Membership
Application
Dues
Standards of Conduct
Participating Manufacturers
Services
Patient Care Clinic
ABC Accreditation
O&P 101
Suggestion Box
OPGA Department Directory
Glossary of terms
Estimating the Value of Your O&P Business
Forms Library
Forms Library
Care Plans and Follow-ups
Compliance
Delivery and Pick Up
Insurance Forms
Invoices and Simple Statements
Job Descriptions
Legal Documents
Miscellaneous Logs and Instructions
Patient Forms and Checklists
Patient Information
Payment Plans
Personnel/Employment
Purchase Orders
Rent/Purchase Agreements
Returns and Exchanges
Work Orders
Care Plans and Follow-ups
Patient Follow Up
Word
Patient Follow up Survey
Word
pdf
Patient Service Record (page 1)
Word
pdf
Patient Service Record (page 2)
Word
pdf
Respiratory Equipment Follow up
Word
pdf
Ventilator Care Plan
Word
pdf
Patient Visit Report
Word
pdf
Patient Visit Letter
Word
pdf
Missed Your Visit Letter
Word
pdf
Miscellaneous Plan of Care (page 1)
Word
pdf
Miscellaneous Plan of Care (page 2)
Word
pdf
Plan of Care - Resp & CPAP Equip
Word
pdf
Plan of Care - Unit Dose Medication (page 1)
Word
pdf
Plan of Care - Unit Dose Medication (page 2)
Word
pdf
Care Plan - Nebulizer
Word
pdf
Care Plan - Oxygen
Word
pdf
Care Plan - Enteral
Word
pdf
Care Plan - Apnea Monitor
Word
pdf
Follow up form
pdf
Word
Administrative Requirements for the Implementation of HIPAA
Word
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Compliance
Emergency Preparedness
pdf
Basic Home Safety
pdf
Sample Oxygen Supplier Priority Account Letter
pdf
Facility Loss Preparedness Plan
pdf
Complaint Form
Word
Customer Satisfaction Survey
pdf
Word
Patient Satisfaction Survey
Word
Warranty Information Form (addresses supplier standard #6)
pdf
Complaint Resolution Protocol (addresses supplier standard #19)
pdf
Complaint Log Sheet (addresses supplier standard #20)
pdf
ABN
pdf
Beneficiary's Acknowledgement and Agreement to Pay
Word
Billable & Comp Checklist
Word
DME/HME Checklist for New & Current VGM Members
Word
Notice of Possible Medicare Denial
Word
Medicare Waiver of Liability Form
Word
Waiver of Liability
Word
MSDS Carbon Dioxide
pdf
2006 Federal Poverty Guidelines
pdf
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Delivery and Pick Up
Special Delivery
Word
pdf
Pick-Up Ticket - Full Page
pdf
Pick-Up Ticket - Half Page
Word
pdf
After Hours Delivery
Word
pdf
Delivery/Pickup Ticket
Word
pdf
Delivery/Return Ticket
Word
Delivery Ticket
Word
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Insurance Forms
Application for Medicare Co-Insurance Waiver
Word
Beneficiary's Acknowledgement
Word
Co-Insurance Waiver
Word
Reasonable & Necessary Equipment
Word
Supplier's Notice
Word
Waiver of Co-Pay Responsibility
Word
Waiver of Liability
Word
Workman's Comp
Word
Co-Insurance
Word
Acknowledgement of Responsibility
Word
Private Insurance Information
Word
Medicare Denial
Word
DME Insurance Verification
Word
Billable & Comp Checklist
Word
Primary Insurance
Word
Secondary Insurance
Word
Application for Medicare Co-Insurance Waiver
Word
Medicare Waiver of Liability Form
Word
Assignment of Benefits (AOB)
Word
Sample Patient Mobility Prescription
Word
Medicare Enrollment Application
pdf
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Invoices and Simple Statements
Simple Statement
Word
Statement before insurance payment rcvd
Word
Invoice with Labor calculations
Word
Invoice without Labor calculations
Word
pdf
Blank Invoice - Full Page
Word
