Get Instructions To Complete The Nursing Facility Tracking Form ... - Dhcfp Nv
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How to fill out the instructions to complete the nursing facility tracking form - Dhcfp Nv online
Filling out the nursing facility tracking form is essential for notifying the Medicaid Central Office of any nursing facility admissions, discharges, or deaths for Medicaid eligible recipients. This guide provides clear, step-by-step guidance on completing the form accurately to ensure proper billing and record management.
Follow the steps to fill out the nursing facility tracking form online.
- Click the ‘Get Form’ button to access the nursing facility tracking form and open it in your preferred document editor.
- Begin by providing the resident's demographic information at the top of the form. Ensure that the Medicaid billing number, date of birth, Social Security number, and name spelling match the records in the Medicaid and Social Security systems.
- If the resident is Medicaid eligible upon admission, complete Sections I and II. If the resident has been discharged, Section III must also be completed as per the latest occurrence.
- In Section I, provide the admission date of the resident, confirm if the PASRR Level I screening and PASRR II evaluation have been completed, and indicate the completion dates if applicable.
- Section II requires information about the requested Medicaid payment date and the reason for the payment request. Choose one reason from the provided options, like admission or payment continuation.
- If applicable, indicate the service level category for the resident. For prior levels of care before January 1, 2002, provide the appropriate level of care code.
- Upon discharge, complete Section III within 72 hours by providing the date of discharge and the reason for discharge, selecting an appropriate option such as home, hospital, or death.
- Finally, include the name and e-mail address of the person completing the form, the submission date, and any additional comments in the provided area. Once all fields are completed, submit the form online.
Ensure that your nursing facility tracking form is accurately completed online to avoid delays in Medicaid billing and service continuity.
Contacting Nevada Medicaid customer service is easy and can be done via phone or online. Visit their official website for the customer service number, or consider using their online contact form for written communication. When you reach out, mentioning the INSTRUCTIONS TO COMPLETE THE NURSING FACILITY TRACKING FORM ... - Dhcfp Nv may provide context to your inquiry. For additional support, uslegalforms provides instructions that can guide you in your communications.
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