Saturday, April 25, 2015 
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Patient Information

A Warm Welcome to Morehead Memorial Hospital
Thank you for the opportunity to serve you during your hospital stay. We at Morehead Memorial Hospital are dedicated to providing the best care possible for you. Our team will strive to meet your needs in a prompt and courteous manner as our primary concern is for your comfort and well-being.
Following your discharge, you will receive a survey which will provide us with feedback concerning your hospital visit. We welcome any suggestions you may have to help us to improve our services and make our patients more comfortable. If you have immediate needs that your nurse cannot satisfy, please feel free to contact the hospital president at extension 2301 or the patient representative at extension 2344.

This booklet has been prepared to inform you of our services and to explain our policies and regulations which are designed to make your stay more pleasant.

At Morehead Memorial Hospital, our goal is your complete satisfaction.

Food and Nutrition

For your convenience, we offer a restaurant style menu. A copy of the menu selection sheet will be sent with your breakfast tray. This will enable you to select your meals for the following day. If you have any questions about the menu, please call the diet clerk’s office at extension 2210.

Patient meals are served as follows:

  • Breakfast 7:45 – 8:30 a.m.
  • Lunch 12:00 p.m. – 12:45 p.m.
  • Dinner 5:00 – 5:45 p.m.

Guest trays are available for those who need to remain with a patient. Check with the nurse.

Other visitors should eat in the hospital cafeteria or in the vending area. Vending is available in the Emergency Area Lobby and 4th Floor Elevator Lobby.

Food should not be brought to patient areas by visitors without approval by a nurse or physician.

Food purchased outside the hospital may be eaten in the cafeteria.

Visitors may eat in the cafeteria at the following times:

  • Breakfast 6:30 – 10:30 a.m.
  • Lunch 12:45 – 1:30 p.m.
  • Dinner 4:30 – 6:00 p.m.

Special Services

Living Wills/Advance Directives

In 1991, all hospitals were required to ask each patient if he or she had an advance directive (living will) and also to ask if it was on file at their hospital.

Our hospital complies with this law. If you do not have a living will, we are required to give you information.

A living will expresses your wishes for your healthcare treatment to be carried out when you are not capable of communicating your wishes. You should identify a healthcare power of attorney who will carry out your wishes when you are not able to make decisions for your care.

Free living will sessions are held bimonthly in the hospital. Call extension 2482 for more information.

The Director of Chaplaincy Services or an administrator on call may complete living wills in the patient’s room during normal business hours (Monday through Friday, 8:00 a.m. to 5:00 p.m.) when the patient is physically unable to attend one of these sessions. Ask your nurse about this.

Social Services

Social workers are available to discuss your concerns. Dial extension 2219 for more information. If there is no answer, have the nurse page the social worker for you.

Spiritual Care

Hospital chaplains are available in the hospital Monday through Friday from 8:30 a.m. to 5:30 p.m., and are on call 24 hours a day seven days a week, including holidays. The staff or the hospital operator can contact a chaplain for you.

If you desire a visit from your pastor, priest, rabbi, or other spiritual leader, our chaplains are always happy to assist you by contacting your clergy. Speak to the chaplains as they make their visits, or contact the Director of Chaplaincy Services at extension 2482.

Ministers are asked to visit only those people in their own parishes or congregations.

A Chapel is located near the Emergency Department and is available for your use.

How to Manage a Conflict with Medical Treatment

Conflict can happen every day; it is a part of life. No one likes conflict. Sometimes it happens when a patient is very sick. We respect the patient’s right to refuse treatment. However, sometimes a person requests to start or continue a treatment that the doctor does not believe will help the patient. This may cause conflict. If a conflict occurs, you and your doctor have several choices. These are some of the steps you can take to resolve the conflict.

  1. Talk to the doctor and ask why the treatment/intervention will not work. Are there other options?
  2. Tell your nurse that you would like to speak with someone from:
    1. Chaplaincy Services or your minister/spiritual advisor
    2. Social Work/Case Management
    3. Nursing Care Coordinator 
    4. Administration
  3. You can request a second opinion from another doctor. Your doctor does not have to follow the advice offered in the second opinion.
  4. Next, if you and your doctor still disagree, you can ask your nurse to request a consult with the Ethics Committee here at the hospital. The goal of the Committee is to promote open discussion about the problem. The Committee will not make the decision for you or your doctor. Neither you nor your doctor has to follow what the Committee suggests.
  5. Finally, you may request a transfer to another doctor at Morehead Memorial Hospital or to another facility willing to follow your wishes.

