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An entire floor of the hospital is dedicated to a Cardiac Centre of Excellence. In a highly sophisticated and hi-tech environment.

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Centres of Excellence

Terms and Conditions of admission

 

1. The following terms shall bear the following meanings:

1.1 "act" - means the Health Act No. 61 of 2003;

1.2 "account" means the statement of account processed by the clinic in respect of the treatment given to the patient;

1.3 "clinic" means the hospital and / or the clinic;

1.4 "days" means calendar days;

1.5 "guarantor" means either:

1.5.1 any person other than the patient who undertakes liability as surety and co-principal debtor with the patient for payment by the patient to the clinic; or

1.5.2 any third person other than the person who is responsible for or who has undertaken primary responsibility for payment of the patient's account, and who undertakes liability as surety and co-principal debtor for payment of any amount due and owing to the clinic.
1.6 "ombudsperson" means one of the ombudspersons appointed by Capensis Management (Pty) Ltd and designated as such for the purpose of determining disputes relating to accounts as contemplated in 2 below;

1.7 "patient" means the patient / patient's parents or guardian / person responsible for payment of the patient's account / guarantor;

1.8 "patient's agent" means the patient's medical aid or scheme / the Workman's Compensation Fund / the Commissioner for Occupational Injuries and Diseases / the patient's authorized agent / fund / insurer / patient account funder or any other agency or party:
1.9 "Capensis Management" - means Capensis Management (Pty) Ltd and its subsidiary companies;

1.10 "pharmacy" means the pharmacy established and operated within the clinic in terms of the Pharmacies Act, 1974 (Act no. 53 of 1974) as amended"

 

2. The patient

2.1 hereby consents to the clinic invoicing the patient, as the agent of the pharmacy, for the drugs supplied to the patient by the pharmacy and, where applicable, the patient's agent shall be deemed to have consented to such cession;
2.2 The patient or the patient's agent, as the case may be shall be deemed to have received the account on the 7th day after the date of the patient's discharge from the clinic ('the receipt date"), and upon which date the account shall become due and payable.

2.3 If payment does not take place on or before the 30th day after the receipt date, interest at the maximum permissible rate that may be charged in terms of the Usury Act, shall accrue on the amount due from the receipt date to date of actual payment;

2.4 The patient or patient's agent will be entitled to query the account but until the amount queried has been credited by the clinic in accordance with the provisions of 2.5 and 2.6 the patient or the patient's agent shall be liable for payment of the account in full.

2.5 Queries or disputes will only be considered by the clinic provided that the patient or the patient's agent bona fide refers to specific line item/s i.e. the account, clearly stating and substantiating the reasons for the query or dispute, and provided that the query is set out in writing and posted to the clinic by registered mail or faxed, to reach the clinic before the end of the "review period" (being the period of 30 days following the receipt date) or delivered by hand and duly stamped as received by the clinic by no later than the end of the review period.

2.6 The following procedure/s shall apply in respect of queries or disputes lodged with the clinic as contemplated in 2.5 above:

2.6.1 The clinic shall refer to the query or dispute to the appropriate clinic administrative personnel who shall investigate the merits of the query or dispute ("the administrators");

2.6.2 Upon completion of the investigation by the administrators, a finding shall be communicated within 14 days of the end of the review period in writing to the patient or the patient's agent to state whether or not the clinic shall credit the queried or disputed account. If the administrators determine that a credit shall be passed in respect of the account, then such credit shall be deemed to have been granted from the receipt date;

2.6.3 In the event that the patient or the patient's agent disagrees with or disputes any finding made in terms of 2.6.2 above, the patient shall within 28 days of the end of the review period, be entitled to communicate such disagreement or dispute in writing, clearly stating and substantiating the reasons for such disagreement or dispute and shall lodge such disagreement or dispute with the administrators by hand or by registered mail or by fax, to reach the clinic within such period;

2.6.4 Should the patient or the patient's agent not lodge a written notice of disagreement or dispute in regard to the administrators' findings as contemplated in 2.6.3 above, within the period referred to in 2.6.3 above, such findings shall be deemed to be final and no further correspondence will be entered into with regard to the account in question.

2.6.5 In the event that the administrators are not able, for whatever reason, to make a finding referred to in 2.6.2 above or in the event that the patient or the patient's agent queries the finding made by the administrators as contemplated in 2.6.3, the administrators shall refer the query or dispute to the ombudsperson within 35 days of the end of the review period and shall inform the patient in writing of such referral;

2.6.6 Upon completion of the investigation by the ombudsperson a final finding, shall be communicated in writing to the patient or the patient's agent as to whether or not the clinic shall make a credit to the queried or disputed statement of account. Such finding shall be communicated to the patient or the patient's agent in the form of a written ruling by no later than 50 days after the end of the review period. If the ombudsperson determines that a credit should be passed in respect of the account then such credit shall be deemed to have been granted from the receipt date.
 

3. The account relates only to accommodation and pharmacy charges, and without limiting the generality of the services hereinunder mentioned, excludes doctors, pathology, radiology and ambulance transportation (3rd party provider services), which services shall be separately billed by the relevant 3rd party provider to the patient or patient's agent.
 

