Healthcare Select Booklet

1 Your single source for healthcare office products. Forms, Folders, Signage and so much more. New World New Solutions

PAGE 2 WAITING ROOM: Notice of Privacy Practices Posters Table Tents Floor Decals Tear Drop Flag Poster Banner Visitor Badges Confidential Patient Sign-in System TABLE OF CONTENTS 3 RECEPTION AREA: Table Tent Acrylic Partitions Confidential Patient Sign-in System Poster Vaccination Intake Form Privacy Practice Form 4 EXAM ROOM: Controlled Substance Script Non-Controlled Substance Scripts Excuse Notes Custom Label Solutions 5 BILLING: Claim Forms Healthcare Envelopes Medical Billing Statements Communication Labels Presentation Folders 6 MEDICAL PROCEDURES: Window Labels/Decals HIPAA Forms Patient Request Form Filing Folders Labels Patient Valuables Bags Presentation Folders HIPAA Employee Training Record Visitor Badges 7 Finding New Solutions

3 WAITING ROOM C D E A C F H HIGHLIGHTED PRODUCT A Notice of Privacy Practices Posters provide the required written notification regarding a patient’s personal health information. Available in both English and Spanish. B Table Tents signage saying “Check–In here” or “Please have your insurance card ready”. C Floor Decals are ideal for labeling and advising customers where to stand while social distancing or the warning of trip hazards. D Tear Drop Flag can be used to convey important messages like the hours you’re open or setting up appointments E Poster are perfect for temporary messaging for events and promotions F Banner grab patients attention with large popup banners. G Visitor Badges are ideal for medical offices keeping a confidential log of visitors while offering the VISITOR a name badge at the same time. H Confidential Patient Sign-in Systemmeet HIPAA regulations with the confidential Sign-in forms to securely keep track of patients. B G

D D E HIGHLIGHTED PRODUCT A Table Tent signage saying “Check–In here” or “Please have your insurance card ready”. B Acrylic Partitions create a safe barrier between patients and staff, designed specifically to help prevent the transmission of viruses. C Confidential Patient Sign-in System protect a patient privacy and offices can use them to monitor their patient load each day/ week. Complete with a numbering system, the HIPAA compliant sign-in forms enable offices to keep patients names confidential, while providing a signature for each patient seen. D Poster are perfect for temporary messaging, health and safety, events and awareness. E Vaccination Intake Form can be used for the COVID vaccine (only) or for other vaccinations to screen the health of the patient and document information. F Privacy Practice Form C A B F C 4 RECEPTION AREA

C A B D HIGHLIGHTED PRODUCT A Controlled Substance Scripts exceed Federal Medicaid requirements are state specific, tamper-resistant prescription pads that fight against fraud. B Non-Controlled Substance Scripts exceed Federal requirements and are Medicaid compliant. Our multiple security features come standard on each script. C Excuse Notes document an office visit for employers or a school office. Easy to complete including signature line for medical office professional. D Custom Label Solutions play a critical role in patient health and safety as well as having an impact on both institution and provider reputations. C 5 EXAM ROOM

6 BILLING A C B HIGHLIGHTED PRODUCT A Claim Forms required by the Centers for Medicare and Medicaid Services are to be submitted on the CMS1500’s or the UB04’s. The physician claim form is used in the standard OCR red ink, with QR code. B Healthcare Envelopes are designed specifically for various HCFA/CMS/UB04 forms. Options include, with or without window, self-seal vs gum and multiple sizes, like 9 x 13 (available in green or blue) or #10 styles used for billing. Medical Billing Statements are a staple in every medical office, these general purpose billing forms are printed on 20# white bond paper with micro-perforation for ease of printing, opening, and remittance. Available in blue and burgundy. Communication Labels enable physicians and office personnel to quickly note Advance Directive, Alert, Allergy, Billing, Chart, HIPAA, and Insurance Information. C Presentation Folders create dynamic presentations with custom folders, report covers, document holders, and other quality presentation products.

7 MEDICAL PROCEDURES HIGHLIGHTED PRODUCT A Window Labels/Decals Improve communications and enhance information for important reminders, business hours, and parking or office protocols. B,G HIPAA Forms cover employee training records, to patient request forms, to the important Notice of Privacy Practices limiting use and disclosure of private health information. B Patient Request Form C Filing Folders 11pt and 14pt end-tab folders are constructed of heavy-duty manila stock with an undercut tab design and alignment marks that make labeling easy. D Labels communication labels can be used for patient or billing information like “Allergic to:”, HIPAA signature on file and more. B C D A F E E Patient Valuables Bags are 10” x 13” tamper-evident plastic bags that are consecutively numbered for securing wallets, watches, rings, jewelry and other small valuables. The Patient Valuable Envelope is a heavy duty 9” x 12” tamper evident envelope which also comes consecutively numbered, but with a 3-part receipt for secure record keeping. F Presentation Folders create dynamic presentations with custom folders, report covers, document holders, and other quality presentation products. G HIPAA Employee Training Record H Visitor Badges are ideal for medical offices keeping a confidential log of visitors while offering the VISITOR a name badge at the same time. G H

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