Summary of Your Privacy Rights
We are dedicated to maintaining the privacy of your health information. We might share information about you, without your permission, to treat your health problems, to make sure your bills are paid, and to assure the smooth operation of Morehead Memorial Hospital.

You have the following rights:
  • The right to inspect your health information
  • The right to ask for a copy of your health information
  • The right to ask for an amendment to your medical record
  • The right to see with whom we share your health information, if we are not sharing it as part of your treatment, payment, or hospital operations
  • The right to request that we restrict access to your health information
  • The right to request that we contact you in a certain way, or at a certain location
  • The right to object to the hospital’s use of your information in the directories
  • The right to file a complaint if you think we have violated your privacy rights
We will not use or share your medical information for any purposes other than those listed in the Notice of Privacy Practices unless we have your written authorization to do so. If you give us this authorization, you have the right to revoke it, or take it away. If you do not wish to be listed in our patient directories while you are a patient at Morehead, please notify the chief privacy officer at extension 2227. If this is your choice, visitors, flowers, cards and phone calls may not be received unless YOU disclose your room number.

All employees of Morehead Memorial Hospital, and anyone who treats you while you are a patient here, must follow our privacy policy.

Morehead Memorial Hospital has the right to change the Notice of Privacy Practices. A copy of the current Notice of Privacy Practices will be posted on our website, at, and at various locations in the hospital. You may also ask for a paper copy of the full Notice of Privacy Practices or an audio version if you prefer – available in English or Spanish. Contact the chief privacy officer at extension 2227 for further questions.


North Carolina Health Information Exchange (NC HIE)

We’re excited to be participating with NC HIE, a secure statewide health information exchange that helps us share your important health information with other caregivers involved in your health care. The system helps us and your other caregivers make better decisions about your care and reduce the chance of medical errors.

This new technology is available to us through our partnership with an independent nonprofit called NC Health Information Exchange (NC HIE). NC HIE combines information from separate health care sites to create a single electronic patient health record. This record combines health information from all your health care providers and allows authorized health care professionals to see it when caring for you.

NC Health Information Exchange (NC HIE) Questions and Answers

Q. What information is used to identify patients in the system?

A. Information used to identify patients in the system is: name, date of birth, sex, address, telephone number, and last four digits of the social security number. NC HIE uses this information to make an accurate patient match and reduce errors.

Q. Is it against the HIPAA Privacy Rule for you to have shared my information?

A. No. The HIPAA Privacy Rule does not require patient consent when information is used to support treatment, as is the case with NC HIE. In its contract with participating organizations NC HIE is defined as a business associate under HIPAA. This allows NC HIE to act as a “virtual medical record department” to collect and store medical records on behalf of participating organizations. As a business associate, NC HIE is authorized to provide secure and limited access to your information to authorized providers through the NC HIE network when necessary to carry out treatment, care coordination, or payment activities without patient consent. Having a third party entity such as NC HIE to provide electronic health information management services for busy practices and hospitals is a common practice that allows your providers to have timely access to the right information at the right time.

Q. What if I receive care at a health care organization that is not participating in NC HIE, what happens to my records?

A. Only providers who are participating in NC HIE can access and include information in the system. If your provider does not participate in NC HIE, they will continue to update your medical record in their own system, and they will share your medical records as they always have, by mail, email or fax. However, the goal is that all providers in North Carolina will participate in the future so that your information is available where it’s needed, when it’s needed, and by whom it’s needed.

Q. What about mental health provider records? Are those part of my record?

A. Information collected by a licensed mental health provider or facility will be included in the NC HIE system, however, information that comes from substance abuse treatment facilities will not be included. If you are taking medications prescribed by a doctor at a substance abuse treatment facility and those are part of our medical records here, the medications will appear in your NC HIE health record. It is important for your providers to be aware of your medications so they can provide you with the best care possible.

Q. What if there is a mistake on my record, how will I get that fixed?

A. Your NC HIE record includes information created by the health care providers caring for you. If you know of an error, please let your provider know about it so that they can update the information. Once they do this, it will be automatically updated in NC HIE.