4. Should the patient default in payment of any amount due to the clinic, the clinic shall be entitled to recover in addition to such amount due all costs, disbursements and commissions incurred in recovering payment on an attorney and client scale including all charges levied by any other person directed to make the recovery from the patient or patient’s agent.
 

5. The clinic reserves the right of admission, subject to the receipt of payment in advance of services being rendered.
 

6. In the event of any repudiation or non-payment for any reason whatsoever of the account or any of patient's account part thereof by the patient's agent, the patient shall be fully responsible for the payment thereof.  It is agreed that the clinic reserves the right to convert the tariff of charges reflected on the account

to private rates if applicable. The patient irrevocably consents to his/her Credit Bureau record being checked in order to assist in the clinic's decision to grant credit/service, as well as to the clinic reporting on the patients slow or non-payment of accounts.
 

7. All patient records remain the property of the clinic, and will be retained for a maximum period of five years.
 

8. Neither the clinic nor its employees nor agents shall be responsible for loss of money, valuables or any other property belonging to or in the possession of the patients or safekeeping of the clinic, or damage to patient's property however such loss or damage may occur.
 

9. Capensis Management and its directors, officers and employees do not warrant the equipment and/or machinery owned and/or used by it.

The machinery and/or equipment is used "as is" and Capensis Management provides no warranties of any kind in that regard. Capensis Management makes no representation or warranty regarding the accuracy and/or reliability of any information supplied to Capensis Management by the manufacturers of such machinery and/or equipment. Capensis Management can accept no responsibility, at all, for any damage, injury,

illness or death caused to or suffered by any person as a result of any of its machinery and/or equipment failing. It is on the strict understanding and acceptance of all the provisions of this disclaimer clause that Capensis Management accepts the admission of the patient to its hospitals.
 

10. The patient or patient's estate is not under an administration, sequestration or insolvency order and these processes are not contemplated by the patient, nor likely to occur, and it is acknowledged by the patient that failure to advise the clinic of the above is a fraudulent act.
 

11. The minimum charge shall be for one day being 12 midnight to 12 noon, and any part thereof shall be calculated as one half day.
 

12. The patient agrees to abide by any clinic policy with regard to any rule that is enforced for the protection and care of its patients such as "no smoking" other than in designated areas.
 

13. It is hereby agreed that a blood test or any other medical examination, including a test for HIV, the Aids virus and / or Hepatitis B may be performed on the patient if it is regarded as necessary or advisable by the clinic in the interest of the health and safety of the clinic staff or of other patients admitted to the clinic and consent to such test or examination is hereby given and to the taking of a blood specimen from the patient should this be necessary for the aforesaid purpose. It is agreed that the patient shall be responsible for the cost of such a

test or examination. The result of such test or examination shall be dealt with on a confidential basis by the management of the clinic and will be made known only to the patient, the patient's agent and / or the patient's doctor.
 

14. The patient hereby waives all rights that the patient may have in regard to any tissue or bodily part removed from him/herself in the clinic. The patient accordingly authorises the clinic or any employee thereof to dispose of such tissue or part in any such manner as they may see fit including the

destruction thereof. ("bodily part" in the case of a female patient includes a foetus.)
 

15. The patient and the surety, hereby consents and submits to the jurisdiction of the appropriate magistrate's court in respect of all actions or other proceedings arising out of this agreement and in respect of any matter arising from the patient's stay or treatment in the clinic irrespective of the amount involved and for all purposes under this agreement including and not limited to services of

process, and giving of notice, chooses as domicilium citandi et executandi the addresses provided in this web site.

16. This agreement constituted by the acceptance of this admission form as well as any legal proceedings and taken by or against the patient arising from the patient's stay or treatment at the clinic, shall be interpreted in accordance with and be subject to and governed exclusively by the laws of the Republic of South Africa, and should any dispute arise the appropriate court of South Africa shall

be vested with exclusive jurisdiction over such dispute.
 

17. The patient hereby cedes to the clinic all of the patient's right, title and interest in and to any benefits, monies and/or medical insurance payments due and owing to the patient or the patient's agent for immediately all services rendered and medicines supplied by the clinic arising out of the patient's admission to the hospital.
 

18. If the patient to be admitted is a minor (unmarried, below 21 years of age) then both his/her parents/guardian must agree to these terms and conditions of admission, hereby accepting responsibility for payment of the full amount due and owing to the clinic.
 

19. Express Consent

I confirm that I have read and accept the terms of admission and that I know that I have an entrenched right to confidentiality concerning my health in terms of the Act, including information regarding the diagnosis of any medical condition and the treatment thereof. I hereby give my express consent to the Clinic, its staff and service providers:

19.1 to dispense therapeutically and pharmaceutically equivalent medicine for those prescribed;

and

19.2 to use ICD-10 and CPT codes when submitting a claim on my behalf to my health care funder.

19.3 to disclose the nature of my illness, or any operation or procedure performed on me, and to make available all and any records or copies of records in relation thereto to the patient's agent.

20. The guarantor renounces the benefits of excussion, division and cession of action in respect of the full amount due and owing by the patient to the Clinic.





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Ethekwini Hospital & Heart Centre

Physical Address

:11 Riverhorse Road, Riverhorse Valley Business Estate,
Queen Nandi Drive, Durban, 4017

Telephone

:+27 31 581 2400

Fax

:+27 31 581 2699

Email

: info@ehhc.co.za

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