Get Ar Bcbs Inpatient Hospital Assessment Form For Acute Care Hospitals 2015-2025

Filling out the AR BCBS Inpatient Hospital Assessment Form is crucial for streamlining care for patients in acute care hospitals. This guide will walk you through the process of completing the form online, ensuring accuracy and compliance with necessary requirements.

Follow the steps to effectively complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online document editor.
2. Begin by providing the member demographic information. Fill in the fields for the first name, last name, subscriber number, and date of birth accurately.
3. Next, enter the facility name and contact phone number. Ensure that the health plan is specified correctly for accurate processing.
4. In the section labeled 'ER Admission,' mark the appropriate entry for the patient's emergency room admission.
5. Proceed to fill in any relevant information regarding the patient's chief complaint (CC) in the designated field.
6. Document the patient’s past medical history (PMH) clearly, ensuring all pertinent conditions are mentioned.
7. Enter the patient's vital signs into the 'Vitals' section, being careful to input accurate measurements.
8. Include details from imaging results. This may involve specifying tests conducted and results obtained.
9. Input the relevant laboratory results in the 'Labs' section, providing details as necessary.
10. Provide findings from the physical examination under 'On Exam.' Include significant observations.
11. Describe any treatments administered in the emergency room under 'ER Tx.'
12. Record admission orders in the designated section to outline the patient's required care.
13. Address the discharge plan clearly, indicating follow-up care or instructions as needed.
14. If applicable, confirm whether there was a re-admission within 14 days, and include the discharge summary and vital signs from the previous admission.
15. Utilize the 'Comments' section to add any additional relevant information or clarifications that may support the review process.
16. Finally, review the completed form for any errors or omissions. Once confirmed, you can save changes, download for your records, print, or share the form as necessary.

Complete and submit the AR BCBS Inpatient Hospital Assessment Form online to ensure seamless patient care!