Q. How can I find who has viewed my record? Is there a record of who has viewed my health information and why?

A. NC HIE will keep track of who views your record, and offers patients’ access to audit reports. Please let us know if you have questions and concerns about access to your records.

Q. Will my medical information be posted on the Internet or sold for someone’s mailing list?

A. No. Absolutely not. NC HIE uses a secure private network. Information that identifies you will never be sold and you will not be added to any mailing list.

Q. How often is the system checked for security failures/hackers?

A. Security tests are performed on an ongoing basis, to make sure that the records remain secure. For more information about security, please contact NC HIE directly.
Additional FAQs are available on NC HIE’s website (  


Pain Management

Are You in Pain?

As a patient at this hospital, you can expect:
  • Information about pain and pain relief measures
  • Concerned staff committed to pain prevention and management
  • Health professionals who respond quickly to reports of pain
  • Reports of pain will be relieved, and
  • State-of-the-art pain management
Patient Responsibilities

As a patient at this hospital, we encourage you to:
  • Ask your doctor or nurse what to expect regarding pain and pain management
  • Discuss pain relief options with your doctors and nurses
  • Work with your doctor and nurse to develop a pain management plan
  • Ask for pain relief when pain first begins
  • Help your doctor and nurse assess your pain
  • Tell your doctor or nurse if your pain is not relieved, and
  • Tell your doctor or nurse about any worries you have about taking pain medication

Going Home

How Your Length of Stay is Determined
Medicare, Medicaid, and other insurance carriers dictate that the hospital does not keep you longer than is judged necessary through a utilization review procedure.

Discharge From the Hospital

Following are the steps in discharge from the hospital:

  1. Your physician will write a discharge order on your chart.
  2. Your physician will discuss your release with you; otherwise, one of the nurses will inform you, and review your discharge orders with you.
  3. You may be asked to make arrangements for payment before you are discharged, or you may request to do so by calling extension 2214, 2338 or 2724.
Checkout Time

Checkout time is 11:00 a.m. It is your responsibility to make arrangements to vacate your room as soon as possible. There will be no charge for the last day of stay provided your accommodations are vacated before 11:00 a.m.

If you remain in your room after the checkout time on the day of your dismissal, there may be a room charge for that day added to your bill. Most insurances will not cover a late discharge. If your doctor or the hospital staff has caused you to be in your room after the checkout time, there will be no charge.

Delayed Charges

It sometimes requires as much as twenty-four hours for a charge from a given department of the hospital to be posted on your bill by the business office. For this reason, charges for treatments or medicines ordered during the twenty-four hours preceding discharge may not be received in time to appear on your bill before you leave the hospital. The posting date may be after you were discharged from the hospital.

If you should have any questions about your bill, or there are any charges on your bill that you do not understand, please call the patient accounts department for clarification, extension 2204.


General Information

Baby Photos

Your nurse will explain more about the photographs which will be taken shortly after your baby’s birth. You will have the opportunity to purchase pictures and to have your baby’s picture on the hospital’s web page –

Cologne and Fragrances

Due to allergic reactions in other patients and visitors, do not wear cologne or fragrances during your stay.

Electrical Equipment

Personal appliances and equipment that plug into an electrical receptacle for operation (electric razor, hair dryer, curlers, radio, TV, tape player, computers, cell phones, etc.) are not permitted due to state and federal safety requirements. However, battery operated devices are permitted. Hair dryers, razors, and electric shavers are available at your request from the nurses’ station.

Questions or Concerns About Your Care

Because your comfort and recovery are important to us, Morehead Memorial Hospital has a patient representative available to help you with any problems, concerns, or special needs that you might have. The patient representative is in the hospital Monday through Friday and is available to talk to you if you have a request, a compliment or a complaint. You may reach this service by calling extension 2344. If the patient representative is not in the office, you may leave a message and your call will be returned.

Mail and Flowers

Your mail and flowers will be delivered to your room by volunteers. Mail received after you have been discharged will be forwarded to your home address.

Reading Material

A volunteer will bring a cart each morning to offer you free magazines.

Restrooms and Baby Changing Stations

There are public restrooms on the patient floors, in the main lobby, in the Day Hospital, and in the Emergency Department. Baby Changing Stations are in all public bathrooms except on patient floors. Health regulations prohibit visitor use of patient restrooms.


