Proper temperature monitoring in place for applicable equipment?

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    Are there appropriate HIPAA procedures being followed?

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    Is there currently any litigation pending or resolved against the provider?

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    (a) If yes, are these records available for inspection?

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    Documentation of ownership (Articles of Incorporation) available for inspection if necessary?

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    What is the Provider's Medicare number (where applicable)?

  • ...and More!

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