Blank Invoice - Half Page
Word
pdf
Invoice Receipt Verification Log
Word
pdf
Invoice for Equipment and Oxygen Rental (page 1)
Word
pdf
Invoice for Equipment and Oxygen Rental (page 2)
Word
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Job Descriptions
All Descriptions (zip file)
Word
Account Billing Clerk
Word
Accounts Receivable
pdf
Account Representative
Word
Accounts Receivable Manager
pdf
Accounting Clerk
Word
Accounting Manager
Word
Accounts Receivable Clerk
Word
Billing Clerk
pdf
Billing Clerk 2
pdf
Billing Clerk 3
pdf
Billing Supervisor
Word
Branch Manager
Word
Clean Equipment Technician
Word
Cleaner
pdf
Clerical Billing Assistant
Word
Clinical Equipment Technician
Word
Clinical Service Support Staff
Word
CMN Specialist
Word
Compliance Technician/Customer Service Position
Word
Confirmation Clerk
Word
Contracted Services
pdf
Customer Service Manager
pdf
Customer Service Representative
pdf
Customer Service Representative Order Entry
Word
Deliver Equipment Technician
Word
Director of Clinical Services
Word
Driver
pdf
Equipment Repair Technician
Word
Executive Director
Word
Facilities Coordinator Maintenance
Word
File Clerk
Word
Information Gathering
pdf
Information Systems Coordinator
Word
Inventory Analyst
Word
Inventory Clerk
Word
Marketing Director
pdf
Marketing Representative
Word
Materials Manager
Word
Office Assistant
Word
Office Manager
pdf
Prodution Manager
pdf
Reception/Administration Assistant
Word
Rehab Specialist
Word
RehabTechnician
Word
Retail Store Manager
pdf
Sales Manager
pdf
Sales Representative 1
pdf
Sales Representative 2
Word
Service Technician
pdf
Shipping Receiving Clerk
Word
Warehouse Manager
pdf
Warehouse Manager 2
pdf
Safety & Infection Control Officer
Word
pdf
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Legal Documents
Customer Information
Word
pdf
Living Wills Explanation Sheet
Word
Terms and Conditions of Rental or Sales of Medical Equipment/Supplies
Word
Priority Power Restoration
Word
pdf
Emergency Medical Services Letter
Word
pdf
Telephone Company Letter
Word
pdf
CMS Medicare DMEPOS Supplier Standards
Word
pdf
Revised Federal Poverty Income Limits: March 1, 2002
Word
Financial Hardship Waiver
pdf
Injury Recording Forms
pdf
OSHA Injury and Illness Decision Tree
Word
Application for Medicare Co-Insurance Waiver
pdf
Loaner Equipment Agreement & Waiver of Liability
Word
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Miscellaneous Logs and Instructions
On-Call Log
Word
pdf
Daily Activity Log
Word
pdf
Call Sheet
Word
pdf
Company Owned Vehicles (page 1)
Word
pdf
Company Owned Vehicles (page 2)
Word
pdf
Daily Vehicle Log
Word
pdf
Delivery Vehicle Stock
Word
pdf
Supplies/Tools Received
Word
pdf
Equipment Shipping Log (page 1)
Word
pdf
Equipment Shipping Log (page 2)
Word
pdf
"Things To Do Today" Grid
pdf
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Patient Forms and Checklists
Liquid Oxygen Orientation
pdf
Word
Orientacion Oxigeno Liquido
pdf
Word
Oxygen Concentrator
pdf
Word
Back-up Hours Existing in Tank
pdf
Word
Oxygen System - Concentrator
pdf
Word
Oxygen Orientation Checklist
pdf
Word
Oxygen/Nebulization Orientation Checklist
pdf
Word
Oxygen General Checklist
pdf
Word
Oxygen Concentrator Checklist
pdf
Word
Batch Quality Control Log
pdf
Word
Apnea Monitor Training Report
pdf
Word
Orientation Checklist for Apnea Monitors
pdf
Word
Placement of BiPAP, BiPAP S/T, or CPAP
pdf
Word
Suction Machine
pdf
Word
Suction Pumps
pdf
Word
Suction Equipment
Word