You may find all the services of Morehead Hospital at You can also find information about each physician on the medical staff, health information, living will information and job openings. You may download a job application, a living will form or the hospital’s community newsletter. This institution complies with the provisions of the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973, and all requirements imposed pursuant thereto, to the end that no person shall, on the grounds of race, religion, color, sex, national origin, sexual preference, ancestry, age, familial status, physical or mental disability or handicap, be excluded from participation in, be denied benefits of, or otherwise be subjected to discrimination in the provision of any care or service. This Nondiscrimination Statement applies to patients, physicians, and staff.


Family, Friends, and Visitors

General Visiting Hours

Visitors are welcome from 7:00 a.m. to 9:00 p.m. daily with the exception of the ICCU, Pediatrics, and Birthing Center (see below). Children under the age of 12 are discouraged from visiting due to safety and infection control risks. In an effort to maintain a calm and restful environment, all visitors are asked to minimize noise levels throughout the hospital.

For the safety and well-being of our patients, no visitors will be allowed to enter the facility after 9:00 p.m. except for circumstance specific visitation. Circumstance specific visitation is limited to two individuals in the patient room and includes the following:
  • Family or designee of a patient in Birthing Center
  • Family or designee of a patient just admitted to any unit
  • Family or designee of a pediatric patient
  • Family or designee of a patient whose condition is not stable
  • Family or designee of a patient during end of life issues

Restricted visiting hours end at 7:00 a.m. daily and are enforced seven days a week.


Visitation is allowed between the hours of 8:00 a.m. - 2:00p.m., 3:00 - 6:30 p.m., and 8:00 - 9:00 p.m. Children under the age of 12 are not allowed to visit in the ICCU.


Visitation is allowed 24 hours a day for parents or designated caregivers. General public visitation is allowed between the hours of 10:00 a.m. - 12:00 noon, 2:00 - 4:00 p.m., and 6:00 - 8:00 p.m.
All employees must wear identification badges. Do not give your child to anyone who does not wear a badge. If you have questions, talk to your nurse.

Birthing Center

Visitation is allowed between the hours of 10:00 a.m. - 12:00 noon, 2:00 - 4:00 p.m., and 6:30 - 9:00 p.m. Siblings of any age and children over 12 years of age may visit.

The immediate family, consisting of the patient’s husband/father of the baby, patient’s parents or parents-in-law, and the infant’s siblings, are allowed to visit any time after delivery. All employees must wear identification badges. Do not give your baby to anyone who does not wear a badge. If you have questions, talk to your nurse.

Cologne and Fragrances

Due to allergic reactions in patients and other visitors, do not wear cologne or fragrances while visiting within the hospital.


Shirts and shoes must be worn at all times in the hospital.


Visitors may eat in the cafeteria at the following times: Breakfast 6:30 - 10:30 a.m., Lunch 11:45 - 1:30 p.m., Dinner 4:30 - 6:00 p.m. Vending is available in the Emergency Area and 4th Floor Elevator Lobby.

Surgery Patients

If you are having surgery, your family may wait in the Day Hospital lobby. It is important that your family members keep the volunteer on duty or hospital personnel informed about where they will be during your surgery. If there are changes in the schedule or cases are long, the nurse may need to get in touch with them.

Gift Shop

Small Pleasures Gift Shop is located in the main lobby. The gift shop, a project of the auxiliary is managed and operated by volunteers. All proceeds are given to the hospital for equipment, services, or scholarships.

Hours: 9:00 a.m. - 5:00 p.m. Monday – Friday; 11:00 a.m. - 3:00 p.m. occasionally on Saturdays


Patient Bill of Rights and Responsibilities
  1. The patient has the right to participate in the development and implementation of his or her plan of care.
  2. The patient or his or her representative (as allowed under State law) has the right to make informed decisions regarding his or her care. The patient’s rights include being informed of his or her health status, being involved in care planning and treatment, and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate.
  3. The patient has the right to formulate advance directives and to have hospital staff and practitioners who provide care in the hospital comply with these directives.
  4. The patient has the right to have a family member or representative of his or her choice and his or her own physician notified promptly of his or her admission to the hospital.
    • The patient has the right to personal privacy.
    • The patient has the right to receive care in a safe setting.
    • The patient has the right to be free from all forms of abuse or harassment.
    • The patient has the right to the confidentiality of his or her clinical records.
    • The patient has the right to access information contained in his or her clinical records within a reasonable time frame. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet these requests as quickly as its record keeping system permits.
    • The patient has the right to assessment, monitoring and management of pain.
    • The pediatric patient has special needs and rights in addition to the ones listed above. Our staff will assure that these needs and rights are observed.
  5. The patient has the right to be free from physical or chemical restraints that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff.
  6. The patient has the right to voice complaints and recommend changes in policies and services to physicians, nurses and other hospital staff of their choice. In doing so, the patients will be free from restraint, interference, coercion, discrimination or reprisal, including threat of discharge or compromise of their future access to care at this hospital.
  7. If the patient feels he/she is not receiving the appropriate services, he or she is encouraged to speak to the physician, nurse or other hospital staff member who is responsible for honoring that right or delivering that service If the patient is not satisfied with the outcome of this exchange or prefers not to discuss the situation with a caregiver, then he or she may phone 336-623-9711, extension 2344 to speak with the patient representative who provides a problem-solving service to patients, relatives, guardians and visitors in our hospital. If the patient has concerns regarding quality of care or premature discharge, he or she will be referred on a timely basis to the appropriate utilization and quality control peer review organization. If the patient is a medicare patient, he or she should read the “Important Message from Medicare” contained in this patient information book.
Our patients, in turn, have responsibilities.
  1. Patients are responsible for providing information about past illnesses, hospitalizations, medications, and other matters related to health status. To participate effectively in decision making, patients must be encouraged to take responsibility for requesting additional information or clarification about their health status or treatment when they do not fully understand information or instructions.
  2. Patients are also responsible for ensuring that the health care institution has a copy of their written advance directive if they have one.
  3. Patients are responsible for informing their physicians and other caregivers if they anticipate problems in following prescribed treatment.
  4. A person’s health depends on much more than health care services. Patients are responsible for recognizing the impact of their lifestyle on their personal health.
  5. Patients have a responsibility to follow hospital rules and regulations.
  6. Patients should notify the physician or charge nurse when they do not understand a diagnosis, treatment, or prognosis.
  7. Patients must accept the financial obligations associated with their care.
  8. Patients should be considerate of the rights of other patients and hospital personnel and assist in the control of noise, smoking, and the number of visitors they receive.

For Your Safety and Security

Infant Carriers
North Carolina law requires that your newborn be transported in an infant car seat. If you do not have a car seat in which to transport your baby from the hospital to your home, please talk to your nurse.

Fire Drills

For your protection, the hospital conducts fire and disaster drills regularly. If a drill occurs while you are here, please remain in your room and do not become alarmed. The hospital is a fire-resistant building, and the staff is trained in fire protection.

No Smoking

Smoking is not permitted anywhere inside of the hospital. You may ask your physician’s permission to smoke in designated areas outside of the hospital. Visitors cannot smoke inside the hospital. Thank you for helping us to maintain a healthy environment for all our patients.


If equipment in your room (television, toilet, bed, etc.) needs repair, you may contact the maintenance department at extension 2274 or tell your nurse.

Safety Concerns

If you or your family have any safety concerns, please contact the Safety Officer at extension 2269.


Do not keep checks, credit cards, jewelry, or cash with you. If you brought any valuables to the hospital, please ask a family member to take them home, or request your nurse to put them in the hospital vault. The hospital is not responsible for any items left by the patient.


Morehead Memorial Hospital is accredited by DNV Healthcare, Inc., which ensures our commitment to providing the highest quality care. The public may contact DNV to report any concerns or register complaints about a DNV-accredited healthcare organization by either calling 1-866-523-6842 or e-mailing:


Hospital Bills and Insurance
Patients should be assured that their care will not be compromised because of an inability to pay. If you are covered by insurance, Medicare or Medicaid, we will file your claims as a service to you. Your bill is sent to your insurer approximately seven days after you have been discharged; and a letter is sent to you to verify the accuracy of the information. If your insurer has not paid the claim 45 days after being billed, the full bill becomes the responsibility of the patient. If you have a special problem paying your bill, you should contact our Collections Department at extension 6186. The hospital bill is for hospital services only. You will receive separate bills from your private physician, as well as from any consulting or professional groups, such as radiology, anesthesiology and pathology. Separate fees are also charged by the physicians who read results of stress tests and EKG’s. If you have a question about any of these bills, you should contact the physician from whom you received the bill. We will be more than happy to furnish you with any additional information regarding the completion of your insurance forms, or the payment of your bills. If we can help you, please call one of the following numbers:
  • Collections Department (for payment arrangements) – extension 6186
  • Patient Accounts Representative (for insurance questions) – extension 6195
  • Eligibility Assistance Services (EAS) or Medicaid – extension 2995
  • Social Services – extension 2219 or 2773
Insurance Patient accounts representatives in the Business Office can help determine if your insurance will fully cover your hospital bill. Arrangements for payment of charges above insurance coverage can be made before your discharge. For more information call extension 6186.

Employee Group Insurance

We accept employee group hospital insurance, but we must first verify that the insurance is in effect at the time you are a patient. Some insurance companies require permission (pre-certification) for patients to be admitted to the hospital. The patient is responsible for making sure permission is obtained prior to admission.

When we file for the insurance benefit, the check must be paid directly to the hospital and not to the patient.

If you prefer that your insurance check be paid directly to you, you are expected to pay for your bill at the time you are discharged.

All Medicare and Medicaid checks are paid to the hospital and not to the patient.

Payment By The Patient

If we cannot verify that you are covered by insurance at the time you are discharged or within ten days of your admission date, you are responsible for payment of your bill.

Additional Forms That Must Be Filed

If your insurance company requires that you complete additional forms before they will process your claim, you are responsible for getting the forms completed and insurance paid before the 45-day period ends.

We will be happy to help you complete these forms at any time, but it is better if they are presented to us before you are discharged from the hospital.

Individual Insurance Policies

Individual insurance policies will be accepted if the benefits can be verified and payment is made to the hospital.

The Patient’s Share Of The Bill

At the time of discharge, we will estimate how much your insurance will pay. Any charges not covered by insurance are due at that time. We do accept MasterCard and VISA.

If you have a special problem paying your bill, you may contact our Collections Department at extension 6186.


When two or more employee group policies are presented to us, we will file your claims. Any overpayment will be refunded to the appropriate insurance company.

If you have individual policies, we will file your claims. We will refund any overpayment directly to you if you are to receive the benefit from your insurance company.

For any questions concerning refunds, please call extension 2204.

Public Liability or Public Injury Claims

We will not become involved in disputes arising out of any injury or illness which happened as a result of a public liability or public injury claim. The responsibility for full payment of the claim remains with the patient. The hospital will make its records available to your lawyer, or to other authorities for informational purposes. Medicare and Medicaid require that we bill liability before billing them.

Workers’ Compensation

The hospital will recognize Workers’ Compensation cases only when the insurance company guarantees the payment in full upon admission to the hospital.


Case Management (Discharge Planning)

Post-Hospital Care

When your doctor determines that you no longer need all the specialized services provided in a hospital, but still require medical care, he or she may discharge you to a skilled nursing facility or home health care. The discharge planner at the hospital will help arrange for the services you may need after your discharge. Medicare and supplemental insurance policies have limited coverage for skilled nursing facility care and home health care. Therefore, you should find out which services will or will not be covered and how payment will be made. Consult with your doctor, hospital discharge planner, patient accounts representative and your family in making preparations for care after you leave the hospital. Don’t hesitate to ask questions.

Case Management

Because Morehead Memorial Hospital wants your discharge process to be a pleasant experience and because we care what happens to you after you leave our hospital, discharge planning must begin at the time of admission. The case management team, which includes nurses, social workers and a chaplain, can help you and your family with arrangements for care following discharge. They can arrange home health equipment such as a hospital bed, commode chair, feeding pump, wheelchair, oxygen, walker, etc. Home Health Care can be arranged if skill needs are identified as paid by Medicare, Medicaid or private insurance carriers.

If placement in a nursing home, rest home, or if assisted living is needed, our social worker will assist in finding an available bed so that you can be discharged to a lower level of care when your physician determines that you are ready.

There are three (3) levels of long-term care: skilled care, intermediate care, and rest home care. The level of care is determined by your medical and physical requirements.

If you require intermediate care, rest home care, or assisted living, you may have to be discharged and await placement at home. However, if you wish to remain in the hospital, you may do so, but you will be responsible for the hospital bill.

Medicare will continue to pay for your care only if you are awaiting skilled nursing placement and only until the first available bed is found.

If patients are receptive to talking with someone about Medicaid, they are referred to Social Services or the eligibility assistance representative.

Financial assistance needs should be addressed by contacting the Business Office or the social worker before or on the day of discharge.

In order to insure that there will be no problems with your discharge plan, we need you to cooperate with the case management team when they contact you or your family regarding discharge plans.

If you have any questions, please tell your doctor or nurse and they will contact the appropriate person to talk with you.

For nursing home and rest home complaints unresolved by your nursing home staff, you have the option to contact the Division of Facility Services.

Nursing home only – 919-733-8499

Rest home only – 919-733-6650


Message From Medicare

As a Hospital Inpatient, you have the right to:
  • Receive Medicare covered services. This includes medically necessary hospital services you may need after you are discharged, if ordered by your doctor. You have the right to know about these services, who will pay for them, and where you can get them.
  • Be involved in any decisions about your hospital stay, and know who will pay for it.
  • Report any concerns you have about the quality of care you receive to the Quality Improvement Organization (QIO) listed here: KEPRO (Keystone Peer Review Organization), 1-844-455-8708.
Your Medicare Discharge Rights

Planning For Your Discharge:

During your hospital stay, the hospital staff will be working with you to prepare for your safe discharge and arrange for services you may need after you leave the hospital. When you no longer need inpatient hospital care, your doctor or the hospital staff will inform you of your planned discharge date.

If you think you are being discharged too soon:

  • You can talk to the hospital staff, your doctor and your managed care plan (if you belong to one) about your concerns.
  • You also have the right to an appeal, that is, a review of your case by a Quality Improvement Organization (QIO). The QIO is an outside reviewer hired by Medicare to look at your case to decide whether you are ready to leave the hospital.
    • If you want to appeal, you must contact the QIO no later than your planned discharge date and before you leave the hospital.
    • If you do this, you will not have to pay for the services you receive during the appeal (except for charges like co-pays and deductibles).
  • If you do not appeal, but decide to stay in the hospital past your planned discharge date, you may have to pay for any services you receive after that date.
  • Step by step instructions for calling the QIO and filing an appeal are listed below.
Steps to Appeal Your Discharge

Step 1: You must contact the QIO no later than your planned discharge date and before you leave the hospital. If you do this, you will not have to pay for the services you receive during the appeal (except for charges like co-pays and deductibles).

  • Here is the contact information for the QIO:
KEPRO (Keystone Peer Review Organization)
  • You can file a request for an appeal any day of the week. Once you speak to someone or leave a message, your appeal has begun.
  • Ask the hospital if you need help contacting the QIO.
  • The name of this hospital is Morehead Memorial Hospital, ID: 340060.

Step 2: You will receive a detailed notice from the hospital of your Medicare Advantage or other Medicare managed care plan (if you belong to one) that explains the reasons they think you are ready to be discharged.

Step 3: The QIO will ask for your opinion. You or your representative need to be available to speak with the QIO, if requested. You or your representative may give the QIO a written statement, but you are not required to do so.

Step 4: The QIO will review your medical records and other important information about your case.

Step 5: The QIO will notify you of its decision within 1 day after it receives all necessary information.

  • If the QIO finds that you are not ready to be discharged, Medicare will continue to cover your hospital services.
  • If the QIO finds you are ready to be discharged, Medicare will continue to cover your services until noon of the day after the QIO notifies you of its decision.
If You Miss the Deadline to Appeal, You Have Other Appeal Rights:

  • You can still ask the QIO or your plan (if you belong to one) for a review of your case:
    • If you have original Medicare: Call the QIO listed above.
    • If you belong to a Medicare Advantage Plan or other Medicare managed care plan: Call your plan.
  • If you stay in the hospital, the hospital may charge you for any services you receive after your planned discharge date.
For more information, call 1-800-MEDICARE (1-800-633-4227); or TTY: 1-877-486-2048.

To speak with someone at the hospital about this notice, call 336-623-9711 and ask for a case manager or nursing supervisor.

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